You were recently promoted to the position of Director of the Medical Surgical unit at your local hospital. You just finished meeting with a group of Directors who were discussing the Cathet

Scenario
You were recently promoted to the position of Director of the Medical Surgical unit at your local hospital. You just finished meeting with a group of Directors who were discussing the Catheter Associated Urinary Tract Infection (CAUTI) rates. Your unit’s CAUTI rate has not decreased since the implementation of a new policy over a year ago. Financial repercussions of the high CAUTI rate cannot continue. You have been given the task of reviewing the policy and creating a SWOT Analysis, offering recommendations for change.
Policy
Objective: To ensure proper completion of urethral catheter insertion.
Responsibility: Registered Nurse
Policy: It is the policy of Rasmussen Hospital to ensure that all urethral catheter insertions are completed under sterile technique. Two Registered Nurses are to be present for each insertion, and document according to the procedure outlined in this policy.
Procedure: All urethral catheter insertions will be completed following the steps outlined below.
1. All insertions will be completed under sterile technique as outlined in the Lippincott Nursing Manual 2013. This manual/ text is considered the policy for the skill portion of catheter insertions.
2. Two RN staff members will complete each insertion.
3. One RN is to complete the insertion; the second RN is to assist and observe, ensuring that sterile technique is not broken. If the technique is broken, the Registered Nurse it to stop insertion and allow the second nurse to continue the procedure.
4. Once completed, both RNs are to document in the Electronic Health Record(EHR) the client’s response to the procedure and that it was completed under sterile technique
W: Weaknesses of policy
Choose weaknesses/concerns of the policy related to regulatory guidelines.
Include weaknesses/concerns of the policy related to financial guidelines.
Support choice of weaknesses with current literature.
areas that require revisions to improve the content? What have you located in the CAUTI prevention toolkits that this policy is lacking?
O: Opportunities
Include opportunities for growth or improvement of the policy.
Include perceived opportunities for financial, legal, ethical, quality and safety.
Support choice of opportunities with current literature.
reflect on what can be added to the policy to guide staff – what are the areas that are opportunities based on current EBP?
T: Threats
Include perceived threats to financial, legal, ethical, quality and safety.
Support choice of threats with current literature.
what are also threats of the current content? Review, resource
Propose clearly stated and concise recommendations for change.
Include descriptions of necessary actions.
Use evidence to support your recommendations.