Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/69050

REDUCING CATHETER-ASSOCIATED URINARY TRACT INFECTIONS BY DEVELOPING AND IMPLEMENTING A PROTOCOL FOR THE USE OF THE PUREWICK (EXTERNAL FEMALE CATHETER)

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Title:REDUCING CATHETER-ASSOCIATED URINARY TRACT INFECTIONS BY DEVELOPING AND IMPLEMENTING A PROTOCOL FOR THE USE OF THE PUREWICK (EXTERNAL FEMALE CATHETER)
Authors:Takiguchi, Marisa
Contributors:Qureshi, Kristine (advisor)
Nursing Practice (department)
Keywords:Nursing
Date Issued:2020
Publisher:University of Hawai'i at Manoa
Abstract:Catheter-Associated Urinary Tract Infections (CAUTI) can occur when a urinary catheter is inserted through the urethra and used for urine output management. Microbes can colonize the urinary catheter and can cause infection of the urinary tract. If left untreated, these urinary tract infections can spread, enter the bloodstream and ultimately cause sepsis and potentially death. Thus, healthcare facilities have tried to decrease their CAUTI rates to improve patient outcomes and the quality of care. The PureWick female external urinary catheter has been introduced at a tertiary medical center in Honolulu to address CAUTI rates. This project aimed to address CAUTI rates by implementing an algorithm that indicates appropriate candidate criteria for the PureWick in two ICU units. In-service trainings were provided to the RN staff at both units through a PowerPoint presentation. Pre and post-tests were administered to compare the staff’s baseline knowledge about the device with their knowledge after the in-service trainings. Out of the 78 MICU RN staff and the 37 NSICU RN staff, 30 of the MICU RN staff and 25 NSICU RN staff received the in-service training and completed both the pre-test and post-test. The average MICU pre-test score was 4.73 out of 6 (79%) and the average NSICU pre-test score was 4.23 out of 6 (71%). The MICU average post-test score was 5.63 out of 6 (94%) and the average NSICU post-test score was 5.54 out of 6 (92%), showing an increase in knowledge. To evaluate the use of the PureWick device, a weekly log was created for RN staff to fill out and indicate: if they had a PureWick candidate, if they used the PureWick device and if they had any comments to provide reasoning for not using the device if the patient was considered appropriate. The results from this project suggest that education is an effective intervention to increase RN staff knowledge. Although CAUTI rates increased during the implementation, it is important to also consider the short implementation period of this project.
Pages/Duration:47 pages
URI:http://hdl.handle.net/10125/69050
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice


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