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them, and when no longer indicated will be discontinued. Thus, reducing the catheter days, CAUTI rates, and hospital-acquired infections. The use of this NDRP supports autonomous
TRANSLATIONAL RESEARCH5nursing practice and full professional role attainment through collaborative practice (Ballard, Parsons, Rodgers, Mosack, Starks, 2018).Key StakeholdersKey stakeholders within the healthcare setting who will be part of the new nursing practice project will include, Chief Nursing Officer (CNO), Administration, Infection Prevention Department (IPD), Nursing Professional Development (NPD), physicians and residents, a secretary, Unit Managers, and Informatics Department. The CNO will support the change project and make available resources needed to implement the change. Administration is vital to ensuring that the medical facility runs efficiently and delivers quality patient care. They also ensure that regulatory and patient safety guidelines are being followed. Upon approval from the CNO and Administration, Unit Managers, NPD, IPD, physicians and residents, and the Informatics team will be introduced to the new policy by attending an educational session. This assembly will be arranged to teach and promote input from all parties involved. The feedback will assist with improving the new protocol, which will promote a smooth transition. Once all departments are on board, the NPD department will educate nurses on each of their assigned units, regarding the new policy and procedures and provide evidence-based data to support this change. There will be e-learning modules on-line regarding the new policy and tutorials on the new electronic charting changes that will be implemented by the Informatics Department. Attendants will be given a chance to make inquiries and provide feedback, which will help enhance compliance of the new protocol and reduce any unexpected issues.The Informatics team will educate the nurses, physician, and residents on the new electronic charting records in regards to the new nurse-driven removal protocol (NDRP). Physicians will enter orders for the insertion of an indwelling catheter, and an order-set will
TRANSLATIONAL RESEARCH6populate. Doctors will have the opportunity to allow their patients indwelling urinary catheters to be discontinued by Nursing when it is no longer deemed necessary. This NDRP would also include assessing the need for re-insertion and when to notify the Physician. Physicians can bypass this order set requesting the catheter be discontinued by themselves if patients have urological problems or procedures, postoperatively, chronic or any other documented indications.The Informatics department will get a print-out of the physicians who are not using the NDRP and the reason. If the indications are not appropriate, one on one education can be given to the physician to ensure his/her patients receive the best possible care and the NDRP can be followed.
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Nosocomial infection, urinary tract infection, translational research