Table 1.
Comparison of 3 hospitals chosen for site visits
|
Study number |
Bed size |
Hospital location and size |
Practices implemented |
1) Monitoring catheters placed |
Units of Bladder Bundle implementation |
Champion for Bladder Bundle |
Comments from research team |
|---|---|---|---|---|---|---|---|
| 2) Surveillance for UTI rates | |||||||
| Hospital 1 |
0-150 |
Rural, community hospital |
- Scanner |
1) No |
Hospital wide |
Quality Improvement |
This hospital has developed extensive education for nurses and physicians. They have also intervened in the ED. On the floors they use catheter patrols. |
| |
|
|
- Aseptic tech |
2) Yes, facility |
|
|
|
| Hospital 2 |
151-300 |
Mid-size referral hospital for surrounding rural area |
- Scanner |
1) No |
Floor only |
Nurse and Physician |
This site has used both a nurse and a physician as champions. Their reminder states that physicians must order catheter to be continued or nurses will discontinue it. |
| |
|
|
- Aseptic tech |
2) No |
|
|
|
| |
|
|
- Reminder |
|
|
|
|
| Hospital 3 |
301-450 |
Large hospital, suburban, located just outside urban city |
- Aseptic tech |
1) Yes, facility |
Floor only |
ICP |
They are currently developing their electronic medical record. They do not have a physician champion. Leadership was involved in getting staff on board. Nurses are able to initiate Foley removal. |
| |
|
|
- Reminder |
2) No |
|
|
|
| |
|
|
- Nurse initiated |
|
|
|
|
| |
|
|
- Condom catheters |
|
|
|
|
| - Intermittent catheterization |