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 Catheter Associated Urinary Tract Infection Prevention written by Yemisrach Getachew 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 an infection caused by a catheter inserted to a bladder through urethra (CDC, 2012). According to Centers for Disease Control (CDC), about 15-25 % of patients in hospitals get catheterized at some point during their hospital stay (CDC, 2010). This puts many hospitalized patients at risk for CAUTI which causes increased morbidity, mortality, length of hospital stay, and also increase health care cost (CDC, 2010). Two main causes of CAUTI are unnecessary urinary catheter use and prolonged use of already inserted urinary catheter (CDC, 2012). The risk for CAUTI can be reduced significantly by avoiding these causes. CAUTI can also be caused by a break in aseptic technique during urinary catheter insertion, improper care for urinary catheters that are already inserted, and inability to maintain closed drainage system. CAUTI is mostly preventable. Centers for Disease Control's guideline for CAUTI prevention states that, limiting the use of urinary catheter to only when it is absolutely needed and removing unnecessary catheters as soon as possible make a difference in preventing CAUTI (CDC, 2010). Other means of prevention include staff education on proper aseptic technique during urinary catheter insertion, maintaining closed drainage system, and using electronic surveillance for proper documentation and reminding staff about catheter removal (Welden, 2013). The purpose of this CAUTI prevention project is to show the effect of CAUTI, its causes, ways to prevent it, and how to get stake holders involved in the project by using fifteen critically appraised articles to support this writer's ideas for the CAUTI Prevention project.

Download or read book Prevention of CAUTI written by Lissykutty Mathew 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 second most common type of healthcare-associated infection in hospitals and long term care settings. Indwelling urinary catheters are used in the medical field during procedures and can be inevitable in some cases. There are many Complications associated with Catheter-Associated Urinary Tract Infection (CAUTI) such as discomfort to the patient, extended hospital stay, increased cost and increased death rate from various infections. The study shows that 5'10 % of elderly people living in hospital care facilities need chronic indwelling catheters for management of urine voiding. A medical surgical telemetry floor was under constant monitoring to find the source of increased number of urinary tract infections, especially individuals with indwelling catheter. Approximately close to 2 million cases of incidence happens with CAUTIs annually, the Medicare and Medicaid Centers for Services have separated CAUTI as a 'never event,' limiting the funding of reimbursement to acute care hospitals. The issue with CAUTIs among patient population is due to the introduction of bacteria while insertion of catheter by healthcare personnel or not following safe insertion techniques. An indwelling catheter that remains in a patient for over 30 days is considered to be chronic or long term. Sometimes, patients with certain conditions are managed with a chronic indwelling catheter. Elderly people and individuals with chronic conditions have an increased risk of morbidity when using indwelling catheters due to urinary tract infection. The diagnosis, treatment and other features of management of symptomatic urinary infection is different from a catheter related urinary tract infection. The diagnosis is confirmed when an increased number of bacteria or yeast species are found in urine. Infrequent occurrences from signs of infection may be followed by localizing genitourinary diagnosis. Patients are closely observed for signs and symptoms.

Download or read book Preventing Hospital Infections written by Jennifer Meddings and published by Oxford University Press. This book was released on 2021 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Healthcare-associated infection takes a heavy toll on patients, and negatively affects hospitals themselves, both financially and psychologically. Proven technical approaches to prevent infection have often faltered because of the failure of hospital staff to adopt them. This book focuses on these adaptive problems, particularly as experienced during efforts to combat catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and Clostridioides difficile infection (CDI). It provides a step-by-step description of a model quality improvement intervention, explaining why clinicians neglect or actively oppose such initiatives and how to change their minds. The focus is on preventing CAUTI, which has proven far more resistant to quality improvement efforts than CLABSI. The CAUTI intervention framework is also broadly applicable to a variety of other hospital issues including preventing falls and Clostridioides difficile infection. The solutions presented grow out of the extensive research by the clinical authors and their colleagues at the University of Michigan and VA Ann Arbor Healthcare System"--

