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 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 A Nurse driven Protocol to Reduce Catheter associated Urinary Tract Infections written by Elva E. Hamilton and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Catheter-associated urinary tract infections (CAUTIs) are a major source of avoidable hospital-acquired infections. The scientific evidence supports utilization of nurse-driven protocols to reduce CAUTIs. Purpose: The purpose of this quality improvement project was to update and implement an evidence-based CAUTI prevention protocol for the nursing staff on a medical-surgical unit in an adult acute care hospital to decrease the utilization of indwelling urinary catheters and CAUTIs. Theoretical Framework: Donabedian’s structures, processes, and outcomes (SPO) model was utilized as the framework for this project. Donabedian’s SPO model focuses on strong healthcare structures and processes to improve nurse, patient, and organizational outcomes. Methods: This project utilized a quantitative design. A convenience sample of 28 nurses from the medical-surgical unit of a South Florida hospital participated in the project. An educational intervention was delivered on CAUTI prevention based on guidelines from regulatory agencies, and the hospital existing protocol was updated and revised to reflect the guidelines. The sample was administered a short demographic survey, and 10-item pretests and posttests on CAUTI prevention before and after implementation of the standardized evidence-based protocol. To determine possible differences in nurses’ knowledge and perceptions of indwelling urinary catheters before and after the implementation, paired t tests were conducted. To determine if the proportions of days with urinary catheters were statistically significantly different 30 days before and after PREVIEW vi implementation of the standardized evidence-based guideline, a 2-proportion z-test was conducted. Results: On analysis of the pretests and posttests, a statistically significant difference was found in 6 of the 10 questions, indicating that nurses’ knowledge and perceptions of CAUTIs improved after the intervention (p
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 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 Catheter Removal and Reduced Urinary Tract Infection written by Mary Paul 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 a major preventable disease and includes 40% of the total hospital acquired infections. Research has indicated a prompt removal of catheters, avoiding indwelling catheters and a nurse driven protocol can help to reduce CAUTIs. Educating nurses on proper techniques during catheterization also help to reduce CAUTI. Using evaluation tools to review patients with catheters and checking for indications can prevent unnecessary catheterization. Documenting the patient's information from arrival to discharge is an important task for a nurse. As Centers for Medicare and Medicaid Services doesn't pay for CAUTI, preventing CAUTI can also reduce costs for the hospital.
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 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 Health Informatics written by Ramona Nelson and published by Elsevier Health Sciences. This book was released on 2013-06-14 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Informatics: An Interprofessional Approach was awarded first place in the 2013 AJN Book of the Year Awards in the Information Technology/Informatics category. Get on the cutting edge of informatics with Health Informatics, An Interprofessional Approach. Covering a wide range of skills and systems, this unique title prepares you for work in today's technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space. 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation. Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered.
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.
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 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 Acute and Critical Care in Adult Nursing written by Desiree Tait and published by Learning Matters. This book was released on 2015-12-26 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book helps adult nursing students to competently manage care of critically and acutely ill patients, and to recognize and deal with the early signs of deterioration. The book takes a practical real-life approach to care, with each chapter focusing on patients with specific problems, then interweaving the knowledge and skills needed to care for that patient. New to this edition: · two new chapters focusing on the renal system and endocrine system · updates to include the latest evidence and guidelines from NICE · refreshed activities and scenarios reflecting current nursing practice.
Download or read book Foundations for Population Health in Community Public Health Nursing written by Marcia Stanhope and published by Mosby. This book was released on 2017-10-12 with total page 642 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foundations of Nursing in the Community - Elsevieron VitalSource
Download or read book The Doctor of Nursing Practice Project written by Katherine J. Moran and published by Jones & Bartlett Learning. This book was released on 2019-03-01 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Doctor of Nursing Practice Project: A Framework for Success, Third Edition provides the foundation for the scholarl process enabling DNP students to work through their project in a more effective, efficient manner.
Download or read book Caring for People who Sniff Petrol Or Other Volatile Substances written by National Health and Medical Research Council (Australia) and published by . This book was released on 2011 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.
Download or read book Bennett Brachman s Hospital Infections written by William R. Jarvis and published by Lippincott Williams & Wilkins. This book was released on 2013-10-17 with total page 1339 pages. Available in PDF, EPUB and Kindle. Book excerpt: For over three decades, Bennett & Brachman’s Hospital Infections has been a respected and influential resource in the prevention and control of healthcare-associated infections (HAIs). Now in its Sixth Edition, the book continues to provide readers with the latest information in the field of healthcare epidemiology, infection control, patient safety, and the prevention and control of HAIs. Many of the current contributors are or were employed by or trained at the Centers for Disease Control and Prevention (CDC) and have a thorough knowledge of healthcare epidemiology. Topics covered include HAI epidemiology; surveillance; control programs; antimicrobial stewardship;antimicrobial resistance; mechanisms of resistance; sterilization and disinfection; food-borne diseases; the role of the laboratory, intensive care unit, operating room, dialysis, and nursery settings; and specific hospital-acquired infections.
