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Expert Speak

This is a public and patient education campaign on a very critical issue of our times, Choose Safer Healthcare.

Quality Improvement


  • Name of QIP: Improvement of the practice and knowledge of catheter care among critical care nurses
  • Presented by: Hospital Infection Control Team

Assessment of the practice and knowledge of catheter care among critical care nurses

Catheter associated urinary tract infections are the leading cause of secondary health care-associated bacteremia. An infection that involves any of the organs or structures of urinary tract infection including the kidneys, urethra, bladder and ureter is called as urinary tract infection.

  • To analyze the practice and knowledge of catheter care among critical care unit staff nurses.
  • In last consecutive 2 months (Jan 2023 and Feb 2023),the CAUTI rates were gone higher side. The cases were identified in critical care area .Hence, we planned to check the knowledge and practice among the existing nurses about catheter care to reduce the incidence in future. Implementation of evidence-based infection control practices is the need of the hour for every institute to reduce the device-associated infections, which directly reflects the quality of care.
  • Dy. Medical Director ( Chairperson of HICC )
  • Consultant Microbiologist (Infection Control Officer)
  • Chief Critical Care
  • Nursing Director
  • Infection Control Nurse/Manager
  • Deputy Nursing Superintendent
  • Assistant Nursing SuperintendentNursing Educator
  • All Unit In-charges / Supervisors
  • Nursing Staffs
  • The project is conducted using PDCA(Plan, Do, Act, Check) model.
  • PLAN (Recognize an opportunity and plan a change)
  • Do (Test the change. Carry out a small-scale study)
  • Check (Review the test, analyze the results, and identify what you've learned)
  • Act (Take action based on what you learned in the study step)
  • Duration of the study :28 days
What How Who When
Pre training Audit Active surveillance of practice and assessment of knowledge Infection Control Nurse 22/2/2023-3/3/2023
Training Departmental training of catheter care in critical care areas Infection Control Nurse 4/3/2023-9/3/2023
Post Training Audit Active surveillance of practice and assessment of knowledge Infection Control Nurse 10/3/2023-18/3/2023
Analysis of the study Calculation of percentage of pre and post teaching data Infection Control Nurse 18/3/2023-20/3/2023
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  • Based on pre training analysis, multiple sessions were conducted on Catheter care for critical care nurses.
  • Training was given focusing on knowledge and practice among staff
  • nurses
  • Stringent monitoring and interview method were used to check the improvement of practices and knowledge post training.
  • Act (Take action based on what you learned in the study step)
  • Duration of the study :28 days
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  • Catheter care audit will be done monthly.
  • The audits will also be extended to all patient care areas.

Our multi-disciplinary taskforce reviewed institutional policies, documented deficiencies, nursing practices and initiated rapid cycle testing in the form of PDCA cycles to improve CAUTI rates. Protocols showed success in decreasing the CAUTI rate and indwelling Foley catheter usage in all of the Critical Care Unit. We concur that clear Foley catheter indication guidelines, insertion and perineal care processes can effectively yield lower CAUTI rates and improve the nursing practices.

  • Geni VG Soundaram, Raja Sundaramurthy, Kathiresan Jeyashree, Vithiya Ganesan et al Impact of Care Bundle Implementation on Incidence of Catheter-associated Urinary Tract Infection: A Comparative Study in the Intensive Care Units of a Tertiary Care Teaching Hospital in South India, 2020 Jul; 24(7): 544–550.
  • Stephanie Grana Van Decker, 1 Nicholas Bosch, 2 and Jaime Murphy 2 Catheter-associated urinary tract infection reduction in critical care units: a bundled care model 2021; 10(4):5
  • Lindsay E Nicolle, Catheter associated urinary tract infections. 2014; (3): 1

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