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Document Type

DNP - University Access Only

Award Date

2019

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Brandi Pravecek

Keywords

urine, contamination, urinary tract infection, emergency department, clean catch

Abstract

Introduction: The purpose of the project was to decrease urine contamination rates in the emergency department (ED) in order to decease costs and unnecessary antibiotic use.
Evidence Summary: Methods to decease urine contamination exist and have been established by the Infectious Disease Society of America (IDSA). IDSA recommendations include placing urine in urine collection vacuum containers and transporting specimens to the laboratory within 30 minutes of collection. Also, the clean catch method can be used to collect urine as long as patients are able to follow instructions physically and cognitively. Instructions given via illustrations have also been proven helpful as they transcend language barriers and illiteracy rates.
Gaps: Gaps in the literature included lack of evidence regarding the use of urine collections kits/bundles, lack of adult only and male only, and lack of focus on the role of the advanced practice registered nurse (APRN).
Recommendations for Practice: A uniform process of urine collection following the latest guidelines is needed. Skin cleansing, verbal and written education for nurses, patient education illustrations, and vacuum containers to transport urine are key components.

Format

application/pdf

Number of Pages

46

Publisher

South Dakota State University

Rights

Copyright © 2019 Zachary Schroer

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