Catheter associated urinary tract infections (CAUTI) are a common preventable occurrence in healthcare. With many conditions requiring catheterization for numerous reasons, catheter use is unavoidable in many circumstances. The benchmark project will address the steps of data analysis, protocol approval, staff education, implementation, and post implementation data analysis. The previous 12 months of data on CAUTI rate, CAUTI mortality rate, number of catheter days, current protocols in place for catheter insertion/discontinuation, and catheter selection will be carefully reviewed. The data analysis will be presented to Administration for review and approval of a new protocol to decrease CAUTI rate. Once approved, nursing staff and physicians will be educated on the new protocol for catheterization. The new protocol will consist of using only silver-alloy catheters, allowing the nurse to initiate and discontinue the catheter according to the protocol without having to contact the physician. There will be specific diagnoses that will exclude the patient from this protocol. The nurse will also document the catheter status and bag location, urine quality, quantity, and amount twice per shift. The nurse will also be required to report changes in WBC’s (white blood cells) on lab work and report abnormalities in UA’s (urinalysis) to the physician. The aim of the new protocol is to decrease CAUTI incidence, improve patient outcomes, decrease CAUTI mortality, decrease the number of catheter days, increase revenue, prevent loss of revenue from negative outcomes, and to maintain and elevate facility quality measures. The new protocol will be implemented for 12 months before the data is reanalyzed for the results, which will likely show improved CAUTI rates and improved patient outcomes.

Date of publication

Fall 12-9-2020

Document Type

MSN Capstone Project



Persistent identifier



Masters in Science & Nursing

Capstone PPT.pdf (1978 kB)

Included in

Nursing Commons