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Infection prevention and control
Optimising the use of antibiotics in the management of urinary tract infections in aged residential care
Urinary tract infections (UTIs) are one of the most common infections diagnosed in aged residential care (ARC). However, international evidence suggests that up to three-quarters of the prescriptions for UTI in ARC are for residents who do not meet the clinical criteria for UTI. Furthermore, over half of antibiotic courses administered in ARC for UTI may be unnecessary or excessively broad spectrum.
The Health Quality & Safety Commission (the Commission) is hosting a webinar on improving the use of antibiotics in the management of UTI in ARC. This will be an opportunity for the health workforce to learn how to improve outcomes for residents in your facility.
In this webinar, the audience will have the opportunity to hear about:
- the latest interventions to diagnose and treat UTI
- the application of the new health and disability service standards in the ARC sector
- how to implement a programme to optimise the use of antibiotics for UTI
- the experience of a facility who has implemented this programme and reduced the number of reported UTIs by 45 percent.
Who should attend?
Anyone who is involved in the care of residents:
- nurses
- caregivers
- facility managers
- clinical nurse managers
- general practitioners
- nurse practitioners.
Cost
This webinar is free, but registration is essential.
Speakers
Julie has been a New Zealand registered nurse for 23 years and a nurse practitioner (NP) for 6 years. She gained her Master of Nursing at University of Auckland (UoA) and is currently in the provisional year of her doctoral study. Her research focuses on the development of a system to support nurses to identify acute deterioration in people living in ARC.- She has held roles in rural hospital nursing, district nursing, nurse education and chronic care management. In 2008, Julie focused solely on older adults, becoming the first Waikato District Health Board (DHB)-employed gerontology nurse specialist dedicated to supporting nurses’ work in ARC. She used this platform to successfully challenge for NP (older adults) registration in 2015. She is currently a professional teaching fellow at UoA.
- Julie has been recognised for her academic, clinical and leadership contributions to nursing. She was presented with the UoA Faculty of Medical and Health Sciences Denis Pickup Clinical Educator Award in 2017, the New Zealand Nurses Organisation national Services to Nursing award in 2015 for her ‘contribution to gerontology nursing at a local and national level’ (Marion Guy, Present NZNO) and Waikato DHB awards for quality improvement initiatives, including the introduction of the SBARR (situation, background, assessment, recommendations, review/response) communication tool and the development of a best practice guideline for management of scabies in ARC.
- She worked with the Commission for a year in a deputised role and now holds the clinical lead position for the ARC quality improvement activity.
Claire Underwood joined HealthCERT in November 2021. Originally from the UK, she immigrated to Aotearoa New Zealand over 15 years ago and is a registered nurse with a background in medical and surgical nursing. As part of completing a postgraduate diploma many years ago, Claire reviewed a policy on hand hygiene and fell into the world of infection prevention and control. For over 11 years since then, she has held clinical nurse specialist positions in this area with Southern Cross Wellington and Hutt Valley DHB. Her interest in the Aotearoa New Zealand standards attracted her to the role at HealthCERT.
Trish will share her and her team’s experience of implementing the interventions for improving the use of antibiotics for UTI.
Prem Kumar is a quality improvement advisor at the Commission. He provides advice on a number of national quality improvement programmes led by the Commission, including a focus on identifying opportunities and networks to build quality improvement and patient safety capability across the health sector. Prem is a member of the teaching faculty that the Commission draws on to support the quality improvement training programmes it delivers and facilitates.- Over the last 10 years, Prem has worked as an improvement advisor on many national, regional and local quality improvement projects in both primary and secondary care. He is keen to look at how these skills can now be applied to support the ARC sector. Before joining the health sector, Prem worked with General Electric. He has experience in the application of quality improvement methodologies, including Six Sigma, Lean and the Model for Improvement, all widely used in the health care sector and other industries.
Julie Daltrey, PhD candidate nurse practitioner, MN (hons)
- Julie has been a New Zealand registered nurse for 23 years and a nurse practitioner (NP) for 6 years. She gained her Master of Nursing at University of Auckland (UoA) and is currently in the provisional year of her doctoral study. Her research focuses on the development of a system to support nurses to identify acute deterioration in people living in ARC.
- She has held roles in rural hospital nursing, district nursing, nurse education and chronic care management. In 2008, Julie focused solely on older adults, becoming the first Waikato District Health Board (DHB)-employed gerontology nurse specialist dedicated to supporting nurses’ work in ARC. She used this platform to successfully challenge for NP (older adults) registration in 2015. She is currently a professional teaching fellow at UoA.
- Julie has been recognised for her academic, clinical and leadership contributions to nursing. She was presented with the UoA Faculty of Medical and Health Sciences Denis Pickup Clinical Educator Award in 2017, the New Zealand Nurses Organisation national Services to Nursing award in 2015 for her ‘contribution to gerontology nursing at a local and national level’ (Marion Guy, Present NZNO) and Waikato DHB awards for quality improvement initiatives, including the introduction of the SBARR (situation, background, assessment, recommendations, review/response) communication tool and the development of a best practice guideline for management of scabies in ARC.
- She worked with the Commission for a year in a deputised role and now holds the clinical lead position for the ARC quality improvement activity.
Claire Underwood, principal advisor for HealthCERT
- Claire Underwood joined HealthCERT in November 2021. Originally from the UK, she immigrated to Aotearoa New Zealand over 15 years ago and is a registered nurse with a background in medical and surgical nursing. As part of completing a postgraduate diploma many years ago, Claire reviewed a policy on hand hygiene and fell into the world of infection prevention and control. For over 11 years since then, she has held clinical nurse specialist positions in this area with Southern Cross Wellington and Hutt Valley DHB. Her interest in the Aotearoa New Zealand standards attracted her to the role at HealthCERT.
Trish Bloxsom, clinical manager, Observatory Village Lifecare Ltd, Oamaru
- Trish will share her and her team’s experience of implementing the interventions for improving the use of antibiotics for UTI.
Prem Kumar, quality improvement advisor, Health Quality & Safety Commission
- Prem Kumar is a quality improvement advisor at the Commission. He provides advice on a number of national quality improvement programmes led by the Commission, including a focus on identifying opportunities and networks to build quality improvement and patient safety capability across the health sector. Prem is a member of the teaching faculty that the Commission draws on to support the quality improvement training programmes it delivers and facilitates.
- Over the last 10 years, Prem has worked as an improvement advisor on many national, regional and local quality improvement projects in both primary and secondary care. He is keen to look at how these skills can now be applied to support the ARC sector. Before joining the health sector, Prem worked with General Electric. He has experience in the application of quality improvement methodologies, including Six Sigma, Lean and the Model for Improvement, all widely used in the health care sector and other industries.
The webinar will be recorded and available from the Commission website after the webinar here.
To register for this webinar, click here.
To access the Guide to improving the use of antibiotics in the management of urinary tract infection in aged residential care, published in October 2022, click here.
More information
For more information about the event, contact Matthew Coulson by emailing matthew.coulson@hqsc.govt.nz.