Related Experiment Video
Updated: Aug 12, 2025
Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
Expanding access to difficult urinary catheter insertion services through a novel nurse practitioner-led team
Anna Hackett1, Celia Wells, Lora Drew
1Institute for Critical Care Medicine, Institute for Critical Care Medicine, The Mount Sinai Hospital, New York, New York.
Background:
Within the United States health care system, one of the most common procedures performed daily is urinary catheterization. Oftentimes, the urinary catheter is placed by nursing personnel without any difficulty. Although the procedure is usually simple and routine, there are instances in which placement can be problematic.
Local Problem:
Urology is one of the smallest surgical subspecialties, with intermittent availability given active commitments in the operating room and clinic. This opened an opportunity for nurse practitioners (NPs) at an urban quaternary care hospital to further enhance their skill set in the care of these patients.
Methods:
Fifteen Rapid Response Team NPs were selected based on specific criteria. Their roles expanded to include consults for difficult urinary catheter insertions.
Intervention:
A 2-step training program was implemented for NPs to develop proficiency in inserting urinary catheters in patients with new or known urologic conditions.
Results:
Of the 391 catheter consults made to the NP group, 73 (18.7%) of them required urology follow-up.
Conclusion:
This program can benefit patients by potentially reducing catheter-related complications and associated length of stay.
More Related Videos
Related Concept Videos
01:17Urinary Tract Infection IV: Nursing Management
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
01:21Nursing Assessment of the Genitourinary System I: Health History
01:28Urinary Tract Calculi V: Nursing Management
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...