Date of Award/Publication


Document Type


Degree Name

M.S. in Advanced Practice Nursing

First Supervisor

Christine Nelson-Tuttle

Second Supervisor

Heather McGrane Minton


Background: Indwelling urinary catheters serve a purpose in critical care; however, they can also pose a risk for patients. With increased catheter use, there is an increased risk of developing a catheter associated urinary tract infection (CAUTI). CAUTIs lead to longer length of stay for patients, antibiotic treatment, and have a financial burden to the institution. The objective of this study was to determine if a nurse driven catheter removal protocol could reduce CAUTIs in critical care units.

Methods: Retrospective review of CAUTI data from the National Healthcare Safety Network (NHSN) was observed three months prior to the protocol implementation and three months post implementation.

Results: There were seven CAUTIs reported prior to the protocol implementation and five post implementation. There was also an increase noted in catheter days post implantation. There was a 29% reduction in CAUTI rate (p = 0.5736).

Discussion: While the rate reduction from pre to post protocol implementation was not statistically significant, we propose that given the reduction in CAUTIs, it is clinically significant.

Conclusion: Implementation of catheter removal protocols could be a useful tool in CAUTI reduction. Further research would be beneficial in determining the association between the tool and CAUTI rate reduction.

Available for download on Friday, December 14, 2018

Included in

Nursing Commons