Doctor of Nursing Practice (DNP)
Doctor of Nursing Practice (DNP) Program
School of Nursing
Dr Mary K Loughran
straight catheterization, intermittent catheterization, in and out catheterization, VaPro Catheter, urinary retention, acute urinary retention, postoperative urinary retention
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.
Neufeld, Dorothy, "Program Evaluation of the VaPro Touch-Free Hydrophilic Intermittent Catheter in Hospitalized Patients Experiencing Urinary Retention" (2020). Doctor of Nursing Practice (DNP) Manuscripts. 7.