Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities
The purpose of this study was to determine the feasibility and outcomes of the implementation of an evidence based protocol, Foley Insertion Removal and Maintenance (FIRM) for the use and care management of indwelling urinary catheters (IUC) for skilled nursing facilities (SNF). The protocol consist...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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The University of Toledo
2014-08-01
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| Series: | Translation |
| Subjects: | |
| Online Access: | https://openjournals.utoledo.edu/index.php/translation/article/view/100 |
| _version_ | 1818901689514590208 |
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| author | Murthy Gokula Phyllis M Gaspar |
| author_facet | Murthy Gokula Phyllis M Gaspar |
| author_sort | Murthy Gokula |
| collection | DOAJ |
| description | The purpose of this study was to determine the feasibility and outcomes of the implementation of an evidence based protocol, Foley Insertion Removal and Maintenance (FIRM) for the use and care management of indwelling urinary catheters (IUC) for skilled nursing facilities (SNF). The protocol consists of an order set for insertion, maintenance, and removal complemented with an education program for health care providers of SNF. It was implemented over a six month period in two SNF. Prospective chart review following implementation revealed an 11.3 rate of IUC per month. Documentation of the indication for placement of an IUC was 98.5%. Retrospective chart review revealed a lower use of IUC prior to implementation of the protocol but the lack of documentation of orders for IUC artificially reduced the rate. FIRM protocol is advocated as a facility policy with a nurse champion to facilitate implementation and surveillance. |
| first_indexed | 2024-12-19T20:23:45Z |
| format | Article |
| id | doaj.art-9395de61330b4fdeb2d58b15231f17fe |
| institution | Directory Open Access Journal |
| issn | 2469-6706 |
| language | English |
| last_indexed | 2024-12-19T20:23:45Z |
| publishDate | 2014-08-01 |
| publisher | The University of Toledo |
| record_format | Article |
| series | Translation |
| spelling | doaj.art-9395de61330b4fdeb2d58b15231f17fe2022-12-21T20:06:54ZengThe University of ToledoTranslation2469-67062014-08-011110.46570/utjms.vol1-2014-100Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilitiesMurthy Gokula0Phyllis M GasparUniversity of ToledoThe purpose of this study was to determine the feasibility and outcomes of the implementation of an evidence based protocol, Foley Insertion Removal and Maintenance (FIRM) for the use and care management of indwelling urinary catheters (IUC) for skilled nursing facilities (SNF). The protocol consists of an order set for insertion, maintenance, and removal complemented with an education program for health care providers of SNF. It was implemented over a six month period in two SNF. Prospective chart review following implementation revealed an 11.3 rate of IUC per month. Documentation of the indication for placement of an IUC was 98.5%. Retrospective chart review revealed a lower use of IUC prior to implementation of the protocol but the lack of documentation of orders for IUC artificially reduced the rate. FIRM protocol is advocated as a facility policy with a nurse champion to facilitate implementation and surveillance.https://openjournals.utoledo.edu/index.php/translation/article/view/100urinary cathetersskilled nursing facilities |
| spellingShingle | Murthy Gokula Phyllis M Gaspar Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities Translation urinary catheters skilled nursing facilities |
| title | Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities |
| title_full | Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities |
| title_fullStr | Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities |
| title_full_unstemmed | Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities |
| title_short | Implementation of the FIRM (Foley Insertion, Removal, and Maintenance) protocol in skilled nursing facilities |
| title_sort | implementation of the firm foley insertion removal and maintenance protocol in skilled nursing facilities |
| topic | urinary catheters skilled nursing facilities |
| url | https://openjournals.utoledo.edu/index.php/translation/article/view/100 |
| work_keys_str_mv | AT murthygokula implementationofthefirmfoleyinsertionremovalandmaintenanceprotocolinskillednursingfacilities AT phyllismgaspar implementationofthefirmfoleyinsertionremovalandmaintenanceprotocolinskillednursingfacilities |