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CAUTI prevention: a team insertion strategy
Dissertation

CAUTI prevention: a team insertion strategy

Ellen Angelo
Doctor of Nursing Practice (D.N.P.), Drexel University
2017
DOI:
https://doi.org/10.17918/etd-7229
pdf
Angelo_Ellen_2017517.54 kB
PDF Access upon request, Email title, URL, or DOI to archives@drexel.edu

Abstract

Urinary tract infections Urinary catheterization Intensive care nursing Nursing
Catheter associated urinary tract infections (CAUTI) are the most prevalent hospital acquired infections worldwide (Malvin & Gillian, 2015). In 2008, the Centers for Medicare and Medicaid Services (CMS) mandated hospitals to report on their infections and ultimately held them financially accountable when they occurred. The purpose of this project was to determine if a team insertion approach to urinary catheterization decreases CAUTI infections as compared to a one-person technique. It is believed that having another person to monitor the aseptic technique process throughout the procedure enhances patient safety and decreases infection when the insertion is stopped should a breech occur. The study site was a 281-bed acute care facility located in coastal New Jersey. An eight month retrospective chart and insertion checklist review was completed to identify if a team insertion approach has less CAUTI infections as compared to a one-person technique. Demographic data was collected from the insertion checklist including age, sex, and month of urinary catheter insertion. Chi square testing was completed to compare CAUTI outcomes between the one-person versus team insertion technique. Multivariate analysis was completed to compare other checklist data points including use of castile soap/soap and water for perineal cleansing, standard kit used, (smallest) catheter size, strict hand hygiene, and was catheterization accomplished with one attempt. Outcomes of this study will be shared with the study site and system CAUTI committee.

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