Suprapubic Catheter Research Paper

Bernard, M.S., Hunter, K.F., & Moore, K.N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing 32(1)

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

replaces it with a condom catheter attached to a drainage bag since the patient has a

Rinse at least four inches of catheter nearest the meatus. Move only in one direction, away from the meatus. Use a clean area of the cloth for each

Central line bundle is a group of evidence-based practice strategy for patient with central catheters, when implemented together, produce better outcomes than implemented individually (Institute of health care improvement, 2010.). The main elements of central line bundle are hand hygiene, maximal barrier precaution upon insertion, Chlorhexidine skin antisepsis, optimal catheter selection, and daily review of line necessity with prompt removal of unnecessary lines Aseptic technique when using and caring for a central line catheter can decrease the chance of contamination in this critically ill infants. Staff education on adherence to aseptic technique and strict central line care guidelines are essential to decreasing bloodstream infections.

This study focuses on whether the use of reminders assists in decreasing the use of urinary cathethers and the occuruence of catheter associated urinary infections. UTI risk increases by 5 percent with the use of indwelling catheters. The Center for Disease Control and Prevention (CDC) has recommended that patients receive catheters if indicated but over 41% of physicians have ignored this and nursing staff have ignored evaluating when the catheter should be removed. Besides noncompliance with the CDC, this study shows for patients who have catheters, the reminder system will help to decrease the length of indwelling cathethers are potential UTI infection associated with it. In previous studies, their has been different views as to whether

. The organization’s culture patients are found using indwelling catheterization for long periods of time, and no protocol for removal of the catheter post-operative patient’s, and also unnecessary Foley insertion on elderly inpatients for incontinence. Simultaneously, it is important to note that by avoiding indwelling cauterization and prolonged stay of catheter in patients may increase the infection and (CAUTIs (Bernard, Hunter, & Moore, (2012). The author made a survey and then analyzed it as a whole. However, the survey documented low and high score related to the case.

Clean intermittent catheterization (CIC) is a procedure to remove urine from the bladder by placing a small, flexible tube (catheter) into the bladder though the urethra. The urethra is a tube in the body that carries urine from the bladder out of the body.

Peripheral IV catheterization is a painful and potentially anxiety-provoking procedure for the patients. The interventions to reduce the pain caused by venipuncture were explored in the past decades (Oman, 2014). The majority of the studies reviewed in this summary included one level 1 evidence of meta-analyses (Oman, 2014), three level 2 evidences of randomized controlled trials (Beck, 2011; Deguzman, 2012; Kahre, 2011) and one level 3 evidence of controlled trials without randomization (Levitt , 2013). Many studies have demonstrated that 1% lidocaine intradermal injection before IV insertion can reduce the pain significantly (Oman, 2014). Kahre and his colleagues’ study indicated bacteriostatic normal saline (BNS) group had lower pain score

I do agree with you that utilization of Health Information Technology (HIT) and Electronic Health Records (EHRs) will enable adequate data collection and research analysis for evidence-based practice and patients’ quality improvement.

A Urinary Tract Infection (UTI) is a serious problem in the clinical setting. “UTIs are mostly associated with catheterization” (Hooton, 2010, p. 629). The infection can be described as bacteria invading the urinary tract. More so, the bacteria accounts for nosocomial bacteremia since the patient obtains the infection in the hospital (Hooton et al., 2010). A Catheter Associated Urinary Tract Infection (CAUTI) is common because nurses do not find this problem at the top of their to-do list during their shift. It can be easy for the nurse to become accustomed to a slight deviation from the correct method. Any break in the chain of infection has opened the opportunity for microorganisms to reproduce in a susceptible host. Research has proven that when hospitals, long-term care facilities, and other healthcare settings intervene with making positives changes, less of the patients developed a UTI with catheterization. Infection control with catheterized patients can be implemented and resolved with collaboration and education among healthcare staff.

As previously discussed, one of the major components that should guide the decision of bladder management devices is how it will affect the patient’s quality of life. A person’s perception of self, as well as their ability to bond with loved ones is a large factor in this. As mentioned previously Liu, Attar, Gall, Shah, and Craggs (2010) discuss that benefits of intermittent catheterization, when it is a realistic option, include an improved sense of independence. This higher level of functioning allows the patient to rely less on family or caregivers, while also giving the patient more of an ability to travel outside the home unassisted. Another benefit of the use of intermittent catheterization is that patients feel they are able to have closer interpersonal relationships than those with suprapubic or transurethral catheters in place (Sugimara, Arnold, English, and Moore, 2008). Since other bladder drainage methods require continuous drainage with an attached system, they may become cumbersome, and make it more difficult for patients to be physically closer to loved ones.

Hospitals should use this kind of IT in their hospitals. Today many hospitals are not prepared to treat stroke patients, because of the technology that is available now. This technology can also help doctors assist and better care for a patient in after the surgery. A clot-retrieving stent can dramatically reduce long-term healthcare cost as well, and enhance the quality of life for people who have had strokes. But it is only used in 150 stroke centers in the United States. Even though cost for installation of the stent is about $17,000 more than a traditional treatment, it has better outcomes, and long-term savings could be about $23,000. The effects and its location on accessibility is an issue at this time. Cost can clearly play a role

I am so glad to see your email because, my crucial needs is catheter supplies. If not tomorrow, you can do it next week, take your time. I have sent you name of providers that takes Humana Medicaid and provide catheter supplies. But, first try with one homecare solution because, my insurance verified that, they are contracted with Humana Medicaid. So, please do provide everything ask from Dr. Labbie for me to start receiving the catheter supplies. I have provided you my catheter information for them and rest like medical information that requires to get those supplies, you guys can only provide them. And, if you need any other information from me, please let me know by email or you can also call me

I was slightly familiar with the foley catheter, however, I need some slight guidance. I knew that I needed to drain the foley bag because it was slightly full, but I did not know where to unclamp to drain it. The nurse’s aid taught me how to unclamp the bag so I can drain the urine. I also learned that when moving the patient who has a foley bag, it was important to make sure that the patient is not going to get a UTI. UTI can be caused by holding the foley bag at a higher positon causing the urine to backtrack. It is important to keep that in mind as a healthcare worker. I have not been skill checked on foley catheters, however, I need to practice working around foley catheters to protect the patient. I could always go on youtube and search videos on foley catheters or I can use the perry and potter book to learn