Literature Evaluation A 2002 estimate by the Centers for Disease Control and Prevention (CDC) found that urinary tract infections were the most common health care-associated infections (HAI’s). These infections account for >30% of HAI’s (CDC, 2009). The CDC further estimated the number of attributable mortalities at >13,000. CAUTI rates have increased by three percent between 2009 to 2012, to six percent between 2009-2013 (CDC, 2009). While urinary catheter may be a necessary intervention, studies have confirmed over half the patients who receive a urinary catheter do not have a valid indication for its use.
Paris Regional Medical Center is an acute care hospital in Texas with 175 inpatient beds. In 2014, the catheter-associated urinary tract infection (CAUTI) rate was 0.21 per 1000 patient days. In 2015, the facility had increased in CAUTI rate to1.75 per 1000 patient days. The hospital reported a utilization rate of 53% with a 7 to 10-day duration.
The CDC has published a summary of evidenced based recommendations to prevent CAUTI. The first includes appropriate indications to insert an indwelling urinary catheter or alternatives to an indwelling urinary catheter. The second outlines task required for aseptic catheter insertion. The third …show more content…
Many of the bedside nurses at the facility are unaware of the CDC recommendations for insertion. Educational campaigns will emphasize the reason for insertion, insertion technique, maintenance, and early removal. The multidisciplinary methodology will be implemented in daily rounds with physicians and charge nurse to deliberate removing the catheter. Implement a nurse-driven protocol using CDC recommendations. Initiate daily reminders for doctors and nurses to assess the patient for removal of the urinary catheter. Implement real-time surveillance to monitor evidenced based practices to ensure their
Paris Regional Medical Center is an acute care hospital in Texas with 175 inpatient beds. In 2014, the catheter-associated urinary tract infection (CAUTI) rate was 0.21 per 1000 patient days. In 2015, the facility had increased in CAUTI rate to1.75 per 1000 patient days. The hospital reported a utilization rate of 53% with a 7 to 10-day duration.
The CDC has published a summary of evidenced based recommendations to prevent CAUTI. The first includes appropriate indications to insert an indwelling urinary catheter or alternatives to an indwelling urinary catheter. The second outlines task required for aseptic catheter insertion. The third …show more content…
Many of the bedside nurses at the facility are unaware of the CDC recommendations for insertion. Educational campaigns will emphasize the reason for insertion, insertion technique, maintenance, and early removal. The multidisciplinary methodology will be implemented in daily rounds with physicians and charge nurse to deliberate removing the catheter. Implement a nurse-driven protocol using CDC recommendations. Initiate daily reminders for doctors and nurses to assess the patient for removal of the urinary catheter. Implement real-time surveillance to monitor evidenced based practices to ensure their