Catheter Associated Urinary Tract Infection CAUTI

Catheter-Associated Urinary Tract Infection (CAUTI)

Decreasing the health care-associated urinary tract infection (UTI) is a goal that most hospitals and doctors are trying to do. The purpose of this project was to create a gathering count starting point to forecast clinically major UTIs that develop in hospitalized patients that are women. There were a lot of cases looked into but 20 women were chosen for this investigation. These women were interviewed and answers were recorded. A lot of the data taken had a lot to do with subjective complaints, WBC count, urinalysis, clinical signs and symptoms, attendance of an indwelling urinary catheter, and urine culture outcomes. Because there is a rising development in urinary tract infection, it was obvious that research needed to be done as to find out how these women are getting this disorder and what would need to be done about it in order to reduce the…… [Read More]

Catheter Related Blood Stream Infection Cr Bsi

C-BSIs

Preventing Catheter-elated Bloodstream Infections

Hadaway (2006) sought to provide practice guidance to nurses for catheter-related bloodstream infections (C-BSI). The points of emphasis included short peripheral catheters, but the main focus was infections associated with central venous catheters (CVC) because these occur more often and result in more severe adverse outcomes. To support these practice recommendations, Hadaway relied on CVC best practice guidelines published by the Institute for Healthcare Improvement (IHI). The information provided is designed to assist nurses to implement best practices in the area of C-BSI. In addition, infection rate statistics and recommendations from the Centers for Disease Control and Prevention (CDC) were presented to show why this is important.

Hadaway (2006) discusses the five IHI guidelines for reducing the incidence of C-BSIs. This is the best practice for reducing C-BSIs and this is why. The argument is the best practice is improving hand hygiene, barrier precautions, antiseptic…… [Read More]

Catheter-Related Bloodstream Infections Can Be

As contributive to further research, researchers may be interested in singling out the various C-BSI-reductive variables used in the multi-faceted programs and seeing the effect of CHG in contrast to the others. Note too, that a teaching / training program was the constituent of the two multi-faceted programs, whilst the study of the independent training program, in reality, also incorporated the other 2 programs in that participants were induced to practice instructions. On the other hand, some of the questions involving the study of the training program was that since it was a self-module it depended on voluntary motivation of individuals to complete modulus and one cannot know how many of them actually did or with what degree of concentration. The fact that their baseline and post-test examinations showed differences in results cannot be conclusively traced to effect of training program.

That all studies were nested can also be indicated…… [Read More]

Intervention to Decrease Catheter Related Bloodstream Infection in the ICU

Catheter-elated Infections

Central Catheter-related ICU Infections

Central Catheter-elated Infections in ICUs

educing Central Catheter-elated ICU Infections in Michigan

educing Central Catheter-elated ICU Infections in Michigan

Teams of clinicians at five hospitals across Michigan reported their efforts to reduce the frequency of catheter-related bloodstream infections in intensive care units (ICUs) through the implementation of five patient safety measures: (1) hand washing, (2) full barrier precautions during insertion of central venous catheters, (3) use of chlorhexidine to clean the insertion site, (4) avoid using a femoral site for catheter insertion, and (5) never leaving unnecessary catheters in the patient (Pronovost et al., 2006). The intervention was based on the published research findings from five research groups: Berenholtz et al., 2004; Cohran et al., 1996; Eggimann et al., 2000; Warren et al., 2004; and Warren et al., 2006. Three of these studies investigated the efficacy of interventions on catheter-related bloodstream infections in an…… [Read More]

CAUTI-Catheter-Acquired Urinary Tract Infections Identify a Work-Setting

CAUTI-catheter-Acquired urinary tract infections)

Identify a work-setting problem.

• Describe a problem or issue that needs a solution.

Basic infection prevention along with antimicrobial stewardship is necessary to investigate due to the global need for interventions that will impact HAIs, including urinary tract infections. "The basics of infection prevention and control are the necessary underpinnings of programs, policies, and protocols that impact HAI" (APIC, 2008, p. 5). One aspect that specifically needs continual focus is formation of antimicrobial stewardship programs. Antimicrobial stewardship has a chance of generating positive outcomes through minimization of potential adverse outcomes of occurrences like CAUTIs. The reason for this is the development of colonization, biofilms, and asymptomatic bacteriruria, and symptomatic urinary tract infections which are typical in regards to urinary catheter use.

What often occurs in a health care setting where CAUTIs have a chance of forming are inappropriate choice and utilization of antimicrobials. Not only…… [Read More]

Reducing Catheter Induced Utis Reducing

This is important because the cost of hospital acquired infections run high. The cost to care for a patient with a hospital acquired infection is almost three times the amount to care for a patient without a hospital acquired infection (Hassan et al., 2010).

Since hospital acquired infections can be attributed to the hospital, Medicare and Medicaid will no longer cover payment of these infections beginning in 2008. Medicare and Medicaid reimbursements are designed to set payment rates that are consistent with hospital costs (Malatestinic et al., 2003). An acquired hospital infection is not considered a cost to Medicare or Medicaid since the patient contracted the infection through no fault of his own, but while under the care of the hospital staff. Deutsch does not agree with this decision and states that Medicare and Medicaid are doing more harm to the patients by withholding hospital payments and instead should invest…… [Read More]

Urinary Catheterization Indwelling Catheters

Urinary Catheterization

Urinary catheterisation: indwelling catheters

Urinary catheterization: indwelling catheters

In the medical field, the uses of indwelling catheters have become a common patient care intervention (Clinical Review, 2009). In addition, this intervention has proven to have substantial risks; infection is the most common. However, nurses can assist in prevention of catheter-associated urinary tract infections by incorporating aseptic methods when doing insertions, following best practice by quickly changing catheters, and embracing hand hygiene when doing insertion or handling catheters. In addition, catheterization is a painful process; therefore, the patient should consent to the procedure, after they are made aware of the benefits and risks associated with the procedure.

