A-Voiding Catastrophe: Implementing a Nurse …

Instructions for Continuing Nursing Education Contact Hours appear on page 21. A-Voiding Catastrophe: Implementing a Nurse - driven Protocol Candace Mori ccording to the Institute of A Medicine (IOM, 1999), health care environments in the United States are fragmented and less The effectiveness of a Nurse - driven protocol for indwelling urinary catheter removal is described, including a review of the gap analy- sis, protocol implementation, and outcomes. safe than they should be. Preventable medical errors cost billions of dollars. They also account for more deaths than motor vehicle accidents, AIDS, Purpose or breast cancer, contributing to an To evaluate the effectiveness of a Nurse - driven indwelling urinary catheter estimated 44,000-98,000 deaths per removal protocol in an acute care setting. year. The IOM also suggested a hos- pital is a hazardous place due to the Background increased risk for nosocomial infec- tions, incorrect procedures or other The most common hospital-acquired infection is catheter-associated urinary untoward events, administration of tract infection (CAUTI).

January-February 2014 † Vol. 23/No. 1 17 Purpose Statement This quality improvement project was designed to evaluate the effective-ness of a nurse-driven removal proto-

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