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QI Evaluation

Title: QI Evaluation: A Nurse Driven Foley Elimination Initiative.
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Name(s): Lindner, Colleen, author
Craig-Rodriguez, Alicia, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2019-04-25
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: The goal is to evaluate effectiveness of a pre-procedural voiding protocol and post-procedural urinary retention algorithm toward eliminating unnecessary indwelling catheter use and associated hematuria among patients undergoing atrial fibrillation ablation or transaortic catheter valve replacement.Methods: This was a retrospective study of patients who underwent the aforementioned procedures under anesthesia care and the standard practice protocol for these procedures is the use of indwelling urinary catheters. In a single site high-volume ambulatory cardiac catheterization lab in Southwest Florida, a convenience sample of patients was studied over a 24- month period. Tools were designed for the data to be collected both pre and post-practice change. De-identified data from the EMR was gathered and descriptive and Chi-square analysis was completed to determine if the practice change would lower the noninfectious complication rate.Results: Study data included 1,287 participants. Prior to implementation, 5.5% of patients with indwelling catheters experienced hematuria. After implementation, 3.7% of post-procedure participants required straight or indwelling catheter insertion according to the urinary retention algorithm. Among these, no instance of hematuria was reported. Discussion: This study did find that patients could successfully undergo atrial fibrillation ablation or transaortic catheter valve replacement without the use of indwelling urinary catheters. This research demonstrated a decrease in catheter usage and noninfectious complications associated with the use of indwelling urinary catheters. Conclusions: As the length of procedures shorten related to technology and practitioner proficiency, indwelling urinary catheter use may become unnecessary. A prospective study would be needed to assess for accuracy of documentation, as well as the needs to explore patient bladder capacity and post-operative urinary retention (POUR) to improve urinary retention algorithms for improved patient outcomes. Nurses in ambulatory settings are uniquely poised to challenge long-standing practices toward eliminating complications and improving patient outcomes. Major Professor: Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
Identifier: FSU_libsubv1_scholarship_submission_1556244519_ded8f733 (IID)
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1556244519_ded8f733
Host Institution: FSU

Choose the citation style.
Lindner, C., & Craig-Rodriguez, A. (2019). QI Evaluation: A Nurse Driven Foley Elimination Initiative. Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1556244519_ded8f733

Title: QI Evaluation: A Nurse Driven Foley Elimination Initiative.
Name(s): Lindner, Colleen, author
Craig-Rodriguez, Alicia, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2019-04-25
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: The goal is to evaluate effectiveness of a pre-procedural voiding protocol and post-procedural urinary retention algorithm toward eliminating unnecessary indwelling catheter use and associated hematuria among patients undergoing atrial fibrillation ablation or transaortic catheter valve replacement.Methods: This was a retrospective study of patients who underwent the aforementioned procedures under anesthesia care and the standard practice protocol for these procedures is the use of indwelling urinary catheters. In a single site high-volume ambulatory cardiac catheterization lab in Southwest Florida, a convenience sample of patients was studied over a 24- month period. Tools were designed for the data to be collected both pre and post-practice change. De-identified data from the EMR was gathered and descriptive and Chi-square analysis was completed to determine if the practice change would lower the noninfectious complication rate.Results: Study data included 1,287 participants. Prior to implementation, 5.5% of patients with indwelling catheters experienced hematuria. After implementation, 3.7% of post-procedure participants required straight or indwelling catheter insertion according to the urinary retention algorithm. Among these, no instance of hematuria was reported. Discussion: This study did find that patients could successfully undergo atrial fibrillation ablation or transaortic catheter valve replacement without the use of indwelling urinary catheters. This research demonstrated a decrease in catheter usage and noninfectious complications associated with the use of indwelling urinary catheters. Conclusions: As the length of procedures shorten related to technology and practitioner proficiency, indwelling urinary catheter use may become unnecessary. A prospective study would be needed to assess for accuracy of documentation, as well as the needs to explore patient bladder capacity and post-operative urinary retention (POUR) to improve urinary retention algorithms for improved patient outcomes. Nurses in ambulatory settings are uniquely poised to challenge long-standing practices toward eliminating complications and improving patient outcomes. Major Professor: Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
Identifier: FSU_libsubv1_scholarship_submission_1556244519_ded8f733_comp (IID)
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1556244519_ded8f733_comp
Host Institution: FSU