| OCR Text |
Show Catheter drainage bag attached to a hospital bed illustrating indwelling urinary catheter use in hospitalized patients (Unknown Author, n.d.)¹ ¹ Unknown Author.bag (n.d.). Urinaryto catheter drainage bag attached to hospital bed [Photograph]. underpatients CC BY-NC-ND. Catheter drainage attached a hospital bed illustrating indwelling urinary catheter use in Licensed hospitalized (Unknown Author, n.d.)¹ A Quality Improvement Project Reducing Intensive Care Unit Catheter-Associated Urinary Tract Infections BACKGROUND Catheter Associated Urinary Tract Infections (CAUTIs) are the most common healthcare associated infection and occur frequently in the Intensive Care Unit (ICU)(1) The purpose of this Quality Improvement (QI) project is to reduce CAUTIs in the ICU by implementing a nursedriven catheter removal protocol and by providing targeted education for nurses, staff, patients, and families • ICU patients are at higher risk due to frequent and prolonged catheter use (2) • Project Lead: Leigha Marigoni BSN, RN, MSN Student Faculty: Angela Page, DNP, APRN, PPNP-BC Content Expert: Madelynn Stephens, MSN, RN INTERVENTIONS • Step 1: Obtain organizational approval and support from ICU leadership • Step 2: Educate ICU nursing staff on evidence-based CAUTI prevention practices • Step 3: Implement a standardized catheter insertion and maintenance bundle • Step 4: Introduce a nurse-driven urinary catheter removal protocol • Step 5: Conduct daily assessments of catheter necessity during patient care round • Step 6: Provide patient and family education regarding catheter risks and infection prevention • Step 7: Monitor compliance through chart audits and CAUTI monitoring tools • Step 8: Evaluate project outcomes and provide feedback to staff Risk of infection increases with each additional day a catheter remains (3) • Nurse education, bundle cares, and early removal reduce CAUTI incidence (4) IMPACTS • Reduce incidence of CAUTIs in the ICU • Improved knowledge and confidence of prevention in nurses METHODS The Iowa Model of Evidence-Based Practice was used as the framework for this Quality Improvement Project Deliverables: • Likert scale pre- and post-survey assessing nurse confidence with CAUTI prevention measures • Nurse driven catheter removal protocol • Decrease number of unnecessary catheter insertions • Increased adherence to evidence-based catheter care • Enhanced patient safety • Decreased patient complications, hospital stay, and associated healthcare costs • Strengthen interdisciplinary team accountability • Long term sustainability of nurse driven protocols • Nurse-driven daily catheter care and maintenance steps Catheter drainage bag attached to a hospital bed illustrating indwelling urinary catheter use in hospitalized patients (Unknown Author, n.d.)6 • Staff guidelines on when to insert or avoid a catheter • Family educational handout explaining catheters CONCLUSIONS • Unit champion checklist for chart audits, reminders, and barrier monitoring • Process and outcome tracking tool highlighting QI project impact The Goal for this quality improvement project would be to reduce overall CAUTI rate in ICU patients through: • ICU CAUTI process monitoring tool various stages of implementation REFERENCES (1) Gupta P, Thomas M, Mathews L, Zacharia N, Ibrahim AF, Garcia ML, et al. Reducing catheter-associated urinary tract infecDons in the cardiac intensive care unit with a coordinated strategy and nursing staff empowerment. BMJ Open Quality. 2023;12:e002214. hNps://doi.org/10.1136/bmjoq-2022-002214 (2) Krauss, D. M., Molefe, A., Hung, L., Hayes, K., Gorman, C., LaNerner, M., Henderson, S., & Miller, M. (2022). Emergent themes from a quality improvement programme for CLABSI/CAUTI prevenBon in ICUs amid the COVID-19 pandemic. BMJ Open Quality, 11(4), e001926. hNps://doi.org/10.1136/bmjoq-2022-001926 (3) Alqarni, M. S. (2021). Catheter-associated urinary tract infecBon (CAUTI) in ICU paBents. Middle East Journal of Nursing, 15(1), 25 33. hNps://doi.org/10.5742/MEJN2021.93799 (4) Alex, J., Maneze, D., Ramjan, L. M., Ferguson, C., Montayre, J., & Salamonson, Y. (2022). EffecBveness of nurse-targeted educaBon intervenBons on clinical outcomes for paBents with indwelling urinary catheters: A systemaBc review.Nurse EducaBon Today, 112, 105319. hNps://doi.org/10.1016/j.nedt.2022.105319 (5) Dessie, Z., Gela, D., & Yusuf, N. T. (2024). Knowledge, aUtude, pracBce, and associated factors toward the prevenBon of catheter-associated urinary tract infecBon among nurses in Ethiopia: Cross-secBonal study. SAGE Open Nursing, 10.hNps://doi.org/10.1177/23779608241281317 (6) Unknown Author. (n.d.). Urinary catheter drainage bag aYached to hospital bed [Photograph]. Licensed under CC BY-NC-ND Note: This figure illustrates a 12-week phased implementation including baseline preparation, staff training, rollout, monitoring, and postimplementation evaluation • Evidence-based management strategies that have the potential to reduce catheter-associated urinary tract infections • Improvements in catheter management that can decrease unnecessary catheter days and reduce preventable healthcareassociated infections (HAIs). • Serving as a model for expansion of CAUTI prevention strategies to additional hospital units and healthcare systems |
