Defense Date

12-2-2020

Graduation Date

Fall 12-20-2020

Submission Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Doctor of Nursing Practice (DNP) Program

School

School of Nursing

Faculty Mentor

Dr Mary K Loughran

Keywords

straight catheterization, intermittent catheterization, in and out catheterization, VaPro Catheter, urinary retention, acute urinary retention, postoperative urinary retention

Abstract

Abstract

A 319-bed hospital on the Florida Gulf coast revised their Bladder Care Bundle policy in September 2020. The document provided an algorithm to be followed to determine if intermittent urinary catheterization is warranted rather than an indwelling catheter to relieve urinary retention. Concurrently, this change included the introduction of a new product, Hollister’s VaPro Touch-Free Hydrophilic Intermittent Catheter which is considerably different from the traditional straight intermittent catheter previously utilized by the hospital. Its protective sheath and inducer tip are purported by the manufacturer to decrease the chance of contamination during insertion and thus reducing infection rates. A program evaluation was performed to determine if the new catheter meets expectations to reduce urinary tract infections (UTIs) and traumatic catheterizations. Through chart review, data was obtained to compare urinary catheterization outcomes prior to and after the VaPro catheter implementation. Prior to the introduction of the VaPro catheter, the data revealed two adverse events both of which were traumatic insertions, and no development of UTIs. In the data collected after the adoption of the VaPro catheter, no UTIs or traumatic insertions occurred. Recommendation for the continued surveillance for development of UTIs and traumatic insertions.

Language

English

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Included in

Nursing Commons

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