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A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization

Background: Traumatic urethral catheterization is a common reason for urologic consultation in hospitalized patients. The purpose of this study was to determine if a protocol designed to decrease Foley catheter use was effective and if implementation of the protocol decreased the incidence of Foley...

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Autores principales: Laborde, Eric, Hill, Hayden, Dukovac, Thomas E., Carriere, Stephen P., Lata-Arias, Kathleen, Hebert, Kristi, Patel, Raunak, Gills, Jessie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academic Division of Ochsner Clinic Foundation 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993424/
https://www.ncbi.nlm.nih.gov/pubmed/33828425
http://dx.doi.org/10.31486/toj.20.0004
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author Laborde, Eric
Hill, Hayden
Dukovac, Thomas E.
Carriere, Stephen P.
Lata-Arias, Kathleen
Hebert, Kristi
Patel, Raunak
Gills, Jessie
author_facet Laborde, Eric
Hill, Hayden
Dukovac, Thomas E.
Carriere, Stephen P.
Lata-Arias, Kathleen
Hebert, Kristi
Patel, Raunak
Gills, Jessie
author_sort Laborde, Eric
collection PubMed
description Background: Traumatic urethral catheterization is a common reason for urologic consultation in hospitalized patients. The purpose of this study was to determine if a protocol designed to decrease Foley catheter use was effective and if implementation of the protocol decreased the incidence of Foley catheter–associated trauma. Methods: In an effort to decrease catheter use, our institution adopted a nurse-driven Foley catheter protocol in May 2015 that allowed nurses to remove Foley catheters that did not meet criteria. We conducted a retrospective medical records review of patients who had Foley catheter–associated trauma occurring between February 2013 and March 2018 and compiled data concerning Foley catheter use. Using t test statistical analysis, we compared rates of Foley catheter use and Foley catheter–associated trauma before and after protocol implementation. Results: During the 62-month study period, we documented 83 cases of Foley catheter–associated trauma. Prior to protocol implementation, our institution had mean of 2,903 patient-catheterization days per month. Following protocol implementation, the mean decreased to 2,604 patient-catheterization days per month (P<0.01). Prior to protocol implementation, the mean incidence of Foley catheter–associated trauma was 1.81 traumas per month. Following protocol implementation, the mean incidence decreased to 0.97 trauma per month (P<0.05). Conclusion: Implementation of the protocol was successful in decreasing Foley catheter use as well as Foley catheter–associated trauma.
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spelling pubmed-79934242021-04-06 A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization Laborde, Eric Hill, Hayden Dukovac, Thomas E. Carriere, Stephen P. Lata-Arias, Kathleen Hebert, Kristi Patel, Raunak Gills, Jessie Ochsner J Original Research Background: Traumatic urethral catheterization is a common reason for urologic consultation in hospitalized patients. The purpose of this study was to determine if a protocol designed to decrease Foley catheter use was effective and if implementation of the protocol decreased the incidence of Foley catheter–associated trauma. Methods: In an effort to decrease catheter use, our institution adopted a nurse-driven Foley catheter protocol in May 2015 that allowed nurses to remove Foley catheters that did not meet criteria. We conducted a retrospective medical records review of patients who had Foley catheter–associated trauma occurring between February 2013 and March 2018 and compiled data concerning Foley catheter use. Using t test statistical analysis, we compared rates of Foley catheter use and Foley catheter–associated trauma before and after protocol implementation. Results: During the 62-month study period, we documented 83 cases of Foley catheter–associated trauma. Prior to protocol implementation, our institution had mean of 2,903 patient-catheterization days per month. Following protocol implementation, the mean decreased to 2,604 patient-catheterization days per month (P<0.01). Prior to protocol implementation, the mean incidence of Foley catheter–associated trauma was 1.81 traumas per month. Following protocol implementation, the mean incidence decreased to 0.97 trauma per month (P<0.05). Conclusion: Implementation of the protocol was successful in decreasing Foley catheter use as well as Foley catheter–associated trauma. Academic Division of Ochsner Clinic Foundation 2021 2021 /pmc/articles/PMC7993424/ /pubmed/33828425 http://dx.doi.org/10.31486/toj.20.0004 Text en ©2021 by the author(s); Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/legalcode ©2021 by the author(s); licensee Ochsner Journal, Ochsner Clinic Foundation, New Orleans, LA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (creativecommons.org/licenses/by/4.0/legalcode) that permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Research
Laborde, Eric
Hill, Hayden
Dukovac, Thomas E.
Carriere, Stephen P.
Lata-Arias, Kathleen
Hebert, Kristi
Patel, Raunak
Gills, Jessie
A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title_full A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title_fullStr A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title_full_unstemmed A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title_short A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization
title_sort nurse-driven protocol for foley catheter utilization decreases the incidence of traumatic foley catheterization
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993424/
https://www.ncbi.nlm.nih.gov/pubmed/33828425
http://dx.doi.org/10.31486/toj.20.0004
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