Download or read book A Change in Catheter Care to Reduce CAUTI s written by Winsome Jakins and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of urinary catheters has become a common standard of care for most patients that are going to be admitted to the hospital. According to Jaggi and Sissodia (2012) Catheter Associated Urinary Tract Infections (CAUTI) contribute 30%-40% of all the nosocomial infections and they are associated with substantially increased institutional death rates. These rates will only continue to climb if there is not better catheter care implemented. The solution to this implementation of better catheter care is conduct a study on the old standard maintenance and care using soap and water as opposed to the current practice of chlorhexadine wipes and comparing it to the use of a specialized maintenance and care using non-medicated bath wipes. The setting would take place in the intensive care unit and would be conducted on those patients with an indwelling urinary catheter for six months. The first three months would be trialing the soap and water method and the last three months trialing the use of the non-medicated bath wipes. The materials and would consist of a bath basin, soap and water for the first three months and then non-medicated bath wipes for the last three months. The methods for implementation would be a literature review to see what resources were available and then an educational tool, demonstration on a manikin and a reverse demonstration would be done with an evaluation after the demonstration. Results of proper maintenance and care of the indwelling urinary catheter could potentially decrease the CAUTI rates significantly once patient care staff was educated properly. According to Strouse (2015) chlorhexidine (CHG) wipes were not found to lower incidence of CAUTI and these are the techniques that are being used currently and with this evidence the practice needs to change. Once the staff is properly educated and demonstrations were done, the project would be implemented and could potentially be a big benefit for the hospital by reducing CAUTI's.

Download or read book Reducing the Catheter Associated Urinary Tract Infection written by Helen Truong and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Foley catheter or the indwelling urinary catheter has been widely used for hospitalized patients who have health problems such as urinary retention, ulcers with incontinence, and traumatic injuries. However, this method can put patients at a risk of serious complications, psychological and physical discomforts, and most frequently catheter-associated urinary tract infection or CAUTI. The CAUTIs can cause longer hospital stays, increase healthcare expenses, and increase the mortality and morbidity rates. The Medicaid and Medicare currently refuse to pay for CAUTI occurrences since problem can be prevented. More incidences of CAUTI are occurred when the time of using catheters is longer than needed and also when the catheterization is being used inappropriately. Education should be emphasized more to help change healthcare providers' perception about this issue since this would affect their quality of care and the prevention of CAUTI. Nursing-driven protocol can reduce the incidence of CAUTIs by reducing unnecessary uses of indwelling urinary catheters. The best approach is to avoid catheterization or remove unnecessary catheters to reduce and eliminate CAUTIs. The project ""Unit without indwelling urinary catheters"" is introduced in this study focuses on how to reduce the incidences of CAUTI by promoting the use of alternative methods and applying prevention strategies such as using reminder systems, automatic stop orders, screening risk factors, intermittent catheterization, and condom catheters. Many current researches and studies are providing evaluable information regarding the benefits of using these alternative methods and prevention strategies in order to significantly reduce the CAUTI occurrences, decrease the healthcare expenses, and therefore improve quality of care for hospitalized patients. Key words: indwelling urinary catheters, cauterization, CAUTI, hospitalized, prevention strategies, intermittent, healthcare cost, length of time, education, awareness.

