Publication Date

Spring 2026

Presentation Length

Poster/Gallery presentation

College

Gordon E. Inman College of Nursing

Department

Nursing, School of

Student Level

Undergraduate

Faculty Mentor

Linda Wofford

Presentation Type

Poster

Summary

Catheter-associated urinary tract infections (CAUTIs) remain the most common healthcare-associated infection and poses significant threat to patient safety, particularly on cardiovascular units. CAUTIs increase morbidity and mortality and are especially prevalent among older, immobile patients with cardiovascular comorbidities and Foley catheter use. The purpose of this change project is to reduce CAUTI incidence through the utilization of marketing-approved signage magnetized to patients’ doors when a foley is actively in use. Data from the local unit, where three CAUTIs were identified by the end of January 2026 despite a unit goal of one or fewer per year, shows that lack of perineal care is the common factor between all three CAUTI incidences. Every shift, RNs and Care Partners collaborate to physically turn the sign to indicate that perineal care has been performed. This additional step corresponds to the already implemented CAUTI prevention K-card, a management tool used in healthcare to apply evidence based practice. Initial implementation will occur over three months, during which baseline, infection surveillance data will be collected. After three months, barriers will be addressed, including workflow constraints and knowledge gaps. Expected outcomes include a measurable reduction in CAUTI rates (< 1) and improved compliance with evidence based Foley-care practices. Compliance will be measured by consistency in documentation of peri-care. Outcomes will be evaluated based on the infection surveillance data. Sustainability will be supported through adding education during staff meetings to enhance accountability and official integration into unit policy.

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