Implications for Practice It is evident that urinary catheter
Implications for Practice It is evident that urinary catheter
The research problem that is being explored is how to prevent infections in people who use long term indwelling urinary catheters. As patients get injured or as they age; there is a growing need to have assistance with releasing urine from the bladder. A major problem with urinary catheters is that whilst they drain the bladder, they often block the urethra and the urinary mucosa becomes inflamed, and may become damaged because of the catheter (Traunter & Darouiche, 2004). Catheter associated infections are a prevailing issue because it is best practice to reduce the costs of infections, while implementing quality and safe practices.…
Bullock, S & Manias, E. (2011). Fundamentals of pharmacology. [6th ed.]. Sydney, Australia: Pearson Publishing.…
References: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Eighth Edition). St. Louis, MO: Elsevier Mosby.…
Perioperative routine practices vary from state to state and even facility to facility. It is important for the surgical nurse to be well versed in perioperative procedures and constantly question the effectiveness and positive/negative outcomes related to each one. Several preoperative procedures take place on the surgical unit of my hospital, and after research and discussions with surgeons, I discovered a preoperative procedure that could be tweaked in order to improve post-op results.…
Nightingale Community Hospital is a healthcare leader that believes in providing the best quality care to all of their patients. As part of Nightingale’s mission to put the patient first, the hospital must meet National Patient Safety standards established by the hospital in accordance with the Joint Commission. As such, Nightingale Hospital participates in the Surgical Infection Prevention Program for the collection of core measures as it pertains to Universal Protocol (UP) and National Patient Safety Goals (NPSG). Nightingale’s NPSG data reveals that Nightingale hospital did not meet its goal of 100% compliance with time out procedures hospital wide for 11 out of 12 months. A Time Out is the method of verifying the correct patient, the correct procedure and the correct procedure site prior to the start of the procedure.…
Since it poses such significant and serious risks, it should only be used when all other interventions have been unsuccessful (Herter, et al, 2010). Other incontinence aids include the use of bed pans, adult briefs and condom catheters (Schneider, 2012). Catheters should never be used as a means of convenience for the staff (Pellowe, 2009). If other interventions have failed and it is found that catherization is necessary, then intermittent catherization should be considered first (Herter, et al, 2010). If intermittent catherization is not successful and an indwelling catheter is necessary then its length of time to stay inserted should be a short as possible (Herter, et al, 2010). The incidence of CAUTIs increases significantly the longer the catheter stays in place (Schneider,…
2. Lewis, Sharon L., et al. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 8th ed. St. Louis: Elsevier, 2011. Print.…
To prevent CAUTIs, other alternatives should be considered such as the use of urinal, bedside commode, and continence wears and condom catheters to manage incontinence. If the indwelling foley has to be used, the Centers for Disease Control and Prevention (CDC) in collaboration with other organizations, developed guidelines for the prevention of CAUTIs. The guidelines focused mainly on the prevention they address; appropriate use of indwelling urinary catheter, utilization of proper techniques for indwelling catheter, and utilization of proper techniques for indwelling catheter maintenance (CDC,…
Janzen, J., Burman, B. M., Spanjaard, L., de Reijke, T. M., Goossens, A., & Geerlings, S. E. (2013). Reduction of unnecessary use of indwelling urinary catheters. BMJ Quality & Safety, 22(12), 984-988. doi:10.1136/bmjqs-2013-001908…
In chapter 5 we have reviewed major elements of ambulatory (outpatient) care and discussed changes supported by the Patient Protection and Affordable Care Act (ACA) and American Reinvestment and Recovery Act. Ambulatory care encompasses a diverse and growing sector of the healthcare delivery system. Ambulatory surgery is a continuously expanding component of ambulatory care, as new technology allows an increasing number of procedures to be performed safely and efficiently outside of the hospital. In addition to new diagnostic and treatment tools available in outpatient setting, financial mandates also have driven services into the ambulatory arena. This new development pushed more hospitals to shift procedures and services amenable to outpatient delivery from more expensive inpatient environment to less expensive. For profit, free standing facilities providing primary, specialty, and surgical services have been increased (Sultz & Young, 2014, p163-199).…
The main strategy for the zero CAUTI movement is the utilization of an aggressive, nurse-driven catheter discontinuation order set (Smith, 2015). The orders include evidence-based indicators for the utilization of indwelling urinary catheters, any purpose divergent from the evidence based indicators for a catheter, for example, convenience in the incontinent patient, is strictly forbidden. The procedure has greatly decreased the number of CAUTIs at UD, however, given the Average Daily Census for the UD (approximately 40-patients), even a single CAUTI can cause a negative fluctuation in the the statistics, which is itself a…
Smeltzer, S. C., & Bare, B. G. (2004). Brunner & Suddarth 's Textbook of Medical Surgical Nursing. (10th ed.). Philedelphia: Lippincott Williams & Wilkins.…
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Textbook of medical-surgical nursing (12th edition) . Lippincott Williams & Wilkins.…
Some of the knowledge that has helped support my decision is the used of evidenced-based practice. The used of evidence- based practice has been proven to be effective in given quality patient care and reducing CAUTI in the healthcare settings. As the patient caregiver, it is important to verify appropriate reasons to insert an indwelling urinary catheter. The use of appropriate insertion technology, and maintain the catheter by keeping it clean, removal it at earliest possible opportunity and proper education and training for all staff that performs direct patient care (Carter, Reitmeier, & Goodloe,…
References: Bare, B., Cheever, K., Hinkle, J., & Smeltzer, S. (2010). Textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.…