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 |