Date of Graduation

Spring 5-17-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Alicia Kletter, DNP, APRN, FNP-BC, PMHNP-BC


Problem Urinary catheter nurse-driven removal protocols (UCNDRPs) are evidence-based algorithms that promote the timely removal of indwelling urinary catheters (IUCs) and prevent catheter-associated urinary tract infections (CAUTIs). Communication barriers hinder consistent implementation of the UCNDRP, resulting in delayed IUC removal and increased risk of CAUTIs. Context This quality improvement project was conducted in a 16-bed surgical intensive care unit (SICU) in an academic medical center in the San Francisco metropolitan area. Interventions Urinary catheter reminder posters displaying the duration of IUC days were placed at the bedside to prompt interdisciplinary communication about IUC indication and removal. An email detailing the project’s background was sent to nurses and physicians by the unit director. One-on-one conversations describing the use of the posters were conducted with bedside nurses. Stickers with an image of an IUC accompanied by the question “Why am I here?” were distributed as light-hearted conversation starters to initiate discussion about IUCs. Measures Interdisciplinary rounds were observed pre- and post-implementation to determine the number of rounds in which the care team discussed IUC indication or removal. The catheter utilization ratio was compared between the pre- and post-intervention periods. Results The frequency of interdisciplinary rounds discussing IUC indication or removal increased by 7% from 23% to 30%. The catheter utilization ratio decreased by 20% from 0.61 in April 2023 to an average of 0.50 from April 1-21, 2024. Conclusion These findings suggest that promoting interdisciplinary communication through visual cues enhances communication and reduces IUC utilization. Further evaluation is needed to ascertain sustainability and long-term impact.

Included in

Nursing Commons