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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.
Library of Congress Subject Headings
Urine -- Analysis.
Urinary tract infections.
Format
application/pdf
Number of Pages
46
Publisher
South Dakota State University
Rights
Copyright © 2019 Zachary Schroer
Recommended Citation
Schroer, Zachary, "Decreasing Urine Contamination Rates in an Emergency Department" (2019). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 116.
https://openprairie.sdstate.edu/con_dnp/116