2.50
Hdl Handle:
http://hdl.handle.net/10755/183073
Category:
Abstract
Type:
Presentation
Title:
Prevention of Hospital Acquired Urinary Tract Infections
Author(s):
Hall, Melanie; Morgan, Sandra; Stafford, Paula
Author Details:
Melanie Hall, RN, BS, CIC, Fawcett Memorial Hospital, Port Charlotte, FL, email: Tina.Poitras@hcahealthcare.com; Sandra Morgan, RN, MS; Paula Stafford, RN ,BA
Abstract:
PURPOSE:
To outline the prevention protocol and policy for nursing to follow in the management of foley catheters and the prevention of urinary tract infections.

METHOD:
1. Systematic review of evidence-based articles was performed by the Nursing Research Council using the hierarchy of pre-processed evidence adapted from R.B. Haynes.
2. Question was formed utilizing the PICO criteria.
3. Protocols developed to include procedure, insertion, care and removal.
4. Based on results, current policy reviewed and revised, protocol for nurses developed, documentation was reviewed and changed, and nursing-driven notification for physicians of removal of foley catheter was formulated.
5. A competency fair was held, and nurses from the research council educated all nursing staff on the new evidence-based protocol related to foley catheter care and removal.
6. An electronic report was developed, and prints out daily indicating which patients have foley catheters each day. Nursing leaders round on each of these patients to ensure the new protocol is being adhered to.
7. The Infection Preventionist reviews all positive urine cultures on a daily basis, comparing the patient's signs, symptoms and lab reports to the National Healthcare Safety Network for identifying symptomatic urinary tract infections.

FINDINGS:
1. With changes from our current foley catheter care standard, to a new evidence-based practice standard of care, we are seeing our hospital-acquired incidence of catheter- associated urinary tract infections decline.
2. Frequent reinforcement regarding urinary catheter care, handling and removal was required to ensure compliance with evidence-based practice change.
3. Our corporate quality group out of Nashville requested that our facility become involved in a project entitled, "Proposed Potential Clinical and Economic Benefit of Antibacterial-Coated Urinary Catheter vs. Noncoated Urinary Catheter".

DISCUSSION:
1. Based on our corporate project study, all silver foley catheters have been removed from our facility for 3 months in order to evaluate the catheter- associated UTI rate based upon nursing intervention with an evidence-based protocol alone.
2. Data collection is still in progress, but showing a decline in catheter- associated UTI's, without using silver foley catheters.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePrevention of Hospital Acquired Urinary Tract Infectionsen_GB
dc.contributor.authorHall, Melanieen_US
dc.contributor.authorMorgan, Sandraen_US
dc.contributor.authorStafford, Paulaen_US
dc.author.detailsMelanie Hall, RN, BS, CIC, Fawcett Memorial Hospital, Port Charlotte, FL, email: Tina.Poitras@hcahealthcare.com; Sandra Morgan, RN, MS; Paula Stafford, RN ,BAen_US
dc.identifier.urihttp://hdl.handle.net/10755/183073-
dc.description.abstractPURPOSE:<br/>To outline the prevention protocol and policy for nursing to follow in the management of foley catheters and the prevention of urinary tract infections.<br/><br/>METHOD:<br/>1. Systematic review of evidence-based articles was performed by the Nursing Research Council using the hierarchy of pre-processed evidence adapted from R.B. Haynes.<br/>2. Question was formed utilizing the PICO criteria. <br/>3. Protocols developed to include procedure, insertion, care and removal.<br/>4. Based on results, current policy reviewed and revised, protocol for nurses developed, documentation was reviewed and changed, and nursing-driven notification for physicians of removal of foley catheter was formulated.<br/>5. A competency fair was held, and nurses from the research council educated all nursing staff on the new evidence-based protocol related to foley catheter care and removal.<br/>6. An electronic report was developed, and prints out daily indicating which patients have foley catheters each day. Nursing leaders round on each of these patients to ensure the new protocol is being adhered to.<br/>7. The Infection Preventionist reviews all positive urine cultures on a daily basis, comparing the patient's signs, symptoms and lab reports to the National Healthcare Safety Network for identifying symptomatic urinary tract infections. <br/><br/>FINDINGS:<br/>1. With changes from our current foley catheter care standard, to a new evidence-based practice standard of care, we are seeing our hospital-acquired incidence of catheter- associated urinary tract infections decline.<br/>2. Frequent reinforcement regarding urinary catheter care, handling and removal was required to ensure compliance with evidence-based practice change.<br/>3. Our corporate quality group out of Nashville requested that our facility become involved in a project entitled, &quot;Proposed Potential Clinical and Economic Benefit of Antibacterial-Coated Urinary Catheter vs. Noncoated Urinary Catheter&quot;.<br/><br/>DISCUSSION: <br/>1. Based on our corporate project study, all silver foley catheters have been removed from our facility for 3 months in order to evaluate the catheter- associated UTI rate based upon nursing intervention with an evidence-based protocol alone.<br/>2. Data collection is still in progress, but showing a decline in catheter- associated UTI's, without using silver foley catheters.en_GB
dc.date.available2011-10-28T16:13:24Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:24Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.