Date

4-25-2023

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Candi M. Payne

Keywords

Champion Training on Foley Catheter Insertion, Foley-buddy for Foley Insertion, Two-clinician indwelling Urinary Catheter Insertion, Impact of Champion Training for prevention of CAUTI, Champion Training to Prevent CAUTI

Disciplines

Bioethics and Medical Ethics

Abstract

Catheter-associated urinary tract infections are a most common and preventable health care associated infection. Approximately 15% to 25% of hospitalized patients receive a urinary catheter during their hospital stay. The PICOT question that guided this quality improvement project was: How does a two-clinician indwelling urinary catheter insertion technique affect the CAUTI rate over one month in one unit? To answer the question, 19 high-quality studies that met the inclusion and exclusion criteria were reviewed. These articles recommended using CAUTI bundle and champion training by the Centers for Disease Control and Prevention to reduce CAUTIs and catheter days. This evidence-based intervention involved the implementation of a two-clinician indwelling urinary catheter insertion technique. The intervention included registered nurse champion training, use of a catheter insertion and maintenance bundle, daily rounding, and maintenance of logbook. In 2022, the national benchmark for CAUTI rate was 0.80 per thousand calendar days, and the facility’s rate was 2.3%. The intervention resulted in a reduction in the CAUTI rate from two in September 2022 to zero 30 days after project implementation in mid-January to mid-February 2023. The number of catheter days reduced from 220 to 140 after project implementation. The implementation of a champion training successfully reduced CAUTI rate and catheter days. Keywords: catheter-associated urinary tract infection, two-person urinary catheter insertion, CAUTI bundle, indwelling urinary catheter insertion technique

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