The primitive element of Evidence Base Practice is to personalize the evidence to fulfill distinct patient need within the context ((Polit & Beck, 2012, p. 25). paper includes the summary of an Evidence Based Practice implementation on reduction on hospital acquired Cather-Associated Urinary Tract Infection (CAUTI) in a community hospital setting. The key points, list of steps taken by nursing, a practice problem that would benefit from the implementation of an EBP are explained here. The result of the study with a conclusion is also enclosed.…
A. (2016), a combination of disinfection protocols are the key to not only decreasing Central Line Associated Bloodstream Infections (CLASBI) but eliminating them. At the Hospital Practice Council the subject of decreasing central line infections throughout the hospital was agreed to be addressed. At present, our hospital wide central lines infection rate is 21%. An analysis of the critical care units central lines and their infection/no infections would be address next meeting. Decreasing central line infections became a unanimous vote during the Hospital Practice council…
Describe your particular interest in attending UNE COM and any contact you have had with UNE COM students, alumni, faculty or clinicians, admissions counselors, student affairs staff, etc. How did these interactions influence your decision to apply? As a student athlete, there have been numerous experiences where I have faced an entirely new roster of teammates. In certain instances, this has caused a lack of fluidity and success.…
Nice post Dana! As we know, prevention is better than cure, and many UTI's can be prevented if we didn't use so many indwelling urinary catheters. The most common hospital-acquired infection is urinary tract infection (UTI), which accounts for almost 40% of all nosocomial infections (Saint, 2008). Most hospital-acquired UTIs are associated with urinary catheters, a commonly used device among hospitalized patients (Saint,2008). Urinary catheterization occurs in 25% of patient hospitalization, but other methods of prevention should be assessed first (Saint, 2008).…
Interprofessional Infection Prevention Team was formed to review NICU CLABSI data in an effort to eliminate CLABSI. This team includes nurse leaders, clinical nurses, providers, hospital infection prevention nurse, and a pharmacist. The team reviewed the policy and procedures regarding central line management and provided education focused on best practices to reduce CLABSI. Despite reeducation and reinforcing central line management, evidence based procedure standards for insertion, fluid change, proper technique for obtaining blood cultures, and regularly scheduled dressing changes, CLABSIs still occurred.…
Since The Centers for Medicare and Medicaid Services are no longer paying for the cost associated with CAUTIs, which is placing a financial burden on the hospitals due to loss of revenue. Furthermore, CAUTIs are a preventable infection with proper protocols in place for this reason, having a nurse champion in place will help align the unit in the right direction to prevent CAUTIs. In conclusion, CAUTIs are preventable adverse outcomes that cause increased patient morbidity and mortality and contribute to hospital cost. More than 560,000 CAUTIs occur annually, resulting in approximately 13,00 deaths with an additional 100,000 die from healthcare acquired infections every year.…
If the indwelling Foley catheter has to be used, the Centers for Disease Control and Prevention (CDC) in collaboration with other organizations, developed guidelines for the prevention of CAUTIs. The guidelines focused mainly on the prevention and they address; appropriate use of indwelling urinary catheter, utilization of proper techniques for indwelling catheter insertion, and utilization of proper techniques for indwelling catheter maintenance (CDC, 2015). PICOT Question: For patients with indwelling urinary catheters, does implementing of the Centers for Disease Control and Prevention (CDC) prevention guidelines reduce the risk of future catheter-associated urinary tract infections CAUTIs compared to not using the CDC guidelines in hospitalized…
Quality improvement programs are put into place to ensure all employees are held accountable for their actions, integrating evidence-based practice into healthcare, and to continually improve care to countless populations (Huber, 2014). In this paper I 'm going to explain my organization 's quality program goals and structure. Next, I will describe how quality improvement projects are selected; I will also discuss the quality methodology, tools and techniques, and project management. Following this I will explain how nursing staff is trained in quality improvement process and how quality improvement activities and process is communicated to the nursing staff. I will clarify how the organization evaluates quality improvement activities for effectiveness…
Infections are a common risk factor for any patient in the hospital. The occurrence of an infection is an even greater concern when the patient receives an invasive procedure, such as placement of a Central Venous Access Device. With proper technique and licensed staff placing a central venous access device, the risk for complications can be minimized. Champions for Central Line Care is a journal that explains “the team approach for reducing CLABSIs. (Reed, Brock, & Anderson, 2014, p. 40)” CLABSI can be defined as a Central Line-Associated Blood Stream Infection (Giddens, 2014, p. 469).…
Central line associated bloodstream infections (CLABSI's) are one of the most deadly healthcare associated infections (HAI's). Approximately 12-25% of CLABSI's result in death and the average cost per case is about $26,000. In recent years, between 2001 and 2009, CLABSI incidences have decreased from 43,000 to 18,000. This has saved the health care industry 3-6,000 lives and approximately $414 million in ICU's in 2009 alone. To this day, many hospitals are now reporting zero CLABSI's.…
3. What is the impact of the policy to this institution (economic, implementation, services, etc.)? The objective of the Joint Commission standard is to focus on quality improvement, not blame. The Joint Commission on Accreditation of Healthcare Organizations has recently instituted new standards to encourage facilities to focus on infection control. Factoring in, all hospitals are required by the Joint Commission to demonstrate compliance with hand washing practices.…
Emphasis needs to be placed on the nurses and doctors to question whether the Foleys can come out and the necessary actions taken. Clearly, the issue of CAUTI needs to be recognized to decrease hospital acquired infection rates and preventable death rates. My focus will be to implement CAUTI on all the units at my facility, especially on the critical care floor because of the prevalence of the…
On any given day, about one in twenty-five hospital patients has at least one healthcare associated infection.” (CDC, 2016, partial site paragraph). To promote patient safety and prevent this from happening Joint Commission has National Patient Safety Goal (NPSG) 07.01.01 Prevent Infection. For this goal, the hand cleaning guidelines from the centers for disease control and Prevention or the World Health Organization can be used.…
Both guidelines, the CDC and NCGC both inform the readers that lack of research in the home setting is a challenge when assessing and addressing a standardized method of teaching and care for home urinary catheter patients in general. It is stated, “No evidence of surveillance of healthcare-associated infections (such as CAUTI) in the community is currently available.” (UK, 2012) The regulations that declare who can insert, maintain and troubleshoot urinary catheters also is confusing and not properly regulated.…
The practice standards and entry-to-practice competencies are helpful for nurses in providing competent, safe and ethical care. The practice standards describe the role of all nurses and protect the public from any kind of harm (CNO, 2009). These standards support nurses to understand their responsibilities and outlines the expectations of nurses for the public (CNO, 2009). Also, the practice standards are followed by all nurses in their area of practice (CNO, 2009). The entry-to-practice competencies are client centered and focus on up-to-date developments in health care practice in nursing.…