Using the HOUDINI Method for Nurse-Driven Foley Catheter Removal

Abstract Catheter-associated urinary tract infections (CAUTIs) are a preventable complication associated with indwelling urinary catheters. Although Murray-Calloway County Hospital (MCCH) has an existing nurse-driven Foley catheter removal policy, opportunities remain to improve nurses’ adherence to the policy and promote timely catheter removal. This evidence-based practice project focuses on improving adherence to existing Policy IC-027 through education and implementation of the HOUDINI criteria, which help nurses identify patients who no longer require an indwelling urinary catheter. The project aims to increase nurses’ awareness of the current policy, encourage consistent daily catheter necessity assessments, and support timely catheter removal when appropriate. The Plan-Do-Study-Act (PDSA) cycle will guide the proposed practice improvement by supporting implementation, evaluation, and refinement of the educational intervention. Improving adherence to the existing policy may help reduce unnecessary catheter use, decrease CAUTI risk, and promote patient safety. This project emphasizes the importance of nursing accountability, evidence-based practice, and consistent application of established hospital policies.