The Importance Of Evidence-Based Practice For CAUTI Prevention

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Running head: qsen: evidence-based 1 qsen: evidence-based 8
QSEN: Evidence-Based Practice for CAUTI Prevention
Barbara A. O’Brien
Moraine Valley Community College
QSEN: Evidence-Based Practice for CAUTI Prevention
According to the Centers for Disease Control and Prevention [CDC] (2017), “Urinary tract infections (UTIs) are the fourth most common type of healthcare-associated infection, with an estimated 93,300 UTIs in acute care hospitals in 2011. UTIs additionally account for more than 12% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract” (p. 7-1).
Catheter-associated urinary tract infections (CAUTI) may be “prevented or minimized with more
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However, there are additional guidelines in terms of assessing the patient for prolonged catheter use. There should be frequent assessment and evaluation of the patient’s need for continued use. It is important to note that in addition to determining the patient’s need for catheterization, prior to insertion the nurse should also complete the following:
· Select the smallest appropriate size
· Obtain assistance to facilitate proper visualization
· Perform hand-hygiene
· Perform peri-care, then re-perform hand hygiene
· Maintain strict aseptic technique throughout insertion, re-perform hand hygiene upon completion
· Check urine flow before balloon inflation
· Inflate balloon
· Perform triple action for drainage system (secure catheter, position drainage bag below bladder, check system for closed connections and no kinks) (“Streamlined Evidence-Based”, 2009, pp. 1-2).

Hospital Policy According to Franciscan Alliance’s internal policy (2016), “The registered nurse (RN) may independently enter an order into the medical record per policy/protocol to discontinue an indwelling urinary catheter” (p.2). The hospital policy for CAUTIs includes proper placement and removal of the catheter, as well as the protocol for when to remove an indwelling catheter. The specific guidelines in which a catheter should be maintained are in agreement with the CDC guidelines. Franciscan Alliance’s criteria to maintain an indwelling catheter include (2016):
· Management of acute
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