To Dip or Not to Dip is an innovative approach to improve the management of UTI in older people in nursing home care, which led to the more appropriate use of antibiotics and a reduction in the potential for healthcare-acquired infections and antimicrobial resistance in Bath and North East Somerset. Due to the success of the scheme, The Medicines Optimisation in Care Homes Team at West Lancashire CCG will be implementing the scheme in care homes locally.
Instead of using urine dipsticks, To Dip or Not to Dip utilises a UTI assessment form which is completed by care and nursing home staff if they suspect a resident has a UTI. The assessment form is easy to complete and allows the care home staff to select the signs and symptoms of infection present. This information is then sent to the surgery or clinician, who will assess the information, document their recommendations on the form, feed back to the care home and follow up accordingly. A copy of the form and all actions must be clearly documented in the patient’s medical and care records. Antibiotics must not be routinely prescribed over the phone without seeing the patient.
The To Dip or Not to Dip resources and training will be available soon. If you are interested in being part of the pilot, please contact the Medicine Optimisation in Care Homes Team.