Download or read book The Nation s Nurses written by Aleda V. Roth and published by . This book was released on 1974 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Reducing CAUTI written by Jason Ferroni and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the inpatient hospital setting, indwelling urinary catheters have become increasingly common. In fact, 25% of hospitalized patients have an indwelling urinary catheter, and 10% of those will develop a catheter associated urinary tract infection (Oman and others, 2011). In reviewing the research it is clear that there are appropriate interventions that have proven to reduce the incidence of CAUTI. Many of these interventions are not product or technique driven; rather, they are reliant on health care provider awareness, engagement, and behavioral change. In an article published in the American Journal of Infection Control authors state 0−́as an important element of socio-adaptive change, HCW engagement at the hospital level is an essential component for successful implementation of the CAUTI prevention work0+́ (Fakih and others, 2014). This proposed project is intended to discuss changes that should be considered. To be truly effective the project proposal includes a problem description, proposed solution, review of research, implementation plan, information dissemination plan, and description of method for evaluation. The research indicates that interventions should be implemented in a bundle. This proposal suggests that the interventions should begin with education. Education is the key to provider awareness, however, there is significant evidence to include guidelines for insertion of catheters, reminders to reassess, physician stop orders, and mindful maintenance and management of the indwelling urinary catheter. If all interventions are implemented simultaneously, and ongoing evaluation completed, then there is the potential to reduce the incidence of catheter associated urinary tract infection. This will benefit all parties involved; reduce excess financial costs and the burden of 0−́never events0+́, improve patient care, quality, and satisfaction.

Download or read book Foley Catheter Care written by and published by . This book was released on 1986 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Nurse driven Protocol to Reduce the Duration of Indwelling Urinary Catheters and Prevent written by Joona Rajan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter associated urinary tract infection (CAUTI) is a common health care associated infection, accounts for about 40% of the reported cases. Centers for Medicare and Medicaid is considering CAUTI as a never event and limits all reimbursements for the related expenses. Researches proved that limiting the use of indwelling urinary catheters, reducing the duration of catheterized days and proper maintenance of the catheter could prevent the development of CAUTI. Most of the hospitals lack effective policies to prevent unnecessary catheterization and CAUTIs. A Nurse-driven protocol is developed to set guidelines for insertion and maintenance of catheter and reduce the number of catheterized days. An indwelling urinary catheter (IUC) insertion indication, removal criteria, and proper maintenance criteria are developed based on available evidences. The developed criteria are added to the order entry tool for physicians. Nurses are responsible to ensure the presence of an appropriate indication prior to insertion of an IUC or to suggest alternate methods. Nurses will daily assess for the presence of indication or meeting criteria for removal. All IUCs without proper indication or the one that meet the removal criteria should be removed based on the daily nursing assessments. All IUCs should be maintained appropriately and all the care provided should be documented in electronic health record (EHR). Changes can be made in the EHR to ensure proper documentation and monitoring of the success of the program. Effectiveness of the program can be measured using developed audit tool and comparing the pre and post implementation results. Practice changes based on the available evidences will help to reduce the occurrence of CAUTI and related health care expenses.

Download or read book CAUTI Prevention written by Sanjula Das and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheterization is a usual procedure with indwelling urinary catheter (IUC) for the hospitalized clients for various purposes, in certain disease conditions and for lab tests. Studies shown that incorrect usage and continuous IUC can cause urinary tract infections (UTIs), bodily uneasiness, and upper and lower UTIs. Catheter associated urinary tract infections (CAUTIs) causes nearly 80% of UTIs in U.S. It is a main nosocomial infection which rises clinical stays, illness, and charge for the management. Clients frequently get bacteremia from indwelling urinary catheter, which rises the death percentage up to 10%.Numerous medical care organizations have been started and continuing many actions to attack catheter related UTIs. Even though CAUTIs are one of the main infections in medical care field. This essay aims to give different strategies to confront the challenges and adjust suitable training in a clinic to avoid CAUTIs in an everyday base. Numerous educations directed by excellent scientists on catheter related UTIs are being used as the writings resource. It is recognized that incorporating the best current evidence-based information into hospital training will recover the client result and decrease the medical expenses. Nurses are the mainstay of the medical care field. A nurse- focused procedure has found effective in several medical care facilities to reduce CAUTIs and expenses. For an active execution of training strategies a regular checking of catheters, accurate documentation, and early elimination of tubes are essential. Risk managing to be involved to observe the acquiescence level. Nurse should quickly recall the doctors to write instructions to eliminate tubes on time. In order to obtain expected outcomes, the executed strategies to be assessed and outcomes to be distributed to participants for applying the new strategies into hospital training to avoid CAUTIs.