Download or read book Prevention of CAUTIs with Nurse Driven Protocols written by Celeste Anderson and published by . This book was released on 2015 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are millions of patients that are admitted into inpatient acute care facilities across the United States throughout the year. Of these patients most require indwelling urinary catheters for strict short term monitoring of their urinary output, for surgical procedures, for bladder irrigation, chronic sacral wounds, chronic perineal wounds, improving end-of-life care or for relieving urinary retention. Currently in most inpatient settings nursing staff rely on the daily assessments and orders of a physician for continuation or discontinuation of the indwelling urinary catheters. Because of this practice the indwelling urinary catheters may be overlooked and kept in far beyond their period of need and result in a Hospital Acquired Infection (HAI) called a Catheter Associated Urinary Tract Infection (CAUTI). Research studies have shown in more recent years that the effectiveness of Nurse Driven Protocols for the Prevention of CAUTI's has substantially decreased them and has proven to decrease cost associated with the treatment of such HAI's. Insuring bodies such as Medicare, Medicaid and other private companies have already begun to stop reimbursement on treatments for infections that are deemed preventable such as CAUTI's therefore, hospitals and other acute care facilities are tightening their reins when it comes to the prevention of HAI's. To support the nursing staff physicians must be on board with the allowances of the nurses to assess the need for and discontinuation of the indwelling urinary catheter. Research evidence shows that with a nurse driven protocol certain criteria for the need of the catheter must be met prior to inserting it so that misuse of the indwelling urinary catheter does not happen. Other criteria indicating use such as the instances of surgery indwelling urinary catheters are required during the pre, intra and post-operative phases due to the use of anesthesia. Patients in the Intensive Care setting who are intubated and on continuous ventilator support also fit the criteria for needing an indwelling urinary catheter but the protocol will support the every four-hour assessment of the need for the indwelling catheter.

Download or read book Priority Areas for National Action written by Institute of Medicine and published by National Academies Press. This book was released on 2003-04-10 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.

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 Understanding and Prevention of Catheter Associated Urinary Tract Infections CAUTIs written by Ritu Saini and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The project goal is to reduce and eliminate CAUTI occurrences on the med-surgical unit by increasing staff knowledge on CAUTIs and applying the ANA CAUTI prevention tool to improve patient outcomes. The project objectives are (1) enhanced staff knowledge about CAUTIs, (2) staff adherence to the implemented the ANA CAUTI prevention tool, and (3) maintained CAUTI rate below benchmark. The CNL role in the project is to function as an educator and outcomes manager, which serves as the foundation for the project. The department consists of a 34-bed med-surgical unit with the adult patient population mix of oncology, surgical, and cardiac patients. The unit currently utilizes the ANA CAUTI Prevention Tool; however, the rate of CAUTIs continues to increase. The current CAUTI rate for the medical-surgical unit is 1.52 for year 2017 which is above the national benchmark through National Healthcare Safety Network (NHSN). The project goal is to decrease or eliminate CAUTI rate on the unit by 54% for 2018 to bring the rate below the benchmark. The risk factors from root-case, stakeholders and SWOT analysis are categorized into four categories such as human factors, environmental factors, administrative factors and material factors. The project status is in progress. The evaluation plan includes data collection, data analysis, and data comparison. The CAUTI incidences will be measured and collected by infection control daily audit tool explicitly created to CAUTIs. The infection control nurse will be responsible for obtaining this information. Data analysis includes Catheter days, indications, and compliance with ANA tool will be measured through chart review by CAUTI task force and infection control daily audit. The risk analysis department will compare the data to evaluate the quarterly trend and address barriers. The data will help evaluate the reduction in CAUTI rate and staff compliance with ANA CAUTI prevention tool. The project will be sustained through (1) stakeholders0́9 support, (2) CAUTI task force involvement, (3) by using ANA CAUTI prevention tool appropriately, (4) providing continuous education support, (5) address barriers and challenges and (6) staff recognition. The frontline nursing staff can make the most difference through sound knowledge of CAUTIs, current practice guidelines, and ANA prevention tool.

Download or read book Preventing Catheter Associated Urinary Tract Infections written by Itoro Inim 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 the most common health care associated infection that is very preventable if appropriate measure are followed. It is responsible for about 40% of health care associated infections (HAI) in acute care settings and about 80% of the cause is directly linked to the presence of indwelling catheters. According to the American Association of Critical Care Nurses ( 2011), CAUTI adds to the hospital cost and no additional payment is made by the Centers for Medicare and Medicaid services to the facility as this condition is considered to be very preventable. Use of catheter for a prolonged period of time has been identified as the main cause of CAUTI hence the need to remove catheter immediately it is no longer needed. CAUTI increases the average length of stay by 5-6 days and this has a significant effect on the outcome of the patient. Yearly in hospitals around the country, 450,000 incidence of CAUTI is treated and the cost is greater than $400 million (Centers for Disease Control and Prevention (CDC),2012. This condition can be caused by lack of about knowledge among nursing staff in regards to infection control practices (Fraczyk, Tibbs, Brennan, and Godfrey, 2011). The goal of this research is to increase awareness of CAUTI in this author's place of employment and using evidence-based practice and CDC guidelines for prevention. Extended use of catheters without clinical justification can cause bacteremia, sepsis, cystitis, epididymitis, pyelonephritis, and in rare occasions endocarditis and even death (Stickler and Feneley, 2010). Assessing the patient for continuous need of catheter and removing it immediately it is no longer necessary is an important to prevent CAUTI. The implementation plan to prevent CAUTI was developed by this author after reviewing scientific literatures.

