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Prevention of catheter infection lit review
Patient safety: nursing role
Medication error in clinical setting
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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...
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...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.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
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
Healthcare-associates Infections (HAIs) are infections that patients acquire during the course of receiving healthcare treatment for other conditions and can be devastating or even deadly ("CDC - HAIs the Burden - HAI", 2013). An HAI was defined as a localized or systemic condition that (1) results from an adverse reaction to the pres¬ence of an infectious agent(s) or its toxin(s), (2) that occurs during a hospital admission, (3) for which there is no evidence the infection was present or incubating at admission, and (4) meets body site-specific criteria (Klevens et al., 2007, p.2).
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
Hospital-acquired infections (HAI) are preventable and pose a threat to hospitals and patients; increasing the cost, nominally and physically, for both. Pneumonia makes up approximately 15% of all HAI and is the leading cause of nosocomial deaths. Pneumonia is most frequently caused by bacterial microorganisms reaching the lungs by way of aspiration, inhalation or the hematogenous spread of a primary infection. There are two categories of Hospital-Acquired Pneumonia (HAP); Health-Care Associated Pneumonia (HCAP) and Ventilator-associated pneumonia (VAP).
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
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
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
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.
Nursing diagnosis 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%). a. (book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa. Urinary tract infections occur when one or more microorganisms enter the urinary system and affect the bladder and/or the kidneys.
When one goes to the hospital it is usually to get treated for something that may be affecting their everyday lives, but what would happen if one were to go into the hospital and pick up an infection as a result of being in the hospital? This does happen to patients who are in healthcare facilities. These illnesses or infections are called nosocomial infections. One of the most common nosocomial infections is the Urinary Tract Infection, which is also called a UTI. Of all the nosocomial infections, UTIs make up about forty percent of them and of these forty percent, about eight percent are caused by indwelling catheters (Nicolle). The urinary system is responsible for taking out excess fluids and wastes from the body. The organs that are a
According to Diaz and Newman, the ultimate goal to reducing surgical site infection were to follow specific guidelines that could prevent from happening such as the usage of antibiotics, regulating core temperature, and following the standardized method of hand washing. Health and human services (2014) found that surgical site infection specific occurrence were within outpatient care hospitals and there were some major severe infections associated in ambulatory surgery centers. According to the () surgical site infections following ambulatory surgery procedures, “perioperative nurses and managers in ambulatory surgical settings should be prepared to develop and implement quality improvement initiatives to address SSI prevention after ambulatory surgery.” (Owens, Barrett, Raetzman, Gibbons, Steiner, 2014, P. 590). Establishing early interventions and preparing for any potential risk outcome should be a nursing priority. The Center for Disease Control and National Nosocomial Infection System identified SSI by knowing certain clinical criteria in order to rule out the problem. Nurses working with these patients can use the evidence-based practice by knowing the signs and symptoms of infections such as “a purulent exudates draining from a surgical site, a positive culture obtained from a surgical site that was closed initially, a surgeon’s diagnosis of infection, a surgical site that requires reopening due to at least one of the following signs or symptoms: tenderness, swelling, redness, or heat” (Diaz and Newman, 2015, P. 63). Nurses can be diligent to minimizing the risks associated with surgical site infection if they follow the evidence-based guidelines that were provided to them and practice those measure to their best abilities. According to the article, 75% of postoperative deaths were associated to surgical site infection. It