Learning Objective 1: describe the process of implementation of an evidence based practice protocol regarding the appropriate use of indwelling urinary catheters in a long-term care environment.
Learning Objective 2: identify the key components of an evidence based practice protocol for appropriate use of an indwelling urinary catheter in a long term care environment.
Methods: The FIRM Protocol incorporated an electronic order sheet that was complimented with a web-based education program for health care providers regarding use and care of IUC, and prevention of CAUTIs. The protocol was implemented at 14 LTC settings with 17 comparison sites.
Results: Knowledge scores of the staff of the intervention sites increased significantly following the education program from a mean of 65.5% to 77.6% compared to no change for the comparison site staff (mean =65.5%). Review of EHRs over 3 months following implementation revealed 81 documented IUCs (13 at intervention sites; 68 at comparison sites). 100% of the IUCs at intervention sites had an order for use compared to only 70.6% at comparison sites. Other outcomes including rate of use and occurrence of CAUTIs will be reported.
Conclusion: Implementation of the FIRM Protocol was effective in decreasing inappropriate use of IUC in LTC environments. Recommendations for revisions in the protocol to promote utility and efficacy at the current sites as well as other LTC settings will be presented.
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