Urinary catheterization is the practice of inserting a hollow tube into a bladder using an aseptic method to enable drainage of urine or instillation of fluids as an intervention in the medical field. Some 3000 years ago, owing to inadequate resources and…… [Read More]

Central Venous Catheter Sterile vs Clean Techniques

Evidence-Based Policy and Practice: Central Venous Catheter -- Sterile vs. Clean Techniques

Central line infections can be serious and even life threatening but the threat is largely preventable when proper cleaning techniques are used. This paper provides a description of this problem, a review of the relevant literature concerning central venous catheters and the sterile vs. clean technique to demonstrate that the latter is the superior approach. Finally, a description of the central venous catheter process that is currently in use at a tertiary healthcare facility is followed by a summary of the research and important findings concerning these issues in the conclusion.

Chronic intravenous therapy introduces a number of significant challenges for patients and caregivers alike who are required to become proficient with the sterile preparation of the medication, operation of the pump, and care of the central venous catheter to prevent catheter-related bloodstream infections (Doran, Ivy, Barst, Hill…… [Read More]

nursing home reduction of catheters

Deficiency: Catheter Care

Insufficient urinary catheter care is a cause for concern among nurses working in the senior care environment. Catheter-cased urinary tract infections account for more than a third of all health care associated infections in the United States (Fink, Gilmartin, ichard, et al., 2012). To reduce the number of infections in a nursing home, staff need to reduce the number of unnecessary catheterizations performed and remove unnecessary catheters. When catheters are necessary, nurses need to practice evidence-based catheter maintenance.

Catheter maintenance is relatively straightforward. Wilson, Wilde, Webb et al. (2009) found that there are several effective methods to reduce the risk of catheter-based urinary tract infections including daily cleansing of the meatus using soap and water or an appropriate cleanser and maintenance of a closed urinary drainage system. Other methods of infection prevention include wearing gloves, hand washing, maintaining a sterile barrier, and using the "no-touch insertion technique,"…… [Read More]

Application Critiquing Quantitative Qualitative or Mixed Methods Studies Central Venous Catheter Infection

Jones, 2006), a qualitative study, to (Humar, 2001), a quantitative study, both studies were conducted for the same problem of serious venous catheter-related infections. oth studies were conducted for the same purpose of determining effective methods for venous catheter-related infection prevention. And, both studies used theoretical research of review of previous studies of venous catheter-related infections. oth studies identified limitations in previous studies and (Humar, 2001) identified limitations in the present study.

Where (Jones, 2006) was focused on examining weaknesses and findings of previous studies compared to standard best practices in data collection, (Humar, 2001) was a randomized control trial that tested two antiseptic solutions to determine which one was the most effective at preventing infection in central venous catheter sites. The different designs caused different data analysis where (Humar, 2001) used a statistical analysis of data collected and (Jones, 2006) used an analytical analysis of the instruments used, techniques…… [Read More]

indwelling urinary catheter care

Research Proposal for Catheter Associated Urinary Tract Infections

Catheter Associated Urinary Tract Infections (CAUTI) affects timely reimbursement and prolongs patient stays in the healthcare facility. Many hospitals strive for ways to reduce CAUTIs and take specific medical measures to aid patients in recovery from the same and avoid recurrence of the cases of CAUTIs. These deliberate measures ensure so they can have better patient outcomes and improve patient care. This also improves the reimbursement received from insurance providers.

Research question

The research seeks to investigate the effect of frequent CAUTI education, among the in-hospital patients with indwelling urinary catheter, conducted over six months.

Background and Significance of the Problem

It is common medical knowledge that urinary catheters have the potential to cause urinary tract infections, known as catheter-associated urinary tract infections (CAUTIs). Indwelling catheters are a part of many plans of care, specifically for emergent and critical care patients within…… [Read More]

Nurse's Knowledge Migrating Catheters Washing

As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.

ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…… [Read More]

Preventing Urinary Tract Infections Caused by Catheters

Challenges and Opportunities
The major challenge is how to keep track of any inserted urinary catheter in a patient. It has been shown that most times physicians and nurses will forget about a urinary catheter, and this is one of the major causes of infections in patients. Therefore, there should be a strategy in place for monitoring any urinary catheter that has been inserted in a patient and ensuring that it is removed when it is no longer needed. Removal of unnecessary catheters ensures that HAIs associated with the catheter is prevented. Another challenge is the time it takes to recognize that a catheter is in place and the physician determines it is no longer needed and issues a removal order. This might take hours or days. According to (Meddings et al., 2014) any delay in removing a catheter increases the patient's risk of infections and catheter-associated complications.
Maintaining awareness…… [Read More]

Nursing and Catheter Usage an Analysis

Wilde, M. et al. (2015). Self-management intervention for long-Term indwelling urinary catheter users. Nursing Research, 64(1): 24-34.

The method employed in this quantitative study is the random clinical trial and the research tradition was congruent with the methods used to collect and analyze the data: the researchers collected data during face-to-face home interviews and follow-up phone interviews with more than 200 participants involved over a 12-month period; and analysis was generated using generalized estimating equations. Thus the sample size was consistent with a standard quantitative study and the duration was of sufficient length to monitor changes/developments alongside a control group. There was no evidence of reflexivity, as the self-management approach to catheter use eliminated problems.