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 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 CAUTI Prevention written by Kathryn Mahosky 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 infections (CAUTIs) are an all too common occurrence in hospitals. A leading cause of these infections is that the catheters are not removed quickly enough. Many tactics have been tried to improve the removal rate and there has been evidence of success, especially using multiple methods together. Nurse-driven urinary catheter removal protocols are one of these methods. Salem Hospital already has some CAUTI prevention strategies in place and uses shared-governance to empower nurses in its Magnet-related achievements. Other nurse-driven protocols are in use throughout the hospital, so there is precedent to incorporating and furthering this additional best practice venture. New workflow implementation comes with the need to understand the mechanisms of change and how they can affect performance and motivation. Change theory will be used as a framework to address these behavior adjustments to help guarantee a successful venture. This proposal uses a pre/post-test quantitative design that would initially focus on the units with the highest CAUTI rates. It will also have a qualitative component surrounding staff attitudes and opinions about the project in order to help guide change. The protocol can be constructed from stakeholder input and other successful hospitals' guidelines. Stakeholder involvement would be invited from the start of the process. The evaluation will be measured by patient, care provider and cost outcomes using CAUTI rate data from electronic health records, clinician feedback questionnaire/interview results, and Medicare reimbursement rates. Dissemination of project results will be accomplished with an initial presentation, followed by additional electronic communication via email, interoffice mail, and visibility boards to ensure all stakeholders are included.

Download or read book Clinical Application of Urologic Catheters Devices and Products written by Diane K. Newman and published by Springer. This book was released on 2017-12-09 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to provide a comprehensive and state-of-the-art overview of the use of urologic catheters and devices in clinical practice. Sections of the book have been structured to review the overall indication for the use of urologic catheters and devices, types available, complications and management. This text fills a critical need for resource materials on these topics. The book also includes highly practical presentations and of typical patients with catheters or devices seen in the clinical practice of geriatric urology, all in the form of case presentations with expert analysis and editorial commentary. Highlighting the integrated multidimensional aspects of care for urology patients, this book is unique in the inclusion of collaborating multidisciplinary authors who are all recognized experts in their field. Written entirely by urologic specialists, Clinical Application of Urologic Catheters, Devices and Products provides a unique and valuable resource in the field of practicing urology, for urologists, nurse practitioners, physician assistants, and for those currently in training.

Download or read book Significance of Following Guideline in the Prevention of Catheter Associated Urinary Tract Infection written by Jainymole Sasankan 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 associated with catheter insertions are the most prevalent hospital associated infection. The expenses incurred in treating Cather Associated Urinary Tract Infections (CAUTI) are not covered by the Center for Medicare and Medicaid Services (CMS) since October 2008. According to the Center for Disease Control and Prevention (CDC), almost twenty-five percent of hospitalized patients receive urinary catheters during their hospital stay and approximately seventy-five percent of urinary tract infections are associated with urinary catheters. The need for catheter usage and the chance of developing a CAUTI associated with the prolonged use of catheters should be reviewed. Because of this reason, catheters should only be used if indicated and should be removed as early as possible. This literature review is based on the Patient, Intervention, Control, and Outcome (PICO) question: Does following CAUTI guidelines reduce hospital-acquired CAUTIs? Current research studies shows that approach to managing and avoiding CAUTIs should be based on practicing guidelines and these guidelines should be adhered to (Grabe M, 2011). Hence, the goal of this project is to develop a CAUTI prevention team to prevent CAUTIs by increasing staff awareness regarding the importance of following these guidelines. The first phase of implementation of guidelines include introduction to bladder bundle care and surveillance rounds by CAUTI team along with in-services, which would be continued for three months. The second phase would include a survey to evaluate the outcome of the project; evaluate infection rates by Audit is necessary after the implementation of the new plan. Through written policies and procedures, the project would be established and made available for staff members. This paper discusses the current status based on literature review on the problem, theory, evidence, implementation, and evaluation of the plan.

