Date of Doctor of Nursing Practice Project Completion
Spring 2026
Faculty Advisor
Dr Susan Alderman
Abstract
Purpose:
To reduce medical supply waste and associated costs in a Cardiac ICU using a standardized supply cart system.
Background:
Pre-packed post-operative recovery kits were routinely opened for all admissions in the Cardiac ICU, resulting in disposal of unused supplies due to infection control and single-use policies. This practice contributed to avoidable waste, increased costs, and poor resource stewardship.
Methodology:
This quality improvement project was conducted in a 20-bed Cardiac ICU from September 28 to December 6, 2025. The intervention replaced routine opening of full recovery kits with selective retrieval of supplies by nurses from a standardized cart located outside patient rooms. Implementation included staff education, Green Team oversight, biweekly audits, restocking logs, and feedback strategies. Outcomes from 44 post-operative admissions were evaluated using descriptive statistics, run chart analysis, and thematic analysis of staff feedback.
Results:
The intervention resulted in cost savings of $188.15, representing a 20.9% reduction in supply costs and meeting the project aim of a 20% reduction. Waste reduction was demonstrated by returning unused but clean supplies to the supply room rather than discarding them. Staff reported improved workflow efficiency, easier supply access and reduced patient room clutter.
Implications:
Evidence supports standardized supply systems, staff education, and audit monitoring to reduce waste in critical care settings. Sustained staff engagement, ongoing audits, and collaboration with supply chain personnel are essential for long-term sustainability and scalability.
Keywords
Cardiac ICU, Medical supply waste, Cost reduction, Standardized supply cart, Selective supply retrieval, Quality improvement, Audit and feedback, Infection control practices
Recommended Citation
Jincy C. Skaria, "Reduction of Waste and Cost in a Cardiac Intensive Care Unit" (2026). Doctor of Nursing Practice Final Project Abstract. 145.
https://digitalcommons.library.tmc.edu/dnp_abstract/145