Catheterization In Nursing

In a descriptive design study by Fink et al. (2012), a 25-item electronic survey was used to examine indwelling urinary catheterization (IUC) care practices for CAUTI prevention at 75 acute care hospitals in the Nurses Improving Care of Health-system Elders (NICHE) system. NICHE hospital nurse coordinators were surveyed about IUC practices. The typical NICHE member hospital is a medium-sized, urban, teaching hospital with not-for-profit ownership. The purpose of this study was to design a survey to provide baseline data collection for a collaborative CAUTI prevention study. Several questions on indwelling urinary catheterization (IUC) care practices were included in the survey. These questions focused on catheter care practices in 3 areas …show more content…
There were no differences between responding and non-responding hospitals in terms of bed size, urban setting, and magnet or teaching status (Fink et al., 2012). CA-UTI prevention practices commonly followed included wearing gloves (97%), handwashing (89%), maintaining a sterile barrier (81%), and using a no-touch insertion technique (73%) (Fink et al., 2012). Silver coated catheters were used to varying degrees in 59% of the hospitals (Fink et al., 2012). 4% reported never using a catheter securing device (Fink et al. (2012). Urethral meatal care was provided daily by 43% of the hospitals and more frequently than that by 41% of the hospitals (Fink et al., 2012). Nurses were the most frequently reported IUC inserters (Fink et al., 2012). Training in aseptic technique and CAUTI prevention at the time of initial nursing hire was provided by 64% of hospitals; however, only 47% annually validated competency in IUC insertion (Fink et al., 2012). Systems for IUC removal were implemented in 56% of hospitals (Fink et al., 2012). IUC documentation and routine CAUTI surveillance practices varied widely (Fink et al.,