Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
prevention of catheter infection lit review
patient safety: nursing role
medication error in clinical setting
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: prevention of catheter infection lit review
Student no: 5310064
Assessment 2
Catheter associated Urinary Tract Infection
Patient safety indicator
Patient safety and quality care is very essential for the preventive, curative and promotive health care of the patient. Patient safety indicators are those indicators that help to provide care with patient safety. Patient safety indicators should always be measurable. There is a vital role of nurses and health care professionals in promoting and maintaining patient safety and quality care in the workplace. It is patient’s right to receive proper and safe health care from the health care team. Nurses are highly responsible for the improvement of health care as well as prevention and management of patient safety indicators through providing patient centered care and evidence based practice. There are different patient safety indicators such as nosocomial infections, fall injury, medication error, pressure sore, transfuse reaction and so on. These should be prevented, early diagnosed and given appropriate management by the health care team for providing patient safety. Here I am going to discuss about one of the patient safety indicators that is Catheter associated urinary tract infection (CAUTI) and it is one of the most common nosocomial infection among others.
Urinary tract infection (UTI) is defined as the infection in any of the structures of urinary tract such as kidney, ureter, bladder and urethra (Balenine 2016). The urinary tract infection that is caused in any hospitals or health care centre or relating to any therapeutic treatment is said to be nosocomial urinary tract infection (Lacovelli et al., 2014). Nosocomial infection or Hospital acquired infection is defined as the infection which is obtained in the body due to h...
... middle of paper ...
...n acute health care where as more than 50% in chronic health care practice (Nicolle, 2014).
We as a nurse should be aware about the causes, risk factors and complications about the nosocomial infections associated to catheterization. As it is found in various surveys and research that the catheter associated UTI is one of the most common and frequently occurring type of hospital acquired infection due to various risk factors and causes, we have to follow the guidelines and strategies for the prevention and management of those infection. Catheter associated UTI is the patient safety indicator by which we can improve the health care and provide patient safety and quality care. There is a vital role of nurses in improving health care system which is possible by following the principles and guidelines of assessment, surveillance and nursing management of the patient.
BioPatch, and alternatives like Tegaderm CHG, are an important first step in helping prevent catheter-related bloodstream infections (CBIs). As CBIs rank among the most frequent and potentially lethal nosocomial infections, the need for a device to cut down infections at the insertion site has increased. The growing numbers of infections has driven companies to consider a three-tiered approach: a maximal aseptic barrier at insertion, proper site maintenance, and hub protection. With BioPatch and alternative products catheter sites receive that maximal aseptic barrier to prevent bacteria growth.
Vegas AA, Jodra VM, García ML (1993) Nosocomial infection in surgery wards: a controlled study of increased duration of hospital stays and directs cost of hospitalization. Eur J Epidemiol. 9:504–510.
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012). There have been numerous studies conducted, with the objective to determine steps to take to decrease CLABSI infection rate, and research continues to be ongoing today. The problem is prevalent on many nursing units, with some patients at great risk than others, but some studies have shown if health care providers follow the current literature, or evidence based guidelines, CLABSIs can be prevented (The Joint Commission, 2012). The purpose of this paper is to summarize current findings related to this topic, and establish a quality assurance (QA) change plan nurses can implement for CL placement and maintenance, leading to decreased risk of nosocomial CLABSIs.
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Urinary tract infections (UTIs) are responsible for more than 8.1 million visits to physicians' offices per year and about five percent of all visits to primary care physicians. Approximately 40 percent of women and 12 percent of men will experience at least one symptomatic urinary tract infection during their lifetime (Sanchez, Gupta, & Hitler, 2012).
The internal validity is, that because nurse know they are being observed they will be more cautious on how they perform all types of procedures and not just hand washing. If the nurses are more cautious than this can have an effect on the results. Because nurses are being more cautious that might be another factor on why the numbers of hospital acquired infections are reducing. The external validity in this study is the population’s age group. This study will focus on patients ages 40-60. Because a specific age group is being studied it is not known whether this method will have the same effect on the other different age groups.
A UTI is an infection of the body’s drainage system. These infections are mainly caused by microbes i.e. fungi, viruses, and bacteria. The most common microbe that causes UTI are bacteria. If a bacterium affects the urethra, the infection is known as urethritis. Cystitis and pyelonephritis are infections of the bladder and kidney respectively. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) tells us that every minute, an average person’s kidneys filter about 3 ounces of blood, removing wastes and extra water. The wastes and extra water make up the 1 to 2 quarts of urine an adult produces each day. Referring back to our patient, he shows numerous symptoms of a UTI. He feels a strong urge to urinate hence giving the sensation that his bladder is full but only excretes a small amount of urine. He also declares some discomfort while urinating. This discomfort could be a burning sensation and it is the primary symptom of urethritis. Although there’s no presence of urethral discharges, patient A exhibits the signs of a UTI. Moreover, his medical history states he has a mild fever which is a symptom associated especially with
Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). ( book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa.(secondary) Urinary tract infections occur when one or more of microorganisms enter the urinary system and affect the bladder and/or the kidneys. These infections are often associated improper catheterization technique. Surgical site infections occur after surgery in the part of the body where the surgery took place. These infections may involve the top of the skin, the tissue under the skin, organs, or blood vessels. Surgical site infections sometimes take days or months after surgery to develop. The infections can be cause by improper hand washing, dressing change technique, or improper surgery procedure. Pneumonia can also become a hospital acquired infection. Ventilator-associated pneumonia is a type of lung in...
Catheter-related bloodstream infection (CRBSI) is defined as a bacterial infection in the blood that originates from an intravenous catheter.[9][13] Intravascular catheters are essential to modern day medical practices and are inserted in critically-ill patients for the administration of fluids, blood products and medication.[11] Central venous catheters (CVCs) pose as a major risk above all device-related infections and are major attributors of morbidity and mortality.[11] They are also the main source of bacteremia and septicemia in hospitalized patients. Patients are 64 times greater in developing a catheter-related blood stream infections as a result of central venous catheter use than with peripheral venous catheters.[12][13][14]
The Central Venous Catheres (CVC) are often associate with blood infections. CVC infection are accountable for 14% of the death in hospitalized ICU patients in the United States. Resulting in a significant increment of hospitalization stay and healthcare cost. Central venous catheters has multiple usage in healthcare. However, the increment of CVC insertion in ICU patient directly increasing the incident of central venous access infection. Inappropiate adherence to sterile insertion method as well as inadequate postprocedure catheter care seeing to be the two major causes of Central Line-Associated Bloodstream Infections (CLABSI). This paper examine the relation between insertion and caring of CVC and the incidence of bloodstream infection in ICU patients.
One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn...
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
surgical asepsis method when placing a catheter on a patient. Contamination of the catheter provides a path way in which microorganisms could enter the urinary system and caused an infection in the bladder or the kidneys. These types of infections usually occurs if health care provider doesn’t wipe or clean the perennial area form front to back microorganism like E coli will find an easy access to the Urinary tract and cause infections.
The clinical problem that I chose to talk about and will like to present is about surgical site infection. I wanted to address this issue because in the recent year’s, surgical site infections has become a huge problem that is embedded in our common healthcare practices despite the precautionary improvements that were achieved in the healthcare industry. The Centers for Disease Control and Prevention estimates that “500,000 surgical site infections occur annually and account for 3% of surgical mortality, prolonged lengths of hospital stay, and increased medical cost.” (Diaz, Newman, 2015, P.63). With this being said, nurses have the potential of preventing surgical site infection by following guidelines to meet the patient safety. Identifying