Download or read book Using the Human Error Assessment and Reduction Technique to Predict and Prevent Catheter Associated Urinary Tract Infections written by Courtney Michelle Faucett and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Centers for Disease Control and Prevention (2015), urinary tract infections (UTIs) are the most commonly reported healthcare-associated infection (HAI), of which approximately 75% of infections are attributed to the presence of a urinary catheter. Urinary catheters are commonplace within hospitals as approximately 15-25% of patients receive a urinary catheter during their hospitalization, introducing the risk of a catheter associated urinary tract infection (CAUTI) during their stay (CDC, 2015). In recent years there have been efforts to reduce CAUTI in U.S. hospitals; however, despite these efforts, CAUTI rates indicate the need to continue prevention efforts. Researchers have investigated the use of human reliability analysis (HRA) techniques to predict and prevent CAUTI (Griebel, 2016), and this research builds on that topic by applying the Human Error Assessment and Reduction Technique (HEART) to develop a model for a patient's probability of CAUTI. HEART considers 40 different error-producing conditions (EPCs) present while performing a task, and evaluates the extent to which each EPC affects the probability of an error. This research considers the task of inserting a Foley catheter, where an error in the process could potentially lead to a CAUTI. Significant patient factors that increase a patient's probability of CAUTI (diabetes, female gender, and catheter days) are also considered, along with obesity which is examined from a process reliability perspective. Under the HEART process, human reliability knowledge and the knowledge of eight expert healthcare professionals are combined to evaluate the probability that a patient will acquire a CAUTI. In addition to predicting the probability of CAUTI, HEART also provides a systematic way to prioritize patient safety improvement efforts by examining the most significant EPCs or process steps. The proposed CAUTI model suggests that 7 of the 26 steps in the catheter insertion process contribute to 95% of the unreliability of the process. Three of the steps are related to cleaning the patient prior to inserting the catheter, two of the steps are directly related to actually inserting the catheter, and two steps are related to maintaining the collection bag below the patient's bladder. An analysis of the EPCs evaluated also revealed that the most significant factors affecting the process are unfamiliarity, or the possibility of novel events, personal psychological factors, shortage of time, and inexperience. By targeting reliability improvements in these steps and factors, healthcare organizations can have the greatest impact on preventing CAUTI.

Download or read book Prevention of CAUTI written by Cinimol Teju and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urinary tract infections are one of the most common health-care associated infections accounting for 40% infections in acute care facilities and it is of note that up to 80% these infections are due to the presence of indwelling urinary catheters without proper indications (Bernard, Hunter and Moore, 2012). Among the entire populations with catheters, older generations are more prone to get infections due to poor immune system. The presence of CAUTI in older populations can lead to complications such as prolonged hospital stay, increased cost, poor outcome, frequent falls, delirium, immobility, and poor quality of life (Dailly, 2012). In order to reduce the risk of infection, it is critical to make sure that catheters are use only with proper indications and should remove as early as possible. Nurses are the frontline providers able to reduce CAUTI by applying evidence-based care in to nursing and by making sure that, catheters removed early when they are no longer need for their patients. The purpose of the project was the identification of evidence based practice changes to the medical and telemetry units in the author's institution and a literature review was conduct to select the evidence-based strategies to support the proposed changes. A search was conduct on electronic database such as CINAHL Plus, Cochrane library, OVID, and allied health resources to select the resources. The search terms were urinary tract infections, Catheter associated, elderly patients, and prevention. Total 53 articles are abstracted and from where 15 articles address the prevention, early removal and management was select for literature review. Implementation, evaluation and a dissemination plan were created for the proposed practice change. The current literature also supports EBPs and insists that such practices should be implemented to nursing practice to ensure patient satisfaction, decreased cost, and better outcome.

Download or read book Prevention of Catheter Associated Urinary Tract Infections with Long term Indwelling Urinary Catheters in Long term Care Facility Patients written by and published by . This book was released on 2013 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Many indwelling catheters are placed or kept inappropriately as individuals do not meet the criteria for indwelling catheter or are not maintained properly to decrease the risk of infection... An evidence based educational presentation over prevention of CAUTI was given to licensed staff members at a Midwest health care facility...Findings show there is significant room for improvement in catheter knowledge and practices of nurses. There was no significant change in CAUTI rates after the educational presentation. However, given the small scale of this project such a result is expected. Continued education on prevention of CAUTI is needed to help increase knowledge of nurses about complications of CAUTI to change incorrect practices." p.2.