Urinary Catheters

A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine ( ). There are many types of catheters such as a straight, indwelling, and condom catheters. A straight catheter is one that does not stay inside the person. It is removed immediately after urine is drained. An indwelling catheter is one that stays inside of the bladder for a period of time. And last, a condom catheter is one that has an attachment that fits onto the penis. This catheter is changed daily or as needed. For the purpose of this document, the care that is going to be performed will need to be performed on a patient/resident with an indwelling catheter.

Central venous catheters (CVC) have become the most efficient means to administer long-term, vital medical treatments in hospitalized patients. These catheters are used in almost all types of medical settings for purposes related to, “hemodynamics monitoring, parenteral nutrition, chemotherapy, hemodialysis etc.” (Gorji, Rezaei, Jafari, Cherati, 2015, p.1). Its clinical relevance has become extremely significant in relation to treating patients with all sorts of medical diseases who necessitate the administration of extravasation drugs that can solely be administrated by a CVC. Therefore, CVC have “led to reduction in duration of hospitalization, increment of safety and reduction of hospital charges” (Gorji et al., 2015, p.1). Its benefits

When changing a suprapubic catheter, you need to follow precise steps to keep the procedure sanitary as well as correct. Firsts, you need to have a clean and sanitize table that you can place all the supplies needed for it. Once, the table is clean go ahead and lay out all the following supplies; the catheter, insertion kit, iodine, personal lubricant, saline syringe, and collection bag. After you have everything you need laid out go ahead and put on both sets of surgical gloves. Next, clean the area in which the suprapubic catheter will go in with the iodine, making sure that you cover a 1-inch circumference around the surgical site. Afterward, you will need to open the insertion kit and get out the empty syringe and connect it to the used

A review of her medical records indicates that she was recently admitted to MMH from 2/28/17 to 3/3/17 and treated for pneumonia and UTI. Her recently labs that was done in February indicated a BNP of 861. She continues to suffer from chronic UTI and had her indwelling Foley catheter discontinued on 3/19/17. She continues to suffer from chronic anemia and chronic kidney disease. She is legally blind.

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.

As reported by the Center for Disease Control and Prevention( CDC) indwelling urinary catheter is a catheter inserted into the bladder and remain in the bladder for the purpose to drain urine after a surgical procedure, urinary retention or incontinence. Globe, et, al. (1989) stated that urinary bladder catheterisation could produce macroscopic and microscopic histological changes in the bladder tissues due to the eosinophilic inflammatory response. The severity of that inflammation is according to the duration of the indwelling catheter in the bladder; therefore, it is important to follow the appropriate guidelines that would decrease Catheter-Associated Urinary tract infection (CAUTI). Guidelines established by CDC minimize the duration

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.

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

The policy was initiated July 2015. Hospital across the world are struggling with catheter-associated urinary tract infection which is an easily preventable hospital acquired infection. In nursing school, of the first skills check-off in the use of aseptic technique. During my maternity and pediatric clinical rotation in nursing school the proper insertion of an indwelling urinary catheter using aseptic technique was a required skill check off. As a new nurse on the medical surgical unit during my eight-week orientation proper insertion of indwelling urinary catheter was required competency check off. As a floor nurse and ICU nurse, I have put in many urinary catheters and have used my nursing judegement to discontinue those catheters that

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

Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora

Contributing factors to the problem could be lack of education and training in caring for patients with urinary catheters, poor time management to properly care for patients with urinary catheters, and a lack of evidence-based bundled intervention. An example of an inappropriate reason would be keeping a urinary catheter device for convenience due to the incontinence of the patient.

The urinary subsection is arranged anatomically by the subheadings of kidney, ureter, bladder, and urethra. The category codes are arranged by the procedure weather by incision, excision, introduction, or repair. Laparoscopy explores the abdomen and pelvic cavities using a scope placed through a small incision in the abdominal wall. Endoscopy is a way of viewing the body organs or cavities using a lighted scope that is inserted through an existing opening or through a small incision. The codes for dialysis is not included in the urinary subsections. The codes for dialysis can be found on page 387-389 in the medicine section of the CPT book. I think that codes for dialysis is in this section because it's a specialty service with specific

The PICO question is as follows: In hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of evidence-based infection control practices, compared to current practices, could it reduce or eliminate incidences of CAUTI?

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)