2021 Annual Conference

CNS Improving Outcomes

Typically, about 25% of hospitalized patients have a indwelling urinary catheter during their admission. The chance of a patient developing a catheter-associated urinary tract infection (CAUTI) ranges from 3-8% per day of catheterization. It has been shown that CAUTIs are the most common cause of healthcare acquired infections. Delay in urinary catheter removal and unnecessary usage places the patient at a greater risk of developing a CAUTI which in turns can led to increased costs, length of stay, mortality, and lack of reimbursement for the organization.

Chart reviews of patients with urinary catheters and rounding with nursing staff proved that a lack of knowledge existed in regards to the urinary catheter removal protocol, which was outdated. A decision to revamp the urinary catheter removal protocol and re-education among nursing staff was decided. A more evidence-based protocol was created after literature review. Appropriate indications were created that aligned with CDC guidelines to avoid unnecessary usage. Providing autonomy for nursing to make a decision to promptly remove a urinary catheter while caring for their patient was an important factor. Nursing have the ability to utilize their critical thinking skills to improve patient safety and outcomes.

The revised protocol was approved by a variety of committees and leadership. Dissemination will occur throughout the organization. Specific units will be targeted with re-education and rounding by the CNS. After the implementation, a decrease in the utilization of urinary catheters will be seen which should decrease the incidence of CAUTIs.