The sample was adequately described: the participants were adult long-term urinary catheter users split between the trial group testing the effectiveness of the self-management treatment and the control group receiving normal treatment. Thus triangulation was…… [Read More]

Quality Evidence From Rickard C M Et Al

Quality Evidence From ickard, C.M., et al. (2012)

The objective of this study is to critically appraise quality evidence in the work of ichard, et al. (2012) which focuses on routine vs. clinically indicated replacement of peripheral intravenous catheters: A andomized Controlled Equivalence Trial. The focus of the critique will be on the methodology, results, implications for clinical practice and further research.

Schultz et al. (2010) reports that randomized controlled trials "when they are appropriate designed, conducted, and reported, represent the gold standard in evaluating health care interventions." (p.1) However, the absence of methodological rigor results in biased results in randomized trials. In order for a trial to be accurately assessed, there must be clear and transparent information presented in the study's methodology and findings. Due to the absence of adequacy in the reporting of studies, the Consolidated Standards of eporting Trials (CONSOT) was developed in 1996 and revised in…… [Read More]

Evidence-Based Solution to Reducing Incidence the Goal

Evidence-Based Solution to educing Incidence

The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you.

An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical devices

Hospital-acquired or nosocomial infections are the fourth leading cause of disease in developed countries. The increased insertion and implanting of prosthetic or indwelling medical devices is a leading cause of these infections since the introduction of a foreign body significantly reduces the body's immunity and decreases the number of bacteria needed to produce an infection. Prosthetic or indwelling medical devices such as urethral catheters, suprapublic catheter, nasogastric tubes, hemodialysis catheters, central venous catheters, and tracheostomy tubes are associated…… [Read More]

Evidence-Based Project Proposal

Urinary tract infections (UTIs) are typically the most prevailing healthcare-associated infection (HAI) in acute care facilities in the U.S. The Centers for Disease Control and Prevention (CDC) has estimated that up to 150,000 hospital-onset, symptomatic catheter-associated UTIs (CAUTIs) occurred in 2013, resulting in as much as $161 million in excess direct medical costs (Kuntz, 2010, p. 319). Current research examines the reason for such a high occurrence of infection. oughly 75% of healthcare-associated UTIs are connected to improper use of indwelling urinary catheters, to which up to a quarter of hospitalized patients are exposed. Adult ICUs have the highest exposure rate for catheter use and reveal over 95% of UTIs related to catheter use.

In the last twenty years, various strategies have been implemented to aid in reducing the risk of CAUTI in healthcare settings. One of which includes identifying proper times to use catheters and proper care and insertion…… [Read More]

Challenging Practice Guidelines for Blood Transfusions

hanging Blood Transfusion Policy and Practice" by atherine Stupnyckyj, RN, Sheryl Smolarek, BSN, RN, ON, olleen Reeves, BSN, RN, ON, Judith McKeith, BSN, RN, MSRN, and Morris Magnan (December 2014), American Journal of Nursing, 114(12), 50-59

What is the problem that the research is addressing?

hallenging, the "that's the way we've always done it" mindset and citing the dearth of scientific evidence in support of using 20-gauge or larger catheters for blood transfusions, Stupnyckyj et al. (2014) systematically analyzed existing guidelines and consulted with experts to identify optimal catheter gauge sizes for blood transfusions. In sum, the authors cite a paucity of timely and relevant research concerning the use of…… [Read More]

Scleroderma a Chronic Systemic Disease

For example, in these procedures it is often difficult to open the patient's mouth wide enough for laryngoscopy and intubation, thus creating the possibility that cardiopulmonary changes may be present and the "probability o lesions in oesophagus, bowel, kindneys, skin and joints." This information would not be known if not for this study and its reported findings.

The study's conclusion is that the use of thoracic epidural anesthesia to sevoflurane based inhalation "may be a suitable technique for thoracic surgery in achalasia due to sclerodermic patients." The reason for this conclusion is that the study found that this procedure "can provide a smooth anesthesia course and a rapid recovery, with hemodynamic stability, and also having pain-free postoperatively." More so, the study found that providing anesthesia without neuromuscular blockade and non-intravenous opioids has "provided a shorter recovery time."

Clearly this specific case study has important and practical implications to the practice…… [Read More]

Nurse Pressure

pressure? How respo

There was a time when I was under extreme duress to get to work on time. Although I can look back on the situation fondly now and apply the lessons learned, back then it could have had serious negative ramifications for my career. I had recently moved and was beginning a new nursing position. I was supposed to fly in on the Friday before I started the following Monday, but I missed the flight and had to catch the next one. By the time I arrived, I barely had a chance to get a full night's rest in my own bed, let alone plot the route from my new residence to my job. I remember feeling so pressured as I drove around the downtown streets which all looked alike since I had just moved. At the time, the last thing I wanted to do was start a…… [Read More]

Radiological Imaging Portable Computed Radiography

The conclusion according to Ludwig, et al. (2001) is that "the flat-panel detector has diagnostic performance superior to that of conventional screen-film storage-phosphor radiography for detecting shall artificial osseous lesions at clinical exposure settings. With the flat-panel detector, exposure may be reduced by a sum of 50% in order to gain satisfactory

In the study entitled: "Performance of a Flat-Panel Detector in Detecting Artificial one Lesions: Comparison with Conventional Screen-Film and Storage-Phosphor Radiography" which was written by Karl Ludwig, M.D. et al. states that the case study was done with the express purpose of comparing a "large-area direct-readout flat-panel detector system with a convention screen-film system and storage-phosphor system" for the detection of "small artificial osseous lesions simulating osteolytic disease" and in the assessment of diagnostic performance as the exposure dose decreases over time. The results stated in the study were that: "ROC analysis showed A) Values of 0.820 (speed…… [Read More]

Interview Question Preparation View Has

At the same time, it also needs to be mentioned that one has to take a decision based on the consideration that whether the person has any individual choice of his/her own in the matter. One of the main reasons for developing such an attitude may be because of depression in the minds of the patient. This matter needs to be raised and decided by the doctor and medicines prescribed accordingly to the need. These medicines have to be given by force, to the patient, if necessary, if he is unwilling to take them. At the same time, one may also understand that when medicines are being forced down a patient's throat, the effects and situation of the mind of the patient makes the medicine to be less effective, unless otherwise it is a medicine which has enough direct physical action. All the developmental effects are being slowed down by…… [Read More]

Translation Evidence Into Nursing Health Care Practice

Translation Evidence Into Nursing Health Care Practice. Chapter 6, "Translation Evidence Leadership" Article: Bakke, C.K. (2010). Clinical cost effectiveness guidelines prevent intravascular catheter-related infections patients' hemodialysis.

