Skin integrity preservation using a nurse-constructed silicone adhesive Foley catheter
Cathleen T Van Houten1, Carrie L Mann2, Natalya Misiti2
1Program Manager, Inpatient Wound, Ostomy, and Continence Nursing, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY.
British Journal of Nursing (Mark Allen Publishing)
|June 20, 2024
Summary
A nurse-developed silicone urinary catheter securement device significantly reduced skin breakdown in intensive care unit patients compared to standard devices. This innovation offers a gentler, effective solution for Foley catheter care.
Area of Science:
- Medical Device Innovation
- Patient Safety in Intensive Care
- Dermatology and Wound Care
Background:
- Skin breakdown is a prevalent complication for patients requiring Foley catheters in intensive care units (ICUs).
- Existing catheter securement devices can lead to blistering and other forms of skin damage, particularly in high-risk populations.
Purpose of the Study:
- To evaluate the efficacy of a novel, nurse-constructed urinary catheter securement device utilizing silicone adhesive.
- To determine if this silicone-based device can reduce skin complications associated with Foley catheter use in an ICU setting.
Main Methods:
- A prospective, non-randomized performance improvement study was conducted with 29 surgical ICU patients with Foley catheters and thigh edema.
- Patients received both a standard acrylic-adhesive securement device and a nurse-constructed silicone-adhesive device on contralateral thighs.
- Catheters were alternated between devices every 12-hour shift, with skin assessments recorded.
Main Results:
- The standard acrylic securement device was associated with visible skin compromise 21% of the time.
- Thigh edema was identified as a significant factor contributing to skin breakdown.
- The nurse-constructed silicone-adhesive device showed no visible skin damage, indicating superior tolerability.
Conclusions:
- Silicone adhesive urinary catheter securement devices demonstrate reduced skin damage compared to acrylic adhesive devices.
- Key product development considerations include ease of application, atraumatic removal, and securement reliability.
- This pilot study suggests a promising alternative for preventing Foley catheter-related skin injuries.
Keywords:
AnasarcaCatheter anchorFoley catheter securementSilicone adhesiveSkin integrityTape blisterMore Related Videos
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