Policy development is an integral part
Two years ago the hospital limited the use of LPNs to the clinics. Over the last year, the institutions have been slowly adding LPN back to the units. The hospital’s RN turnover rate has been astronomical after one year. We hired 100 new graduates. Less than 10 % of them remained in the hospital. There is a high turnover rate in the hospitals. These places the hospital in a quandary as the plan is to seek magnet status. The LPN’s has retention rate has been consistent. The LPN’s are now essential as they help to fill the staffing …show more content…
Nurses had poor techniques why they were unsuccessful in catheter insertion. In addition, the Catheter, associated infection (CAUTI) remains up on some units. A committee was created which included nursing, nursing administration, education, infection control, urology, infectious diseases and performance improvement to look at both issues to find solutions. Part of the plan is for urology to provide education on in techniques of Foley catheter insertion. Infectious disease physicians and education department to educate on catheter associated infection. The collaborative team believed a Foley team is needed to have handle the numerous calls to the urologist and to insert catheters where needed. The team will include resource nurses, nursing supervisor charge nurses, nurse practitioner, and urologist. The goal is to get the team very proficient in Foley catheter insertion and properly educated on CAUTI. The Urologist wants the Foley team to perform like the IV team. If there is difficulty inserting catheters a call will be placed to the Foley team who would insert the Foley. If the member on call for the team that day is unable to insert the catheter, the Urologist on call will notified .The interdisciplinary team all contributed to a possible solution .Each contribution their expertise. I foresee, the Foley team being a new or being added to the Foley catheterization catheter insertion policy. PI department will be monitoring the call volume, ID nurse will be collecting the data and the infectious disease doctor will rotate call with the urologist. Studies show that traumatic insertion of catheter and poor technique can lead to catheter-associated infection (Willette and Coffield, 2012). This policy will improve quality of care. Through the efforts and contribution of each member of the team, a new process will be implemented based on the