Briefly summarize your selected issue and propose new evidence-based practice strategies.

Pressure ulcers, commonly known as bedsores, are frequently observed in otherwise healthy bed-ridden patients in nursing homes. To promote wellness amongst this patient population, it has been suggested that regular turning and positioning of the patients by caregivers should be used to reduce their occurrence. Turning and positioning has long been used amongst healthcare practitioners for a variety of bed-ridden patients, usually at regimented intervals spanning 4-2 hours (Thomas 2001). Based upon the previous research conducted upon this population, the suggested shortened interval is 1-11/2 hours for repositioning of the patient (Thomas 2001).

Q2. Describe the theoretical basis for your strategies.

The theoretical basis for this initiative lies in the idea that passive…… [Read More]

Nursing Define the Problem Today There Is

Nursing

Define the Problem

Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…… [Read More]

Prevention of Central Line Infections

One possible explanation for the differences observed in the studies could be that the strengths of the chlorhexidine solution were different. It could also be that over time more effective techniques have been developed in the application of the solution, as the results do appear to improve over time.

There are limitations to the methodology of the study which are centered on the use of secondary data for analysis. The use of secondary data allows a wider range of data to be gathered from across the U.S. than would be practical from primary data collection which is the reason for the choice in this study. However this puts the control of several variables beyond the researcher. The results of the techniques may have been affected by the application of different individuals, departments and hospitals, all of whom may vary techniques and other factors influencing the success of these techniques. The…… [Read More]

Evidence-Based Practice in Nursing and Health Care

Methicillin-esistant Staphylococci (MSA), most common Healthcare Associated Infections

The PICOT question to be discussed is: For adult patients using catheters, does the use of sterilization practices reduce the future risk of health associated infections like MSA compared with standard procedure in one week?

The answer is yes.

The support given to answer the question will be based on peer-reviewed journals and scientific literature. A summary of the evidence will be availed in a chart plus a conclusion that summarizes evidence used will also be given.

Methicillin-resistant Staphylococcus aureus (MSA) bacteria is resistant to several antibiotics. A significant proportion of MSA infections in the community are on the skin. It results in alarming infections of the bloodstream, surgical site infections and pneumonia in health facilities. Studies have revealed that one person in every three individuals have staph in the nose - most of the time they don't show any illnesses (General…… [Read More]

Nursing A Provides an Account of Your

Nursing

(a) provides an account of your observations on the management of peripheral intravascular devices from your clinical practicum in NMIH202;

Clinical practicum NM1H202 introduces nurses to the management of peripheral devices via scholarly inquiry and clinical practice. The practicum includes a thorough training in handling, inserting, replacing, and dressing peripheral intravascular devices including peripheral venous catheters. Because the primary risk associated with peripheral intravascular devices is infection, proper management of the devices is crucial. Bloodstream infections can cause patient casualties, leading not just to humanitarian disasters but also financial ones as well.

Hand washing vigilance is a primary part of the introduction to peripheral intravascular device management. While it may seem like an abundance of common sense, hand washing and aseptic techniques themselves depend on continued knowledge acquisition and training. Nurses must stay abreast of latest products and tools that promote hygiene in relation to the management of peripheral…… [Read More]

Challenges and Opportunities Essay

The major challenge is how to keep track of any inserted urinary catheter in a patient.  It has been shown that most times physicians and nurses will forget about a urinary catheter, and this is one of the major causes of infections in patients.  Therefore, there should be a strategy in place for monitoring any urinary catheter that has been inserted in a patient and ensuring that it is removed when it is no longer needed.  Removal of unnecessary catheters ensures that HAIs associated with the catheter is prevented.  Another challenge is the time it takes to recognize that a catheter is in place and the physician determines it is no longer needed and issues a removal order.  This might take hours or days.  According to (Meddings et al., 2014) any delay in removing a catheter increases the patient's risk of infections and catheter-associated complications.
Maintaining awareness of any urinary…… [Read More]

Speaker Notes In-Depth Analysis Include Discussion of

speaker notes IN-DEPTH ANALYSIS include DISCUSSION OF YOU DECISIONS specific topics. We restate article. • Analyze critique a qualitative nursing research article (attached) a nursing research journal published past 5 years.

Nursing research: Qualitative critique

Wilde, M.H., Brasch, J & Zhang Y. (2011) A qualitative descriptive study of self-management issues in people with long-term intermittent urinary catheters. Journal of Advanced Nursing 67(6), 1254 -- 1263. doi: 10.1111/j.1365-2648.2010.

