Reducing Foley Catheter Days and Infection in an Acute Care Setting: Using the Urinary Catheter Bundle

2.50
Hdl Handle:
http://hdl.handle.net/10755/601653
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Reducing Foley Catheter Days and Infection in an Acute Care Setting: Using the Urinary Catheter Bundle
Author(s):
Johnson, Michelle
Lead Author STTI Affiliation:
Non-member
Author Details:
Michelle Johnson, RN, PCCN, michelleljohnson@texashealth.org
Abstract:
Session presented on Friday, July 24, 2015: Problem: Urinary tract infections (UTIs) are a common Hospital Acquired Infection (HAI). Approximately 80% of hospital acquired UTIs occur in the presence of a urinary catheter. Lengthy dwell time (time period in which an indwelling Cather is in the bladder) is an important contributor in catheter-associated urinary tract infection (CAUTI). 'Purpose: This project translated evidence into an intervention to decrease CAUTIs on a medical unit that averaged above the National Healthcare Safety Network (NHSN) benchmark for CAUTIs during the first eight months in 2013. 'Evidence: A systematic literature search was conducted using the cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Database of Systematic Reviews (CDSR), and PubMed. Five systematic reviews and 28 studies were appraised, and 15 background articles were reviewed. By means of rapid critical appraisal, six relevant studies and one systematic review were identified for synthesis. Levels of evidence ranged from the highest quality (systematic review) to descriptive studies. The evidence supported early removal of urinary catheters to reduce CAUTI rates and catheter days. 'Practice change strategy: An assessment of baseline knowledge of registered nurses (RNs) and Patient Care Technicians (PCTs) on the urinary catheter bundle was performed via electronic survey. Knowledge deficits related to catheter care, removal guidelines, and bladder scanner use were identified. Education was provided to caregivers targeting the identified knowledge deficits. Collaboration with infection prevention provided a tracking log for patients with indwelling urinary catheters. Catheters were removed if patients did not meet criteria for a urinary catheter listed in the urinary catheter bundle. Following the staff education, urinary catheter utilization rates and CAUTI rates continued to be monitored and observed on the unit monthly. 'Evaluation/Results: NHSN data showed catheter utilization rates decreased by 19% in the three months post education. Only one UTI was reported during the 3 month project period compared to the three month period before the project. 'Recommendations: We strongly support providing formal CAUTI prevention education to staff including: catheter care, removal guidelines (including prior to patient transfer between units), proper documentation, and bladder scanner use. A reasonable next step is to initiate a nurse driven removal protocol and continue to trend data monthly.
Keywords:
CAUTI; Catheter; Foley
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST13
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleReducing Foley Catheter Days and Infection in an Acute Care Setting: Using the Urinary Catheter Bundleen
dc.contributor.authorJohnson, Michelleen
dc.contributor.departmentNon-memberen
dc.author.detailsMichelle Johnson, RN, PCCN, michelleljohnson@texashealth.orgen
dc.identifier.urihttp://hdl.handle.net/10755/601653-
dc.description.abstractSession presented on Friday, July 24, 2015: Problem: Urinary tract infections (UTIs) are a common Hospital Acquired Infection (HAI). Approximately 80% of hospital acquired UTIs occur in the presence of a urinary catheter. Lengthy dwell time (time period in which an indwelling Cather is in the bladder) is an important contributor in catheter-associated urinary tract infection (CAUTI). 'Purpose: This project translated evidence into an intervention to decrease CAUTIs on a medical unit that averaged above the National Healthcare Safety Network (NHSN) benchmark for CAUTIs during the first eight months in 2013. 'Evidence: A systematic literature search was conducted using the cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Database of Systematic Reviews (CDSR), and PubMed. Five systematic reviews and 28 studies were appraised, and 15 background articles were reviewed. By means of rapid critical appraisal, six relevant studies and one systematic review were identified for synthesis. Levels of evidence ranged from the highest quality (systematic review) to descriptive studies. The evidence supported early removal of urinary catheters to reduce CAUTI rates and catheter days. 'Practice change strategy: An assessment of baseline knowledge of registered nurses (RNs) and Patient Care Technicians (PCTs) on the urinary catheter bundle was performed via electronic survey. Knowledge deficits related to catheter care, removal guidelines, and bladder scanner use were identified. Education was provided to caregivers targeting the identified knowledge deficits. Collaboration with infection prevention provided a tracking log for patients with indwelling urinary catheters. Catheters were removed if patients did not meet criteria for a urinary catheter listed in the urinary catheter bundle. Following the staff education, urinary catheter utilization rates and CAUTI rates continued to be monitored and observed on the unit monthly. 'Evaluation/Results: NHSN data showed catheter utilization rates decreased by 19% in the three months post education. Only one UTI was reported during the 3 month project period compared to the three month period before the project. 'Recommendations: We strongly support providing formal CAUTI prevention education to staff including: catheter care, removal guidelines (including prior to patient transfer between units), proper documentation, and bladder scanner use. A reasonable next step is to initiate a nurse driven removal protocol and continue to trend data monthly.en
dc.subjectCAUTIen
dc.subjectCatheteren
dc.subjectFoleyen
dc.date.available2016-03-17T12:51:52Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:51:52Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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