Download or read book Importance of Protocols to Prevent CAUTI written by Patrick Hopphaus and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter acquired urinary tract infections are a serious risk to hospitalized patients with indwelling urinary catheters. Patients who develop CAUTIs face serious health risks and require much more care from nursing staff. CAUTIs are also a great financial burden to institutions due to the fact that in 2008, the Center for Medicare and Medicaid Services (CMS) chose CAUTI as one of the complications that health care facilities would no longer be compensated for. CAUTIs are often times directly linked to the care that the patient received and often times bring a negative light to the nursing profession. By utilizing a set of catheter care protocols we can greatly reduce the number of occurrences of CAUTI in hospitalized patients. "The available evidence supports nurse-led or chart reminders to stimulate consistent daily assessment of the continuing need for a catheter and to remove it as soon as possible" (Bernard 2012). This theory helps to break the infection chain at one of the links and is a key aspect to the proposal. When changes in protocols are made it is extremely important to be able to properly evaluate the effectiveness of those changes. Developing proper evaluation tools, recognizing possible variables that may affect outcomes and providing participants the proper tools to be able to assist in the evaluation are all important aspects to the evaluation. With proper evaluation a conclusion can be made as to whether the changes made were effective or ineffective. When making changes to protocols it is important to be able to disseminate the results of the changes to different groups. Understanding which groups will be receiving the information and the best format to use for each group is important to ensuring the most effective methods are utilized and the positive outcomes of the changes are presented properly. With the proper dissemination of information all involved will agree that the best method for reducing the instances of CAUTI is to use a set of "bladder bundle" protocols.

Download or read book Prevention and Reduction of Catheter Acquired Urinary Tract Infections written by Caitlin King and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with urinary catheters have a much higher chance of getting urinary tract infections (UTI) than those without catheters. Catheter acquired urinary tract infections (CAUTIs) are the most preventable type of heathcare-associated infection and account for more than 30% of nosocomial infections reported to the National Healthcare Safety Network (Center for Disease Control and Prevention (CDC), 2015). 80% are due to prolonged use of an indwelling urinary catheter (IUC) (Yin-Yin and others, 2013). Reducing the number of CAUTIs is a valuable and cost effective goal for hospitals nationwide. Nurses are the frontline staff with the ability to demonstrate their critical role in reducing complications from IUCs (Bernard and others, 2012, pages 36). Studies have shown that early removal of a IUC can reduce the risk of a CAUTI by up to 40% (Newman and Strauss, 2013). With the use of a nurse-driven protocol that empowers nurses to remove catheters with no indication, CAUTIs have been shown to be reduced by almost 90% (Newman and Strauss, 2013). If nurses are educated on proper insertion techniques and to promptly remove the catheter when there is no longer an indication for its use, the number of CAUTIs can be decreased allowing for safer patient care and better patient outcomes. This re-education and testing program will be mandatory and will include all members of the health care team who insert catheters in the hospital setting. The number of CAUTIs will be evaluated before the plan is initiated, six months after it is initiated when all the staff has been educated and tested, and again a year after the initial implementation of the plan. Sharing information gained through these changes can make patients feel safer and more informed, be an eye-opener to many family members and other members of the health care community, and help guide other health care facilities in making similar changes that promote health and wellness in their patients.

Download or read book Decreasing the Risk of Catheter associated Urinary Tract Infection CAUTI written by Alma A.M. Treskow and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research has proven that patients with an indwelling urinary catheter are at a greater risk for the development of a urinary tract infection (UTI). UTIs were identified as the most common nosocomial infection at 40%, with 80% of UTIs being associated with the presence of an indwelling urinary catheter. The probability of getting an infection rises with the amount of time the catheter is in place. The most effective way to reduce urinary tract infections is to reduce the incidence of indwelling catheters. Through assuring urinary catheters are clinically indicated and reassessing the need, selecting appropriate products, utilizing aseptic technique on insertion, and maintaining proper catheter hygiene, registered nurses can help make a great impact on reducing the amount of catheter-acquired urinary tract infections (CAUTIs). Through daily assessment, prompt removal of catheters no longer indicated, and nurse-led interventions the incidence of CAUTIs can be greatly reduced, providing safer care to patients, reducing length of hospital stays, and decreasing costs of health care.

