Institute for Critical Care Medicine, Institute for Critical Care Medicine, The Mount Sinai Hospital, New York, New York.
J Am Assoc Nurse Pract. 2023 Jun 1;35(6):392-396. doi: 10.1097/JXX.0000000000000833.
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.
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.
Fifteen Rapid Response Team NPs were selected based on specific criteria. Their roles expanded to include consults for difficult urinary catheter insertions.
A 2-step training program was implemented for NPs to develop proficiency in inserting urinary catheters in patients with new or known urologic conditions.
Of the 391 catheter consults made to the NP group, 73 (18.7%) of them required urology follow-up.
This program can benefit patients by potentially reducing catheter-related complications and associated length of stay.
在美国医疗体系中，每天进行的最常见的操作之一就是导尿。通常，护理人员在放置导尿管时不会遇到任何困难。尽管该操作通常简单且常规，但有时可能会出现问题。
泌尿科是最小的外科分科之一，由于手术室和诊所的繁忙工作，医生的工作时间不固定。这为一家城市四级保健医院的执业护士（NP）提供了一个机会，使他们有机会进一步增强其在这些患者护理方面的技能。
根据特定标准选择了 15 名快速反应小组的 NP。他们的角色扩大到包括对困难的导尿插入进行咨询。
为 NP 实施了 2 步培训计划，以提高在有新的或已知泌尿科疾病的患者中插入导尿管的熟练度。
在向 NP 小组进行的 391 次导尿管咨询中，有 73 次（18.7％）需要泌尿科随访。
该计划可以使患者受益，因为它可以潜在地减少与导尿管相关的并发症和相关的住院时间。
