The house-wide intervention included a revision of the hospital
policy on insertion and care of an IUC based on the current best
evidence and the 2008 Society for Healthcare Epidemiology of
America, Inc/Infectious Disease Society of America practice
recommendations,15 competency-based catheter insertion training,
and an evaluation of the hospital’s IUC products. A factoid
presentation of highlights of the policy changes was created as
a mandatory educational tool via HealthStream (the hospital’s
learning management system) for all inpatient nurses and unlicensed
assistive staff. Table 1 reviews the content presented in the
hospital-wide, online factoid educational intervention.
Product evaluation was completed to evaluate the types and
utilization patterns of urinary drainage systems and to standardize
product use throughout the hospital. Product changes included (1)
replacement of silver alloy-coated catheters with usual latex and
nonlatex catheters, (2) standardization of catheter securement
devices and stocking location, and (3) provision of metered
drainage bags in the standard insertion kit in all patient care areas.
Education of other providers of care included rehabilitation
therapists (physical and occupational therapists), radiology staff
(computerized tomography/magnetic resonance imaging), and
transport staff. Key areas of education encompassed routine and
frequent emptying and placement of urinary catheter bag below
the bladder prior to therapy, radiologic examination, and transport.
After the house-wide intervention, IUC duration rates and CAUTI