Urinary Tract Infection: A Case Study
Decreasing Catheter Associated Urinary Tract Infections
Urinary Tract Infections are one of the most common hospital-acquired infection and many are associated with an indwelling catheter. For each day a catheter is in place the risk of developing a CAUTI increases 3%-7% (Kahnen, Flanders, & Magalong, 2011 ). Although indwelling urinary catheters are widely used in hospitalized patients and can provide an appropriate means of therapeutic management, they are often used without clear indications putting the patient at a risk for complications during their hospitalization. Complications related to a urinary catheter include physical and psychological discomfort to the patient, bladder calculi, renal inflammation and most …show more content…
Even though there are guidelines to follow urinary catheters are often placed for inappropriate or poorly documented reasons with totals close to 50% not being needed (Bernard, Hunter, & Moore, 2012, 32(1)). The majority of unnecessary urinary catheters are placed in the emergency department without a doctor order or if there is an order there is no documentation of the need for the catheter. This lack of documented rationale has proved to be an ongoing problem. Other factors relating to catheters are that the assessment of the continued need for the catheter is often overlooked and the catheters remain intact without proper indications. Urinary catheters are often used for personal preference of the nursing staff and even with the best nursing care, each day a catheter is present the risk for infection goes up 3%-10% (Burnett, Erikson, & Hunt, 2010). Evidence based strategies are used to decrease the use of indwelling urinary catheters. Some of these strategies are nurse driven and include the charge nurse or staff nurse assessing the need …show more content…
(2012). Cathter-Associated Urinary Tract Infections. AACN Bold Voices, 13.
Bernard, M., Hunter, K., & Moore, K. (2012, 32(1)). Review of strategies to decrease the duration of indwelling urethral catheters and reduce the incidence of catheter associated UTI. Urologic Nursing, 29-37.
Burnett, K., Erikson, D., & Hunt, A. (2010). Strategies to prevent Urinary Tract Infection from Urinary Catheter Insertion in the Emergency Department . Journal of Emergency Medicine, 546-550.
Fakih, M. D. (2008). Effects of nurse led multidisciplinary rounds on reducing the unnecessary use of urinary catherizations inhospitalized patients. Infection control and hospital epidemiology, 815-819.
Kahnen, D., Flanders, S., & Magalong, T. (2011 ). CAUTI: Making them Matter. Academy of Medical Surgical Nurses, 4-7.
Meddings, J., Reichert, H., & Rogers, M. (2012). Effects of nonpayment for hospital acquired CAUTI. American College of Physicians, 305-312.
Palmer, J., Lee, G., & Wroe, P. (2013, 33(1)). Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis. Urologic Nursing,
Urinary Tract Infections are one of the most common hospital-acquired infection and many are associated with an indwelling catheter. For each day a catheter is in place the risk of developing a CAUTI increases 3%-7% (Kahnen, Flanders, & Magalong, 2011 ). Although indwelling urinary catheters are widely used in hospitalized patients and can provide an appropriate means of therapeutic management, they are often used without clear indications putting the patient at a risk for complications during their hospitalization. Complications related to a urinary catheter include physical and psychological discomfort to the patient, bladder calculi, renal inflammation and most …show more content…
Even though there are guidelines to follow urinary catheters are often placed for inappropriate or poorly documented reasons with totals close to 50% not being needed (Bernard, Hunter, & Moore, 2012, 32(1)). The majority of unnecessary urinary catheters are placed in the emergency department without a doctor order or if there is an order there is no documentation of the need for the catheter. This lack of documented rationale has proved to be an ongoing problem. Other factors relating to catheters are that the assessment of the continued need for the catheter is often overlooked and the catheters remain intact without proper indications. Urinary catheters are often used for personal preference of the nursing staff and even with the best nursing care, each day a catheter is present the risk for infection goes up 3%-10% (Burnett, Erikson, & Hunt, 2010). Evidence based strategies are used to decrease the use of indwelling urinary catheters. Some of these strategies are nurse driven and include the charge nurse or staff nurse assessing the need …show more content…
(2012). Cathter-Associated Urinary Tract Infections. AACN Bold Voices, 13.
Bernard, M., Hunter, K., & Moore, K. (2012, 32(1)). Review of strategies to decrease the duration of indwelling urethral catheters and reduce the incidence of catheter associated UTI. Urologic Nursing, 29-37.
Burnett, K., Erikson, D., & Hunt, A. (2010). Strategies to prevent Urinary Tract Infection from Urinary Catheter Insertion in the Emergency Department . Journal of Emergency Medicine, 546-550.
Fakih, M. D. (2008). Effects of nurse led multidisciplinary rounds on reducing the unnecessary use of urinary catherizations inhospitalized patients. Infection control and hospital epidemiology, 815-819.
Kahnen, D., Flanders, S., & Magalong, T. (2011 ). CAUTI: Making them Matter. Academy of Medical Surgical Nurses, 4-7.
Meddings, J., Reichert, H., & Rogers, M. (2012). Effects of nonpayment for hospital acquired CAUTI. American College of Physicians, 305-312.
Palmer, J., Lee, G., & Wroe, P. (2013, 33(1)). Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis. Urologic Nursing,