The central purpose of the article "A qualitative descriptive study of self-management issues in people with long-term intermittent urinary catheters" is to chronicle the lives of people who use urinary catheters (Wilde, Brasch, & Zhang 2011). The article can be characterized as qualitative because it attempts to explore a particular phenomenon and shed light upon patient's experiences without the use of a formal experimental group and a control group Many patients strive to engage in effective self-management regarding their use of catheters. Little…… [Read More]

Using Evidence Based Practice to Resolve a Nursing Issue

Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process

Overview

Research is mainly used to generate new knowledge or for the validation of existing knowledge based on a theory. Evidenced-based practice (EBP) is the translation of evidence and applying the evidence to clinical decision-making. Most of the evidence used in EBP stems from research. However, EBP will go beyond the use of research and it will include clinical expertise together with patient preference and values. EBP will make use of the evidence developed or knowledge discovered using research to determine the best evidence that can be used or implemented in clinical practice. Research and EBP go hand in hand in that while one will generate new knowledge, the other will make practical use of the knowledge and make use of the knowledge by implementing it into clinical practice. EBP is supported by research since any…… [Read More]

Analyzing the Management Theories

Management Theory and Associated Urinary Tract Infections

Infection of the urinary tract constitutes a great share of all infections acquired in hospitals (Klevens, Edwards, & ichards, 2007); of these, most cases are of CAUTI or catheter-associated urinary tract infection, which is "reasonably preventable," according to the CMS (Centers for Medicare and Medicaid Services). CMS doesn't reimburse medical facilities for this disease any more. Of the best strategies to reduce CAUTI is ensuring never to employ urinary catheters unless one perceives an appropriate symptom.

Several research works, some even dating back many decades, can be found, of ways to decrease or prevent the development of CAUTI. Over the years, a few of the recommendations have reformed; for instance, at one time, routine catheter irrigation was recommended; however, presently, the medical profession deems it as a practice that must be avoided. Therefore, it is imperative for healthcare organizations to make sure their…… [Read More]

Risks of Epidural Anesthesia in

Howeve, befoe giving the medicine, anesthesiologist caefully examines the condition of the pegnant woman to whom anesthesia is to be given. Epidual anesthesia duing labo and nomal delivey does not cause unconsciousness; thus, patients do not lose thei psychological aletness (Halpen and Douglas 2008).

Dissetation Pat

Accoding to (Oebaugh 2011), epidual anesthesia is commonly administeed by injecting the medicine in the lumba egion of the back, specifically in the epidual egion. The detailed pocedue egading the administation of epidual anesthesia has aleady been discussed in the pevious section of the pape. Howeve, the anesthetic dug injected in the epidual space inteupts the passage of neve impulses that oiginate in epoductive ogans and tavel though neves to lowe spine and then to bain. This hindes the feeling of sensation/pain that is poduced in the lowe pats of the body.

The degee of insensitivity induced depends on few factos that include the…… [Read More]

Heart the Basic Work of the Heart

Heart

The basic work of the heart is to pump blood to the entire body. It performs two types of functions, electrical and mechanical. The electrical function of the heart is the periodic contraction that is triggered by the pacemaker. The pacemaker generates the pumping effect throughout the heart. This pumping action commonly known as action potential is carried in an electrical conduction system. The mechanical function is the fluidic movement of blood; the heart is a pump. The heart's anatomical features include; ventricle, which is the pump, heart valves; that allow blood to flow one way and the atria, which includes the four chambers of the heart. The heart is susceptible to disease and as a result if unable to pump blood can lead to failure in other body organs.

Treated Heart Conditions

Cardiology is generally a field of medicine focusing on diagnosis and treatment of the heart. Discussed…… [Read More]

Hospital Acquired Infections a Discussion

Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.

esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…… [Read More]

Webster Et Al 2007 Is Effective Because

Webster et al. 2007) is effective because it clearly identifies the purpose and nature of the study in the trial itself. The CONSOT criteria specifically state that the randomized nature of the trial must be indicated in the title, which is evident in the case of the present study. andomized trials are necessary for health care studies because they help to maintain the homogeneity of the samples (Jadad & Enkin, 2007). It also eliminates selection bias (Piantadosi, 2005). Hence, it may be said that the title is effective because it states that the study was based on a randomized trial.

It is necessary for an effective abstract to have a structured summary of the research design, methods, results, and conclusion. The abstract provides a concise, clear and well-structured summary for the reader. The information has been organized separately to facilitate comprehension. The abstract describes the background, objective, design, setting, participants,…… [Read More]

Change in Practice

Policy Change

The Center for Disease Control (CDC) endorsed the policy of replacing peripheral intravenous catheters (PIVC) within 48 hours following insertion in order to prevent and decrease local catheter infections. The institution that this author is employed at also made a policy to establish such a procedure based on the CDC's actions. However, there is a large body of empirical research that indicates that the length of the time that the PIVC remains in a patient does not appear to be a major factor that results and infections and/or phlebitis. Thus, this policy of changing the PIVC with 48 hours may be unnecessary.

For instance Zarate, Mandleco, Wilshaw, and avert (2008) studied emergency room trauma patients who received a PIVC. The mean number of days before there were indications of phlebitis in these patients was 3.14 days with the range of 1 to 6 days. Phlebitis rates did not…… [Read More]

Nursing -- Caring Empathy and Ethics The

nursing -- caring, empathy and ethics. The author (Lachman, 2012) uses numerous examples, each of which show the positive impacts of caring. Along with examples of ethical decisions that must be made, and with theories on caring and empathy put forward by scholars, the paper examines morality, competence, and the "reciprocal" relationships between nurses and their patients. That is, caring for a patient is reciprocal because if the needs of the patient are met, there is reciprocity -- the giving of care and the receiving and acknowledgement of that care giving.

