A Quality Improvement Nurse Led Initiative to Decrease the Rate of Catheter Associated Urinary Tract Infections at a Long-Term Acute Care Hospital

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  • March 20, 2019
Creator
  • Mawoneke, Jacqueline
    • Affiliation: School of Nursing
Abstract
  • Background: Catheter-associated urinary tract infections (CAUTIs) are challenging to manage in long-term acute care hospitals (LTACHs). Patients in these facilities need long hospital stays because they have complex medical needs, which make them susceptible to infection. They are also likely to be admitted with a urinary catheter lengthening their catheter duration, which increases their risk of acquiring CAUTI. Purpose: The purpose of this project was to implement an educational program for nurses and nursing assistants in a LTACH and evaluate the changes in the (1) rates of proper documentation of CAUTI rounding components by the infection control nurse and (2) CAUTI rates after the teaching. Methods: Education on the facility policy and procedure and the catheter discontinuation protocol was provided to bedside RNs and CNAs at the annual skills fair. CAUTI rounding was conducted weekly with the benchmark goal of 80% to indicate compliance with measures. Results: Results from this project indicated statistical significance in the differences between CAUTI rounding documentation before and after the intervention (p<.001 for catheter necessity, statlock and bag placed appropriately and between pre- and post-test results from staff education for both RNs and CNAs). Conclusion: There is limited data on effective prevention strategies to use in LTACHs. Decreasing the rate of CAUTI in these patients will have positive outcomes such as, decreased hospital costs, shorter hospital lengths of stay, and decreased incidence of complications of antibiotic use.
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  • In Copyright
Advisor
  • Caruso, Diane
  • Marshall, Jennifer
  • Waters, Hugh
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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