Bloodstream Explosion

To make sure the area is sterile and ready for use and also that all needed equipment is available and also sterile. Preparing this makes it easier to prevent any cross infection. E.g procedures at haxby- we prepare couch and equipment while the patient is waiting so it is all ready and prepared for their procedure when they are called in, doing this helps as we have more time to make sure everything

Catheter related bloodstream infections are not only responsible for prolonged hospital stays and increased hospital costs, it is also responsible for increased mortality of the hospitalized patients. According to Centers for Disease Control and Prevention (2017), an estimate of 30,100 central line-associated bloodstream infections (CLABSI) occur in intensive care units and wards of U.S. acute care facilities each year. CLABSI is a serious hospital-acquired infection that occurs when bacteria enters the bloodstream through central venous catheters. CLABSI is preventable as long as health-care personnel practice aseptic techniques when working with the catheter. A blood culture swabbed from the tip of the catheter is needed to confirm the

1) Summary of Article: Indwelling catheter use is common, but so are infections associated with them. About 80 percent of all urinary tract infections in hospitals are caused by catheters, and about 20 percent of all hospital infections total are UTIs. Evidence-based practice should be used for insertion, maintenance, and removal. Catheters should not be left in longer than they need to be. Unfortunately, this research shows poor administrative efforts are to blame for

Urinary tract infections are one of the most hospital-acquired infections in the country. With so much technology and evidence based practice, why is this still an ongoing problem worldwide? Could it simply be the basics of hygiene or just patient negligence? The purpose of this paper is to identify multiple studies that have been done to reduce or prevent hospital associated urinary tract infections. In these articles you will find the use of different interventions that will aid in lowering the risk of these hospital acquired infections.

National Patient Safety Goals (NPSGs), established in 2002 by the Joint Commission, is to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

The use of disinfecting Curos™ caps must be a routine practice on all oncology floors. This change can readily be implemented, as it does not take much training to learn how to use. The Curos™ caps should also be implemented already existing CLABSI prevention bundles. Considering the 12-25% high mortality rates of CLABSI, implementing the disinfecting caps could reduce the rates of CLABSI by as much as 66% (Whitfield& Lowe, 2013). According to Ramirez, Lee, & and Welch(2014) “ During 2010,the CLABSI rate reduced from 1.9 to 0.5 per 1,000 catheter days during a one-year trial period. Furthermore, compliance to CLABSI prevention bundles increased from 63% to 80% when implementing the disinfecting Curos ™ caps. This high

The accomplishment was made possible by maintaining the QC and constantly enforcing STARS, peer review, and quarterly evaluation in the unit. The nurses in MTU took action immediately to address CAUTI incidences. Staff huddles were given on every shift to reflect on CAUTI and hospital policy and protocols for urinary catheter care was reviewed (Patzer, 2017). In addition to huddle, every incidence was investigated by performing a root cause analysis from the safety team (Patzer, pc, 2017). The STARS posters were in every room to remind nurses of proper maintenance of tube, and it also served as an education tool to teach patients and family members (Patzer, pc, 2017). The result of the STARS program was evaluated by comparing with the SNI. Although the unit has reached the goal with no incident of CAUTI after the implementation of the STARS program, the unit will continue to work towards improving the quality of patient care (Patzer, 2017).

In addition to antibiotic locks, antibiotic coated catheters have also been found to provide an extra barrier, which can diminish the amount of pathogens that could cause infection and illness within a

This essay will examine and compare the different methods of hand washing in the perioperative environment and how hand washing influences the prevention of healthcare acquired infections (HCAIs). It will show the importance of washing hands thoroughly to remove bacteria to prevent HCAIs. It will include the differences between the surgical hand wash, the social hand wash and the use of alcohol rubs.

exposed catheter is cleaned in a downward motion away from the insertion site without touching the mucus membranes, to reduce the risk of infection. These CHG Wipes were also utilized when a patient has a bowel movement. The outcomes reported by the article showed significant decrease in the amount of catheter associated UTI occurring on the unit. It is reported that in the first quarter of the trial, only four CAUTI incidents occurred on the unit, in the second quarter, only three CAUTI incidents were reported on the unit, and these were identified in patients who were transferred from another facility with Foley insertions. A revision was done to remove catheters past three weeks. By the 4th and last quarter, there were no CAUTI attributed to the unit (Carter et al, 2014).

The background section reveals the purpose of the study was to conclude if the catheter was safe, effective in preventing bacteriuria and if future studies were warranted. The literature reviewed for this study included articles on the significance of the problem and articles specific to catheter materials used in manufacturing. This study also included literature about the use of silver as an antimicrobial agent. The methods section detailed the selection of the site, the population chosen for the randomized control trial and information on the catheter selection for the study. Also covered in the methods section was information on the procedures used to randomize the catheter selection and the assessment of participants. The results section of the study reveals the statistical data that lead the researchers to the final conclusions. The total number of participants that met the criteria to complete the study were divided into the test group or the control group. The results were then defined by the percentages that met certain assessment criteria or developed bacteriuria and the timeframe to bacteriuria. Each section with-in the article supports the final conclusion that the test catheter is safe, provides a decreased incidence of bacteriuria, decreased time to bacteriuria and therefor revealed a larger study of this catheter is warranted (Leuck et al., 2015).

This seemingly small intervention has save lives and millions in health care cost. In addition, these Curos™ caps have helped decrease the rate of CLABSI on all oncology hospital floors that implemented them into routine practice. The current research on this implementation has given it a strong evidence based practice background for any new oncology units want to use the Curos™ caps. This paper compared the use of disinfection caps, and the results of it in routine nursing practice compared to the normal disinfecting techniques. Nursing compliance in hub disinfection increased the rates of CLABSI decreased. Lastly, with all this supporting evidence Curos™ caps should become a standard of practice in

The high incidence of catheter-associated urinary tract infections (CAUTI) during the patient’s admission can result in further complication and could potentially increase their hospital days. This could delay the patient’s recovery time, causing emotional and financial distress and possible death if CAUTI goes unnoticed. There are research studies focusing on the prevalence of CAUTI and all previous studies show that it is in the best interest of the patient to discontinue the Foley catheters as soon as possible to decrease the rate of infections. In some health care organizations, different approaches have been indicated to tackle this problem. CAUTI rounding teams have shown positive results leading to a number of health care facilities to implement the rounding team into their practice for the benefit of the patient population.

Urinary tract infections are among the most frequent infections not only in hospital or acute care setting, but also in residents of long-term care facilities for the elderly. (Blanck, Donahue, Brentlinger, Stinger, & Polito, 2014 Peasah, 2013). Wubay and I discussed how to reduce UTI and increase patient’s safety in acute and long term cares. Through our research we found that Foley catheter bundle/ high touch cleaning was effective to reduce CAUTI. We did our project on foley catheter bundle/high touch cleaning and agree to educate hospital wide team how to use high touch cleaning to reduce health care acquired infection and increase evidence based practice. We did this project because UTIs is affecting most of people in acute and long

The Quality Improvement nursing process that I have chosen to research is patient safety. I have chosen to focus specifically on the topic of catheter associated urinary tract infections (CAUTI’s) during hospitalization and their preventions. It is estimated that 15-25% of hospitalized patients receive a urinary catheter throughout their stay, whether or not they need it. A large 80% of all patients diagnosed with a urinary tract infection (UTI) can be attributed to a catheter (Bernard, Hunter, and Moore, 2012). The bacteria may gain entry into the bladder during insertion of the catheter, during manipulation of the catheter or drainage system, around the catheter, and after removal.