Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Holly Cheryl

Abstract

The use of an indwelling catheter is a common occurrence in the hospital setting. Careful evaluation of the initial indication for catheterization and need for continued catheterization is necessary to mitigate the complications of catheter insertion, which includes urinary tract infection. Catheter associated urinary tract infections (CAUTI) are the most common healthcare-associated infection in the United States, with > 30% of these infections reported. More than 560,000 hospital acquired urinary tract infections occur annually. CAUTI and its complications increase morbidity and mortality, hospital length of stay, readmission rates, cost, and the use of antimicrobial medication. CAUTI was identified as an outlier infection in the adult hospitalized trauma population at the practicum site. The purpose of this quality project was to reduce the use of indwelling catheter device/days by implementing a CAUTI care bundle in the adult trauma patient. The project used the plan-do-study-act framework and focused on (a) use of an indwelling urinary catheter assessment to determine the need for insertion and (b) following a nurse driven urinary catheter removal protocol. Nursing staff were instructed through virtual education on the bundle components. Pre and post bundle implementation data were collected and compared on the number of infections, catheter days, patient days, and infection rates. Analysis used a CAUTI audit tool reviewing assessment, care, maintenance, and removal. Results reflected a zero-infection incidence and decrease in use of indwelling catheters for 3 months. This project may contribute to social change by changing the care pathway. The use of the CAUTI bundle decreased infection rates in the adult trauma patient, thereby impacting the overall quality of patient care.

Download

Included in

Nursing Commons

Share

 
COinS