HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

8th Edition of Nursing World Conference

October 17-19, 2024 | Baltimore, USA

October 17 -19, 2024 | Baltimore, USA
NWC 2023

Opal Dy

Speaker at  Nursing World Conference 2023 - Opal Dy
Arrowhead Regional Medical Center, United States
Title : Reducing standardized utilization ratio for central lines and foley catheters: A multi-faceted approach


Purpose: The primary objective of this initiative was to reduce the Standardized Utilization Ratio (SUR) for central lines and foley catheters to below 1.0, thus enhancing patient safety and minimizing the risk of catheter/line-related complications. These complications, such as central line-associated bloodstream infections (CLABSI) and Catheter-Associated Urinary Tract Infections (CAUTI), contribute to increased morbidity, mortality, and healthcare costs.

Description: To achieve this objective, we employed a multifaceted approach, focusing on three key interventions:

  1. Revised Charge Nurse Report Sheet: Central lines and foley catheters were visually highlighted, and a drop-down menu was included to indicate the appropriate indication for the central line. This facilitated easy identification and prioritization of patients with central lines and foley catheters.
  2. Standardized Charge RN/Manager Rounding System: This system streamlined the assessment and management of central lines and foley catheters through morning and afternoon rounds. Morning rounds involved identifying candidates for device discontinuation based on clinical status and device necessity, while afternoon follow-ups assessed device removal success or documented retention rationale. This approach fostered staff collaboration and communication.
  3. Monthly Data Presentation: Data visualization posted around the unit and discussed during staff meetings improved staff awareness of device utilization and outcomes.

Evaluation and Implications for Nursing Practice or Patient Outcomes: The implementation of this standardized project resulted in a significant reduction in central line and foley catheter use within the ICU service line. This demonstrates the effectiveness of raising staff awareness, employing leadership supervision, and adopting a data-driven strategy to optimize device utilization in the ICU service line.

By implementing these three key interventions, the ICU service line observed a decrease in the SUR for central lines and foley catheters. This reduction directly impacts patient outcomes and healthcare efficiency, emphasizing the importance of such initiatives in the nursing practice. The multifaceted approach presented in this study serves as a model for other healthcare facilities seeking to improve patient safety and reduce the risk of catheter/line-related complications.

Audience Take Away Notes:

  • The significance of reducing device utilization and its impact on patient safety and healthcare efficiency
  • The components of the multi-faceted approach to decrease SUR for central lines and foley catheters
  • The effectiveness of raising staff awareness, implementing leadership supervision, and adopting a data-driven strategy.


Opal Dy, a Clinical Nurse Specialist at Arrowhead Regional Medical Center (ARMC), has 20+ years of experience in nursing and staff education. Key contributions include establishing the Cardiothoracic Surgery Program at ARMC and serving as a clinical resource in quality assurance, staff engagement, and evidence-based practice. Opal's background includes roles as an ICU Nurse Educator and Charge Nurse at ARMC, focusing on staff development and patient care. With a Master's in Nursing and a BSN, Opal holds CCRN, CMC, and CSC certifications, demonstrating dedication to patient care and safety. His strong communication and compassionate approach make him a vital team member.