Summary of Key Points

On page 113 Lachman references several leading theorists and scholars that have provided important research and results on nursing ethics and the caring concepts alluded to in the Introduction. Dr. Jean atson has a caring theory (112) that has three main components: a) carative factors; b) the "transpersonal caring relationship"; and c) the "caring occasion/caring…… [Read More]

Benefits of Acist Cvi for the Use of Angiographic Imaging System

ACIST CVi Angiographic Imaging System

The ACIST CVi is an angiographic imaging system used to diagnose diseases and treat over 15 million patients globally. The ACIST CVi is able to simplify a contrast injection using all procedure ranging from small injections for a coronary artery to peripheral vasculature and a large volume injection for ventricles, which consequently enhance efficiency, safety, image quality, and control. The CVi system assists in improving procedural efficiency and image quality. Moreover, the system minimizes a radiation exposure as well as reducing the patient contrast dose. The CVi system also helps in reducing time to carry out imaging procedure, which is beneficial to both healthcare professionals and patients. (Ferebee, & Scoville, 2009).

Objective of this paper is to investigate the ACIST CVi imaging system and its benefits for the Invasive Cardiac Catheterization.

Benefits of the ACIST CVi imaging system for the Invasive Cardiac

The ACIST CVi…… [Read More]

Maintaining the Health of Patients

Keeping Patients Very Healthy
The foremost challenge regarding HAI Catheter Associated Urinary Tract Infections (CAUTI) is that they are fairly prevalent. In fact, CAUTI is the most commonly occurring HAI and is directly responsible for a third of HAIs among patients in hospital settings (Iowa Department of Public Health). The challenge, then, is in agreeing to the emphasis placed on CAUTI within the organization, and taking adequate risk management measures to prevent this condition from occurring.
Still, the very nature of this challenge presents opportunities for the aforementioned organization to engage in preventative action to preclude the occurrence of CAUTI as much as possible. Specifically, this organization should implement a number of strategies to help CAUTI from affecting patients in clinical environments. These strategies are readily stratified into two components: early prevention, necessary, and post procedure.
Early prevention strategies are centered on the notion that the organization should acknowledge the…… [Read More]

Treatment to Patients the Main Objective of

Treatment to Patients

The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…… [Read More]

Care Needs Concerns and Treatment

Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).

Prioritize the Nursing Care Needs of Margaret

The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]

Angiography Types Categories Signs and Symptoms Treatment Imaging Modality

Angiography;, Types Categories, , Signs & Symptoms, Treatment, Imaging Modality

Angiography

An angiography involves the use of water-soluble X-ray contrast media by injecting it into blood streams in arteries or veins with the purpose of imaging blood vessels. The process is meant to observe normal or pathological conditions of the vessel organization. By seeing the lumen of blood vessels and organs, an angiography can provide information concerning conditions like luminal narrowing and aneurismal widening. Vessel access is essential and serious complications can appear if the substance is unable to pervade the veins and arteries, but this is rare and unlikely to occur. hile these are some of the conditions that are frequently detected through an angiography, it can also play an important role in analyzing sources of bleeding, tumors, and diverse malformations in veins and arteries.

The discovery of X-rays led to some of the first experiments with angiographies as…… [Read More]

Health Professions and What Experiences

In addition to the physical discomfort he suffered, he was terribly embarrassed about his situation and it began to dominate his life. Adult diapers only exacerbated his loss of self-esteem and internal catheters presented too great a risk of recurring urinary tract infections.

With the benefit of access to the necessary materials from my father's practice as a cardiovascular surgeon, I began experimenting with a design for an external catheter that might increase my grandfather's independence and confidence but without presenting the same types of health risks as an internal catheter. The entire process from conceptual design to a practical and usable prototype took months, but eventually, we were able to construct a wearable external catheter fashioned mainly from components of an oxygen mask, a standard hospital urination drainage bag, and lengths of two-centimeter tracheal intubation tubes. Once we produced a reliable design, the benefits were immediate, because my grandfather…… [Read More]

Risks of Epidural Anesthesia in

In addition, it is not apparent whether the injections may relieve pain, but for those without surgical lesions the injections may delay requisite surgery and result to permanent neurological deficits. It is evident that some risks associated with infectious epidural steroid injections result to fatal meningitis, but those performing epidural do not make pregnant women opting for epidural aware. I feel that such risks are matters of life and death and women must know them before considering epidurals. In addition, there are common risks of these injections. They include; increased neurological deterioration, paralysis, and quadriplegia Epstein (2013, p. 74-93).

All these researches provide information on the risks of epidurals in different aspects. The epidural procedure may also affect the child. The drugs administered to the mother directly enter the child. The levels may be as high as those of the mother may, and because of the immature liver of the…… [Read More]

Normal Saline During Suctioning Adults

(Torpy, 2007)

Some of the symptoms of ventilator assisted pneumonia may be the onset of fever, a higher white blood cell count, and a new or changing lung infiltrate that may be visible on a normal chest x-ray. Cultures taken as samples from the patient's airways may show the presence of microorganisms or bacteria and fungi that would eventually cause the dreaded ventilator assisted pneumonia in the patient. JAMA states that these risk factors may be eliminated to a large extent if the nurses and medical practitioners were to follow certain simple but essential steps in preventing the onset of the symptoms of pneumonia. First and foremost, the nurse must maintain a high degree of hygiene; he must wash his hands both before and after coming into contact with any patient, and second, he must try to keep the bed elevated to a 30 degree head up position, so that…… [Read More]

Routine Oral Care Positioning to

(Schleder, 2003)

Elevating heads of beds for patients on mechanical ventilation

Along with the recommendations for removal of plaque, there is also a guideline made by CDC that for proper treatment to "elevate at an angle of 30 to 45 degrees the head of the bed of a patient at high risk for aspiration." The benefits elevation of the head of the bed is on the theory that then gravity will reduce the possibilities of regurgitation that exists in an overly distended stomach. The recommendation by CDC also clearly states that the patients should not be lying flat unless there is some clinical need for that. At the same time, some medical authorities feel that this is likely to make the patients uncomfortable, though the recommendation is from CDC. This makes them reduce the angle of laying the patients bed at a lower angle than the angle specified by CDC.…… [Read More]

Disseminating Evidence Strategies for Dissemination the Key

Disseminating Evidence

Strategies for Dissemination

The key stakeholders in the implementation of the PICO project include patients, their families, health care team members including physicians, hospital administrators, insurers, suppliers, and investors ("Who are the Stakeholders in Health Care"). A broad and diverse group of stakeholders like this one requires a complex and multifaceted approach to project dissemination.

