Applied Evidence-Based Project and Practicum NRS-465/ peer participation

Lisa Fleischhacker

Read

The plan that was developed in week 5 was designed to help reduce the rates of infections related to urinary catheter insertions that take take in the emergency department. The emergency department prepares patients being admitted to the hospital by changing them into hospital gowns, inserting peripheral IVs for fluids and medication administration and many other tasks seen in critically ill patients. Urinary catheters can be extremely helpful for nurses on the floors, however, Greene et al. (2019) pointed out that approximately 65% of foley insertions done in the emergency room are unnecessary and placing patients at risk of CAUTIs and other complications. My plan is to present the HOUDINI protocol to the emergency department to help eliminate the risk of complications and reduce current spending on supplies and healthcare. The HOUDINI protocol is a nursing driven checklist helping nurses to identify when a urinary catheter is needed and when it should be removed (Jones et al., 2023). This protocol has been proven to reduce complications associated with urinary catheters.  As I continue to work on this project, I find more articles supporting my project, more so than the current research articles I have found in previous weeks. I have also learned that if this change is accepted, I should be prepared to take this proposal to the next level, learning current policies and how/what needs changing to include my proposal.  

Greene, M. T., Fakih, M. G., Watson, S. R., Ratz, D., & Saint, S. (2018). Reducing Inappropriate Urinary Catheter Use in the Emergency Department: Comparing Two Collaborative Structures. Infection control and hospital epidemiology, 39(1), 77–84. https://doi.org/10.1017/ice.2017.256 

Jones, A., Nagle, C., Ahern, T., Smyth, W. (2023). Evidence for a nurse-ed protocol for removing urinary catheters: a scoping review. Collegian. 30(1), 190-197. https://doi.org/10.1016/j.colegn.2022.08.008