The Pros And Cons Of The Heimlich Drain System

· 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).

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.

Joint Commission released national patient safety goals for hospitals in January of 2016. These patient safety goals were “established to help accredited organizations address specific areas of concern in regards to patient safety” (Facts about the National Patient Safety Goals, 2015). National patient safety goal 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTI) in hospitalized patients. Evidence based practice should be implemented to stop these common infections occurring in patients nationwide. Indwelling urinary catheters are only recommended in certain patients, for example to prevent further breakdown of sacral wounds or pressure ulcers in incontinent patients, for comfort in end of life care

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

Although when it happens, there can be a devastating impact on patients as well as to the multidisciplinary theatre team involved. Consequently, the DAS has produced a consensus set of guidelines for managing failed intubations in adult and paediatric patients, but there are as yet no such nationally-agreed guidelines in obstetrics, therefore each obstetric unit should have their own flowchart with regards to management of failed intubation (Brien and Conlon, 2013). Furthermore, in light of the latest DAS guidelines, several aspects of clinical anaesthetic practise have changed over recent years (Frerk at al, 2015). Amongst the changes are the use of new drugs such as rocuronium and suggamadex and using electronic video-laryngoscopes (Frerk et al, 2015). Further work had also looked at extending the period of apnoea without causing desaturation by optimising the preoxygenation process and adequate patient positioning (Frerk et al, 2015). As a result, updated guidelines for difficult intubations in adult patients were published in 2015; these guidelines provide a flowchart to be used when endotracheal intubation proves difficult or impossible and focus on the central importance of oxygenation while reducing the amount of airway interventions in order to minimize trauma to the delicate airway (Frerk et al, 2015). The main message of the revised guidelines is

Until recently it was not uncommon for patients admitted to an acute care facility to have an indwelling catheter anchored for unnecessary reasons. Patients that came in thru the emergency department typically were sent to the units with unnecessary indwelling catheters in place and it was not unusual for a surgery patient to have an indwelling catheter anchored before or during a procedure. Once a patient was admitted and was transported to the units nursing would also anchor indwelling catheters for multiple unnecessary reasons. These Catheters could be

This study focuses on methods to confirm proper tube placement. Through a cross sectional study, the research concluded that over seventy eight percent of critical care health workers use multiple methods to confirm tube placement. Some of the more common methods include looking at the gastric aspirate’s pH, observing the patient for signs or respiratory distress, and capnography. Auscultation of the air bolus was not included in the study because it was deemed “unreliable”. However, a small separate study was done and about eighty eight percent of critical care health workers claimed they also used an air bolus auscultation as a method of confirming placement. So, what is the reasoning for health care workers to continue doing this if it is unreliable? It has been hypothesized that this method requires the least amount of supplies and the nurses can do it quickly and easily. This research study along with many others concludes that air bolus auscultation is not an accurate method because the sounds nurses are used to hearing that “confirm” proper tube placement in the gastrointestinal tract are the same as sounds heard in the lungs and other areas of the

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

One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining

A patient/resident with an indwelling catheter also has a catheter drainage bag, as well, that all

Continuous Positive Airway Pressure or CPAP as it is known, uses forced air to keep a patients airway open. It has common uses that most people are familiar with such as sleep apnea. But it also used in emergency and hospitals routinely to treat sicknesses such as congestive heart failure. In this essay I will give a brief history on CPAP, a basic overview of its anatomy and the some of the many uses of CPAP and health benefits.

There have been extensive technological advancements in the healthcare field, one of them being the indwelling urinary catheter. The use of indwelling urinary catheters in the hospital setting has proven to be an effective way of treating certain urinary problems, when necessary. For example, when a patient is in pain because his or her bladder is distended due to urinary retention, or when a patient is post-op and unable to void. However, the use of indwelling catheters is not always free of consequence. Healthcare providers must consider the risks and benefits of catheter insertion, as indwelling catheters pose a risk of urinary tract infection from the moment they enter the patient. The American Nurses Association used evidence-based practice to develop the CAUTI Prevention Tool, which has been effective in reducing the incidence of catheter-associated urinary tract infections in hospitals.

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

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

The overuse or misuse of indwelling urinary catheters (IUC) is a concern in the emergency department (ED) despite the well-known risks and complications. Although the medically indicated guidelines for use are specific, professionals often ignore the guidelines and insert an IUC without applying evidence-based practice strategies to manage urinary output.