Different dissemination strategies will be used for different stakeholders. For patients and their families, the dissemination strategy will consist of the distribution of educational materials and access to educational resources. The educational resources will help patients to be empowered, so that they can ask questions related to their catheterization. Knowing what questions to ask, and what the answers mean, will help patients and their loved ones make responsible health care choices. For example, the study will show patients that they do not have to keep the catheter in, just because the nurse has…… [Read More]

Pseudomonas Aeruginosa

Psuedomonas Aeruginosa

Pseudomonas aeruginosa

Epidemiology

The Gram-negative, motile, rod-shaped bacterium Pseudomonas aeruginosa is an opportunistic killer that takes advantage of people suffering from medical problems (Van Delden and Iglewski, 1998).For this reason, P. aeruginosa is one of the most common nosocomial infection that occurs in hospitals. P. aeruginosa is responsible for causing 16% of pneumonia cases, 12% of urinary tract infections, 10% of bloodstream infections, and 8% of surgical infections due to hospital care. Patients who are immune-compromised are also susceptible to P. aeruginosa infections, such as patients undergoing chemotherapy, suffering from HIV / AIDS, recovering in burn units, and suffering from cystic fibrosis. With death rates ranging from 30 to 60% for these patients, P. aeruginosa is considered to be a significant threat to patient health.

Ecology

P. aeruginosa can switch between a free-swimming planktonic form and colonies enclosed within slime-protected biofilms attached to surfaces (Baltch and Smith, 1994,…… [Read More]

Cardiology Telemetry Annotated Bibliography

Compendium to Research in Cardiology and elemetry

Cotiga, D., et al. (2007). Acute Conversion of Persistent Atrial Fibrillation During Dofetilide Initiation. Pacing & Clinical Electrophysiology, 30(12), 1527-1530. doi:10.1111/j.1540-8159.2007.00902.x.

he researchers look at the role of Dofetilide (D) as "a highly selective blocker of the rapid component of the delayed rectifier potassium current;" approved for the treatment of atrial fibrillation (AF). he study is a replication of clinical trials that concluded in a satisfactory safety/efficacy profile in patients with left ventricle (LV) dysfunction or heart failure. he participants to the investigation all received at least 6 dosing intervals D. while admitted in the elemetry unit. Seventy seven percent (77%) of the patients converted to sinus rhythm (SR) after the first 2.2 ± 1.2 doses. Findings to the investigation revealed that: 1) D. had an unusually high pharmacological conversion rate; 2) demonstrated response with incremental dosage; and 3) correlated with a high…… [Read More]

Testicular Embolism

Testicular Embolism

Special Procedure requiring Special Sensitivity on the part of the Radiology Department and Attending Physicians

Testicular patients dying through ignorance," proclaimed a 2002 article in Life Extension Daily News. Researchers from Nijmegen's University Medical Center St. Radboud warned that a treatment delay of more than three months for testicular carcinoma was associated with a "significantly decreased" five-year survival rate. The most commonly cited reason for this critical diagnostic delay was not monetary issues. Instead, the delay was often due to patients fear and embarrassment of the condition and the location of the condition in the body. (Health Media Ltd., 2002) One way to prevent the spread of testicular carcinoma is speedy detection and treatment. Patients must conduct self-examinations on a regular basis, of course, and take responsibility for their own health. However, after detection has been made of a suspicious testicular mass, the next step often is the…… [Read More]

Difference Between Goals and Objectives Essay

The terms “goals” and “objectives” are used interchangeably but in fact, they do connote different things. Particularly in the context of teaching and learning, it is important to differentiate between goals and objectives. Goals refer to broad end results, whereas objectives tend to be more specific (Norman, 2017). Thus, a learner may have a goal of improving patient care, with the learning objectives being to reduce medical errors by fifty percent. Another key difference between goals and objectives is that the latter can and should be framed in measurable or quantitative ways. Goals do not need to be measurable and can in fact be personal or even emotional in nature, whereas objectives do need to be concrete. For example, a goal might be to master the new informatics system, and the specific learning objectives would be to input three hundred new data points into a particular information management system.
Using…… [Read More]

Nursing Burnout Issue at a Facility

North Mountain Medical is a super sniff facility as they specialized in high acuity level patient. The patient structure is respiratory, with staff trained in tracheostomy care and ventilator management. In house hemodialysis, in house physical therapy. This facility has been in operation since 2004. Patients in this facility do not self-diagnose. Patient diagnoses are from Medical doctors and Nurse Practitioners that work on site. Patient in the facility are cared for by interdisciplinary team. Certified nursing assistants that care for patient will normally report a Change in patient’s condition to the nurse. Nurse completes an assessment and report changes immediately to the doctor. In the event of an emergency patients are send to emergency room for further evaluation and treatment. Health is a right in this facility. Yes, most of the patient’s life style has impacted the health of the patient. Noncompliance with medication regimen and diet changes. Patients…… [Read More]

Nurse Practice Act of Each

Finally, if the nurse and others concede that her ideas regarding policy change are successful and needed in the medical profession and that other medical professions would benefit from the implementation of these changes to their activities and systems, the nurse can then proceed to implementation of her plan. This she can do by communication with legislators by e-mail, phone, or letter (or in person, if she wishes); by attending forums or other official meetings with political candidates; by working in political campaigns; and by involving herself in similar activities. This would provide the nurse with networking opportunities and enable her to find a platform for and to share her ideas.

