This group developed a protocol for the need for an indwelling catheter based on the 2009 CDC recommendations for catheter use (Mori, 2014, p. 17). A 100-bed community hospital located in the Northern United states was used as the target population for the study. They evaluated each patient with an indwelling catheter with a few exceptions, including the obstetrics unit. The specialized team went to work to develop a clear and concise protocol for nurse-driven catheter removal. After the protocol was presented to all of the appropriate committees and was approved, it was presented to the nursing staff. Multiple forms of education were utilized in the teaching and training of the new protocol. Tools for indwelling catheter need and removal were introduced including a "decision tree as a quick reference for nursing staff" (Mori, 2014, p. 17). .
Results of Study .
To determine the results of the study a measurements were taken using an electronic patient record at 3 months prior to the new protocols and 3 months after. The measurements included length of patient stay, characteristics of their stay (diagnosis), age, sex, incidence of indwelling catheters, length of indwelling catheters, and the number of catheter associated urinary tract infections (CAUTI) (Mori, 2014, p.18). The results were astounding. In the 3 months prior to the intervention of the new protocol there were 3 CAUTIs and 389 patients with indwelling catheters. The occurrence calculated out was 0.77% of CAUTIs. In the 3 months after the intervention of the nurse driven protocols, the number of CAUTIs decreased to 1 and only 282 patients with indwelling catheters. This lowered the occurrence to 0.35% of CAUTIs (Mori, 2014, p.20). Mori (2014) concluded, from this study, that the use of nurse-driven protocols to reduce the duration and incidence of indwelling catheters decreased the number of catheter associated urinary tract infections, therefore improving patient care (p.