Download or read book Reduction of Catheter Associated Urinary Tract Infections in Acute Care Hospitals written by Adelle Anderson and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies, catheter associated urinary tract infections (CAUTIs) represent the most common nosocomial infections and are a major health concern due to the vast amount of complications that can result from them.The Centers for Disease control and Prevention(CDC,2009) recommends that catheter use should be strictly for appropriate indications and duration should be minimized in all patients especially those at high risk for infections such as the elderly, females, and persons with impaired immune systems. This paper will discuss the problem of the frequency of the development of catheter associated infections in a long term/sub-acute setting. The impact of the issue on patients' quality of life will be addressed. The purpose of this paper is to present a project proposal for evidence-based nursing actions to reduce CAUTi.in the hospitalized patients and will explore methods that could successfully reduce occurrence and decrease healthcare cost. Research has indicated that CAUTIs account for over one million cases of infections annually and over 40% of all nosocomial infections in hospitals and nursing homes. (Jacobsen, Stickler, Mobly et al, 2008). The proposal for change would be the implementation of a protocol to assess for the earliest removal of urinary catheters except in cases such as patients with history of urinary retention and neurogenic bladders.

Download or read book Catheter Associated Urinary Tract Infections written by Lansonita Barker-Crank and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urinary Tract Infections (UTIs) are the most common hospital-acquired infection in the intensive care unit (ICU). Most patients admitted to the ICU require the use of urethral catheters. Urethral catheters may improve therapeutic outcome, save human lives, and enhance the quality of life in patents. However, urinary catheters not inserted correctly, not kept clean, or cleaned appropriately, or the duration of use is too long, bacteria or fungi form on the surface of the plastic device and begin to travel through the catheter to cause catheter-associated urinary tract infections (CAUTI). The use of indwelling urinary catheters increases the risk of CAUTIs and may lead to significant morbidity, bacterial resistance, prolonged hospital length of stay, and increased health care cost. After the insertion of an indwelling urinary catheter, daily perineal and catheter care is vital to prevent the microbial growth which causes CAUTIs. Health care facilities need to strictly enforce perineal and catheter care and inform the nursing staff about the importance of performing daily and as needed perineal and catheter care. Nursing staff are responsible to comply and adhere to evidence-based practices promoting patient centered care. In nursing, new evidence-based practice, guidelines, and regulations are put into nursing practice are beneficial to the patient's quality of care, safety, and outcomes. Therefore, reducing the occurrence of CAUTI should be a priority in every inpatient setting. Outcomes from daily and as needed perineal and catheter care will be evaluated through a reduction in the occurrence of CAUTIs. The results will be shared with key stakeholders and the nursing community to further decrease the incidence of CAUTIs.

Download or read book Preventing Catheter Associated Urinary Tract Infection written by Daljit Kaur and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In health care setting, hospital acquired infections has become most global threat, which cause problems during patient's recovery and treatment process. As we all know that about 35% of most hospital acquired infection are known to be caused by Urinary tract infections (UTI), and about 80% of those infection is cause by using indwelling urinary catheter (ICU). It can delay patient recovery if infection cause by catheter associated urinary tract infection (CAUTI) and patient needs to be on multiple antibiotics. Sometimes antibiotic does not work on patient due to CAUTI become resistance to antibiotics. The studies has provided the information for healthcare provider to be careful usage of evidence based practices while inserting catheter, provide good care, and removal of catheter on time can reduce CAUTI about 60 75%. Many research and studies has showed solution how healthcare provider can able to prevent CAUTIs. Most of the studies has found solution about alternative methods such as clean insertion technique, care, removal and education about usage of urinary catheter. After getting the support from the stakeholders and healthcare providers then the causes of CAUTI can be decrease in some ways, but they all have to work together in order to decrease incidences of CAUTI.

