Nurse-LED Male Urinary Catheterization in The Emergency Department: A Quality Improvement Initiative
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Train ED nurses to perform male urinary catheterization, reducing waiting time for IDC insertion. Nurse-led IDC insertion improved patient outcomes and reduced delays, empowering nurses and enhancing job satisfaction.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Access To Care
About this Content
Aims
Train ED nurses to perform male urinary catheterization, reducing waiting time for IDC insertion.
Background
Acute Retention of Urine (ARU) in ED caused delays in IDC insertion, leading to patient pain and potential complications.
Methods
Conducted a three-phase training program with e-learning, classroom competency, and on-the-job training for nurses.
Results
Reduced average time to IDC by 16.6% (66 mins to 55 mins) and longest waiting time by 36.6% (254 mins to 144 mins).
Conclusion
Nurse-led IDC insertion improved patient outcomes and reduced delays, empowering nurses and enhancing job satisfaction.
Lessons Learnt
Pre-intervention surveys help address staff concerns; creating a supportive learning environment is key.
Keywords
ARU, Male Urinary Catheterization, Emergency Department, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Urology |
Project Lead(s) | Jasmine Lim |
Project Member(s) | Tan Yilian |
Connect with this contributor!
APN Jasmine Lim - jasmine_lim_su_ying@nuhs.edu.sg