Defense Date

7-16-2021

Graduation Date

Summer 8-7-2021

Submission Type

DNP Manuscript

Degree Name

Doctor of Nursing Practice (DNP)

Department

Doctor of Nursing Practice (DNP) Program

School

School of Nursing

Faculty Mentor

Manjulata Evatt

Keywords

PureWick, female external urinary collection device, urinary tract infection, indwelling urinary catheter

Abstract

In December 2017 a 77 bed Long Term Acute Care Hospital (LTACH) added PureWick External Urinary Collection Devices (ECD) to their Hospital Acquired Infection (HAI) Bundle. The PureWick ECD is utilized in the female patient population when urinary management is necessary and can be achieved without an indwelling urinary catheter.The PureWick ECD is a flexible wick like external catheter that allows for collection of urine through the hospital wall suction system. A program evaluation was performed relative to a program beginning in January, 2018 through September 2020 to determine if the implementation of the PureWick ECD reduced the catheter associated urinary tract infections (CAUTI) rate and indwelling urinary catheter utilization rate, as well determining if the PureWick ECD continued to be utilized and recorded in the electronic healthcare record (EHR) consistently. Through review of quality improvement records data was obtained to compare CAUTI rates and indwelling urinary utilization rates prior to and after the implementation of the PureWick ECD in January 2018. Data revealed CAUTI rates decreased while utilization rates initially decreased but over time, coinciding with the addition of hospital beds, increased. Through review of the electronic health record (EHR) data was collected to identify consistency that the PureWick was utilized and memorialized in the EHR. Findings suggest that staff inconsistently documented use of the PureWick ECD. Recommendations for continued surveillance for the development of indwelling urinary catheter utilization, CAUTI rates and education regarding recording within the EHR PureWick ECD use. PureWick is an effective alternative urinary management device to reduce CAUTI rates.

Keywords: External urinary catheter, external collection device, CAUTI rates, Urinary tract infection, indwelling catheter, catheter utilization rates, PureWick

Language

English

Available for download on Sunday, August 07, 2022

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