Patient Experience Related to Fear of Receiving an IV Catheterization

4) Significance: This research shows that there is a gap in the evidence, but that the primary concern for nursing staff is to ensure that catheters are removed as soon as it is possible to do so.

Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile

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.

Also another serious complication of CAUTI is BSI (Blood stream infections) that can be fatal if not caught and treated promptly. “The Clinical Performance of Quality Health Care, along with Joint Commission” offers standards and objectives for facilities to assess measure and improve their standards at the lowest cost possible. The database covers nursing care and education, along with guidelines on prevention. Moreover the JCAHO regulatory standards for catheterized patients are explained and the documentation that is expected when JCAHO inspections are rendered in a facility. The source “Stop orders to reduce inappropriate urinary catheterization in hospitalized patients” states that by following standard precautions with every patient these infections can be prevented. . Also the source explored whether catheters should be used at all in an effort to decrease the incidence of CAUTI’s. Intermittent catheterizations along with supra-pubic were explored with a decreased incidence of bacteria being present in the bladder afterwards. The source “Strategies to prevent catheter-associated urinary tract infections in acute care hospitals” offered ways of cleansing and disinfecting the skin before insertion to reduce the risk of infection. Many CAUTI’s are linked to bacteria harboring in or around the site at insertion. By using not only aseptic technique but also cleansing the skin with chlorhexadine can decrease he incidence of infection

Usage of indwelling urinary catheters in critically ill patients can seem to be a permanent fixture in intensive care units. Most critical care nurse expect their patients to have an indwelling urinary catheter (IUC) in place without much regard to the risk of catheter associated urinary tract infections (CAUTI) or the ability to implement IUC alternatives. Critical care patients may require IUC usage due to diagnosis, need for accurate hourly intake and output measurements, or other specified documented reasons. The risk of acquiring a catheter associated urinary tract infections is a result of IUC usage. The Centers for Disease Control and Prevention’s Guideline for Prevention of Catheter-associated

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

Focus on enhancing quality of care has exaggerated on a nationwide scale. Decreasing preventable damages within the health care settings is being on focus furthermore. From this there has been an immediate connection between repayment to quality through pay-for-reporting and pay-for-execution programs. Around 25% of the hospitalized patients have an indwelling catheter in place (Saint, Kowalski, Forman et al., 2008) and there is a 3% to 7% has the probability to get urinary tract infections in such cases. The infection could cause the signs of bladder distress, trouble in urination, and high temperature in such patients. Analysis shows that 48% of patient who has indwelling catheter complains of pain from the catheter, 42 % experience inconvenience from the catheter and 61% found that their daily activities are exceptionally constrained by these catheters (Saint, Lipsky, Baker, McDonald, & Ossenkop, 1999). Urinary tract infections may prompt bacteremia (infection

This article does not provide the search strategy including a number of databases and other resources which identify key published and unpublished research. In this article, both the primary sources and the theoretical literatures are collected and appraised in order to generate the research question and to conduct knowledge-based research. In the section of the literature review, nineteen professional articles are appraised in order to provide the significance and background of the study. Saint develops the research question based on these analyses. “Catheter-associated urinary tract infections in surgical patients: A controlled study on the excess morbidity and costs” is one of the primary sources written by Givens and Wenzel who conduct and analyze this study. In addition, “Clinical and economic consequences of nosocomial catheter-related bacteriuria” is a review of a literature article which is the secondary source. Although many studies state that patient safety is a top priority and CAUTI can be controlled by the caution of health care providers, the infection rate is relatively high among other nosocomial infections. One of the reasons Saint and colleagues uncovered is unawareness and negligence by health care

Local wound infiltration is an attractive method since it is efficacious and adverse actions are minimal (12). However, this route is limited by the fact that duration of analgesia is limited to the duration of action of local anesthetic. Efforts are being made to increase the duration of action of

Catheters may be inserted when a patient is having a specific type of surgery, such as repair of hip fracture (Johansson et al, 2002). The EPIC Project guidelines, recommend four interventions related to reducing urinary catheter-associated infection (Pratt et al, 2001): Assessing the need for catheterization, selecting the catheter type, Aseptic catheter insertion, Catheter maintenance. Tsuchida and colleagues (2008) found that the use of a ‘pre-connected closed system’ and ‘daily cleansing of the perineal area’ could reduce the incidence of CAUTIs by nearly 50%. Also following guidelines is essential for preventing urinary tract infections some guidelines are; Perform hand hygiene before and after all handling of the catheter, tubing, and drainage bag. Empty the drainage bag when it becomes full or at least once every 8 hours to prevent migration of bacteria. Lastly, keep the drainage bag lower than the level of the patient’s bladder to prevent backflow of urine in the bladder; verify that the bag does not rest on the floor (Caple,

The article I am critiquing is Peripheral IV Factors Affecting Complications and Patency-A Randomized Controlled Trial. The purpose of this study was a randomized controlled trial to see if there is a correlation of the effective length of time an intravenous catheter could be used based on a simple saline flush or a heparin flush with and with out splints. The length of time the IV catheter could be left in a patient has a direct correlation with the fluids as well as medications used and the effectiveness of a splint on the body of the individuals within the study. The study is important to create the perfect factors of keeping an IV catheter in the patient for the longest amount of time that is safely possible, which will correlate with a reduced number of actual times the patient has to have an IV catheter inserted which causes prolonged pain for the patient. The problem with this is although the length of time was increased when the heparin was used in- conjunction with a splint there was a higher incidence of injury for the patient, the intravenous infiltrates were going longer with out being noticed. This causing injury and damage to the patients. The researchers had a good theory. To find the longest possible allowed time to leave an IV catheter in the patient, to cause less pain, while trying to keep the infiltrates at a minimum causing the least

Urinary catheters have been directly linked to infection. Catheter are inserted in 25% of patients who are hospitalized (Center for Disease Control and Prevention (CDC), 2014). Fifty percent of these catheters are unnecessary. (CDC, 2014) Patients with urinary catheters are at risk for infection, including blood stream infections. Each day a catheter remains in place it increases the patient’s mortality rate by 3-7 %.Complications from urinary catheters, which can lead to death. In addition, catheters are source of discomfort to patients. Urinary tract infection caused by urinary catheters prolongs patient length of stay, which prevents patients returning home to their love ones or the comforts of their own home. A nurse driven indwelling

On postoperative concern that will be primarily addressed before surgery is infection control. Prior to going into the OR, the patient’s surgical site will need to be cleansed. According to a study by Webster and Osborn (2015) of the Cochrane Library “Surgical site infection is a serious complication of surgery and is usually associated with increased length of hospital stay for the patient, and also higher hospital costs. The use of an antiseptic solution for preoperative bathing or

All of the patients received preoperative antibiotic treatment along with postoperative antibiotics to also prevent infection. Of the 2 groups there was no wound infections noted to group 1; group 2 had 7 infections noted with 1 being superficial and 6 were considered deep infections. The study noted the only side effects with this possible solution for SSI’s would be sensitivity to iodine, burns, thyroid or renal disease; these cautions were placed on the study until further investigation could be performed. Conclusion of the study showed a decrease in the infection rate of patients who not only received preoperative antibiotic but a surgical site washing of povidone-iodine irrigation, thus proving the wash would help in the battle of preventing SSI’s.

Brusch says, “Once a indwelling catheter is placed, the daily incidence of bacteriuria can be between 3-10%.” Another large problem that results CAUTI’s is that at times, catheters are left in a patient longer than necessary. Prolonged use of