An example of just such a successful attempt was that achieved by nurses in 31 organizations (such as the Academy of Medical-urgical Nurses, the American Nurses Association, and the American Organization of Nurse Executives) who, in 2008, pushed for…… [Read More]

Washing in Nursing and Medicine

Moreover, the specific cause of transmission are the low compliance rates of hospital personnel with basic antiseptic protocols such as simple hand washing. Surprisingly, the worst offenders were those with the highest degree of formal training: namely physicians and registered nurses. In some studies, compliance rates among hospital personnel were only between fifteen and thirty percent. Finally, empirical studies have also concluded that compliance rates are lowest in high-volume institutions and among understaffed medical units.

Solution

The solution is rather obviously quite simple. Among the most important aspects of reducing hospital-acquired nosocomial hospital infections is increasing the rates of hand washing among hospital personnel. Naturally, the more direct patient contact individual personnel have, the more important adherence to strict hand-washing policy is. Since physicians and nurses routinely care for many patients during a typical shift, it is crucial for them to become the most compliant rather than the least compliant…… [Read More]

Nursing Evidence-Based Practice Is a

Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services.

Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented (Cantrell, 2009). Evidence-based practices impact the extent to which nurses are empowered to make sound, safe, and effective decisions (Scott & Pollock 2008). Evidence-based practice has the potential to transform the structure of a health care organization like MMH. This is because evidence-based practice changes the hierarchical structure in the organization due to the increased responsibility of nurses for conducting their own research. Alternatively, evidence-based practice can be an extension of organizational change. Health care organizations reducing the hierarchical nature…… [Read More]

Nursing State a Project Objective

In fact, nursing staff should have access to mobile technologies that allow for decisions to be made instantaneously at the bedside. For example, a PDA would allow nurses to access the literature directly from the bedside without leaving the patient's care. This would help integrate the caring aspects of nursing with the more objective aspects of evidence-based practice.

3) Discuss methods and specific plan to revise an unsuccessful project solution

If the project is unsuccessful, it could be because of insufficient opportunities for application. It may be better to implement the proposed solution in specific departments in which a large number of preventable errors had been tabulated. In this way, more dramatic changes to nursing practice might have been observed. It might also be helpful to survey the various departments in the healthcare institution and discover the specific areas of concern. Then, researchers can target these areas and encourage mentors…… [Read More]

Sound Rationale's for Each Component of the

sound rationale(s) for each component of the primary survey that the egistered Nurse will undertake.

The geriatric male patient was admitted to the Emergency Department under triage supervision. Primary survey assessment (Considine, 2011) determines the patient's immediate physical condition pertinent to life or death. These include the patient's Airway, Breathing, Circulation, Disability, Discomfort. The patient scores a 14/15, which indicates his eyes are open, appears oriented with succinct and clear verbal responses, and displays exacting and swift motor response and coordination.

Patient respiration is accelerated with shallow yet painful breathes. Lung capacity appears to be compromised, unsure of whether the left or the right is specifically effected but perhaps the onset of pneumonia is the thought. Blood pressure is low, rapid and painful breathing coupled with low blood pressure are symptomatic and are important to monitor for further changes.

Pulse of 90 bpm is somewhat rapid and irregular with 90%…… [Read More]

Violations of Human Rights in

It shows that Bush did not ensure the carrying out of exactly accurate procedures detailed in the 'Help America Vote Act of 2002', and this had the inevitable result of the lack of appropriate funds for the purpose of election reform until it was a mite too late. The Act that ensures the equality of education for all the children of the United States of America was also not implemented appropriately. The 'No Child Left Behind' act was supposed to make sure that all children would enjoy equal opportunities in the field of education irrespective of their social background and status and race and color. This was however not carried out in the fullest sense of the term during the Bush Administration, and this meant that children were in fact left behind, and their civil rights were thus being violated. Another facet of the negative aspects of the Bush administration…… [Read More]

Islet Transplantation Pancreatic Islet Transplantation

However, what was once a slow journey has recently gathered momentum with the introduction of "more flexible immunosuppression protocols, the ability to individualize surgical options to patient needs, and the dramatic improvement of isolated islet transplantation results." (Allen, p. 3485) esearchers use pancreas transplant options and advanced surgical techniques, but the donor pancreas and surgical complications, as well as the type of immunosuppression affect the outcome of islet transplantation.

The immunosuppressive drugs have significant side effects and long-term effects are still not known. Known side effects of immunosuppressive drugs include mouth sores and gastrointestinal problems, such as stomach upset or diarrhea. Patients also have experienced increased blood cholesterol levels, decreased white blood cell counts, decreased kidney function, and increased susceptibility to bacterial and viral infections. Taking immunosuppressive drugs increases the risk of tumors and cancer as well.

Progress on whole pancreas and beta cell transplantation has been hampered by the…… [Read More]

A R T Assisted Reproductive Technology Has

The majority of women can return to their normal routine the next day ("In Vitro Fertilization"). In most cases total bed rest is not required unless there is some risk associated with the development of OHSS ("In Vitro Fertilization").

The NIH further explains that women who utilize IVF must take the hormone progesterone for at least two months following the embryo transfer ("In Vitro Fertilization"). The hormone is taken through daily shots or pills. Progesterone is a naturaly produced hormone produced that assists in thickenign the lining of the uterus ("In Vitro Fertilization"). This thickening makes it easier for the embryo to implant to the wall of the uterus. If there is ot enough progesterone the woman will miscarry ("In Vitro Fertilization").

In additon to the risks associated with this type of reproductive technology, IVF is very expensive ("In Vitro Fertilization"). The NIH explains that many states require that insurance…… [Read More]