The nurse and other care providers play a key role in the prevention of hospital acquired infection (HAI). Urinary tract infection (UTI) accounts is the commonest accounting for 35% of all infections with 80% of them being associated to indwelling urinary catheter (Schneider, M. A. 2012). In this document, the author discusses the process of implementation evidence based change aimed at reducing the incidence of catheter associated urinary tract infection (CAUTI).
Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs …show more content…
This will also include the tentative budget, stakeholders involved and their clear-cut roles and responsibilities. The implementation will be rolled out and monitored through the cooperation of the existing leadership structure of charge nurses and supervisors at the unit …show more content…
It spells out the indication for catheterization and the decision making steps to guide removal or retention of the catheter. It has more emphasis on postoperative patients, whose catheters should be removed on first postoperative day. However it is silent on other patients who have catheters inserted. The revised protocol proposed on clear instruction on assessment for need for catheterization and when to discontinue. For each day a catheter is left in situ, the patient risk of acquiring UTI increase by 3-10% and up to 100% if the catheter remain in place for over 30 days (Nix, Denise, and Ann Marie Pettis. 2012). It is therefore important to not only reduce the number of catheter inserted but also reduce catheter days. It is anticipated that the use of a care-provider protocol will lead to a reduction in the incidence of CAUTI.
In the proposed document, the indications for catheterization will be included as it is the case with the current one, with addition on prompt for catheter removal. A physician consent will be required as well as documentation for the reasons for retaining the catheter beyond recommended period of time. The charge nurse, unit manager, physician lead team and the EBP lead team will track the implementation of the proposed protocol, analysis care outcome for the pilot group before the process is rolled out in all
Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs …show more content…
This will also include the tentative budget, stakeholders involved and their clear-cut roles and responsibilities. The implementation will be rolled out and monitored through the cooperation of the existing leadership structure of charge nurses and supervisors at the unit …show more content…
It spells out the indication for catheterization and the decision making steps to guide removal or retention of the catheter. It has more emphasis on postoperative patients, whose catheters should be removed on first postoperative day. However it is silent on other patients who have catheters inserted. The revised protocol proposed on clear instruction on assessment for need for catheterization and when to discontinue. For each day a catheter is left in situ, the patient risk of acquiring UTI increase by 3-10% and up to 100% if the catheter remain in place for over 30 days (Nix, Denise, and Ann Marie Pettis. 2012). It is therefore important to not only reduce the number of catheter inserted but also reduce catheter days. It is anticipated that the use of a care-provider protocol will lead to a reduction in the incidence of CAUTI.
In the proposed document, the indications for catheterization will be included as it is the case with the current one, with addition on prompt for catheter removal. A physician consent will be required as well as documentation for the reasons for retaining the catheter beyond recommended period of time. The charge nurse, unit manager, physician lead team and the EBP lead team will track the implementation of the proposed protocol, analysis care outcome for the pilot group before the process is rolled out in all