Download or read book CAUTI Prevention for Long Term Indwelling Bladder Catheters in ICU Patients written by Joseph Andrew Chamness and published by . This book was released on 2021 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project aims to determine when a catheter should be removed in the intensive care unit to prevent premature removal. Subsequent multiple straight catheterizations may introduce bacteria into the urethra and result in hospital-acquired infections (HAI). The aim is to reduce the incidence of Catheter-Associated Urinary Tract Infection (CAUTI), a preventable HAI. A change in protocols is needed to match evidence-based research on the best practice methods. Strategies are proposed to decrease the risk of CAUTI, and limitations are discussed. Poorer strategies require more exclusions than good ones. The findings indicate more research is needed on newer strategies to determine the optimal stay-in time for foley catheters in ICU. The study focused on research articles that met ethical standards for any ages and either gender, as all are at risk of CAUTI, although women and the elderly have a higher risk. These incur increased hospital costs and extended length of time of stay. Findings also indicate that timing of catheter removal has an impact on the risk of acquiring CAUTI. The significance of these findings is they can be used as the basis for protocols, thus reducing the incidence of CAUTI, provided the guidelines are followed.

Download or read book Catheter Associated Urinary Tract Infection written by Minimol Cheriyan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catheter Associated Urinary Tract Infection (CAUTI) is considered as a frequently occurring Healthcare Associated Infection (HAI) and which creates concerns about patient safety and quality of care in acute care settings. Studies have demonstrated that over half of the people who have indwelling catheters do not have proper indication and it stays in situ for a longer period of time. The prolonged use of indwelling catheters doubles the chance of CAUTI in acute care settings and can compromise the quality of care of patients.. Placement of the catheter without proper indication, prolonged use of catheters even the indication ends and poor techniques in catheter care are the risk factors of CAUTI. A change of culture in urinary catheter insertion, proper techniques for catheter maintenance and early removal can control this reasonably preventable hospital acquired infection. This proposal focused on the evidence based practices to prevent CAUTI, implementation of a CAUTI prevention bundle in the unit and appropriate education of staff on reducing the use of indwelling catheters with alternative strategies and thus reduce the complications that may arise with the use of indwelling catheters.

Download or read book Exemplar of Evidence based Practice written by Beth Cooke and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using urinary catheters routinely can cause complications for patients, most commonly catheter associated urinary tract infections (CAUTI's) (Elpern and others, 2009). Infections caused by the catheters often times result in sepsis, longer hospital admissions, increased hospital costs, and mortality (Elpern and others, 2009). A major risk factor in developing a CAUTI is the duration the urinary catheter remains in place. When inserted, urinary catheters often will remain in place longer than the appropriate indication that is needed (Elpern and others, 2009). Methods to reduce CAUTI's include limiting the use of urinary catheters and removal of catheters as soon as the catheter is no longer indicated (Elpern and others, 2009). Without the urinary catheter in place, the risk for infection is no longer a threat. This project's purpose was to implement an evidence based practice change that would decrease the rate of CAUTI's in the writer's hospital. A literature search was used to obtain evidence-based information to support the proposed change. The Grand Canyon Library and the writer's hospital library were utilized. The different electronic databases included: CINAHL Complete, OVID, EBSCO, and MEDLINE. Using search words that included urinary catheters, urinary tract infections, preventing infections, and risk of urinary catheters resulted in over 900 articles. The article abstracts were reviewed and articles were chosen that addressed daily assessment, early removal and prevention of CAUTI's. Evidenced based strategies that included the daily assessment to determine the indication for the catheter and the early removal of catheter were selected from the literature. After careful review of the literature, implementation, evaluation, and dissemination plans were developed for the proposed practice change. The literature supports the proposed plan and implementing them into our nursing practice will increase better patient outcomes and will have higher patient satisfaction. The proposed plan will also decrease hospital length of stay and hospital costs.

Download or read book Practical Healthcare Epidemiology written by Ebbing Lautenbach and published by Cambridge University Press. This book was released on 2018-04-19 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.