1. You need to gather all supplies; tourniquet, connection tubbing, alcohol wipe or chloroprep, tagaderm/occlusive dressing, 2x2 gauze, saline flush and appropriate IV catheter size. When determining appropriate IV size, you need to take into consideration why does the patient need an IV, are they receiving blood? If so they need at least a 20 gauge IV. 2.…
Increase in knowledge will increase compliance in use of the nurse-driven protocol, and cause a subsequent decrease in catheter usage hence a drop in CAUTI rates. Studies indicate that the use of nurse-driven protocol to remove unnecessary catheter showed a significant decrease in CAUTI rates. (Mori, 2014;Center for Disease Control and Prevention (CDC), 2015; Institute for Health CareImprovement (IHI), 2011). In a study by an accountant (Scott, 2009), the annual cost for hospital due to CAUTI was between 340-370 million dollars. Therefore, a decrease in CAUTI rates could mean millions of dollars in savings annually for the hospital (Kennedy, et al., 2013).…
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).…
This incorporate NHS Outcomes Framework (2015/16) domain 2 and 4, which stated every healthcare professional should improve the quality of life for people suffering from long-term illness and ensure they are satisfied with the care they receive. Similarly, RCN (2008) and NHS Scotland restates the significance of securing catheter when in suits will promote patient comfort and limit potential complications movement and ensuring less or no need for re-catheterisation. For example, limited circulation to the limb occurrence may lead to deep vein thrombosis while tension and traction to the urethra can cause trauma and necrosis particularly in men (Bierman and Carigan 2003). The SMART plan will outlined the proposed innovation as Specific-target…
There are several surgical procedures done today to help improve the lives of people. One of those surgical procedures is a cholangiography. The cholangiography procedure was first performed in 1932, with the intention to demonstrate the biliary duct system, drainage into the duodenum, and any remaining stones in the biliary ducts (Bontrager & Lampignano, 2014). There are different types of cholangiography's including percutaneous transhepatic cholangiography (PTC), intraoperative cholangiography, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP). Each of these procedures has the main focus of demonstrating the biliary ducts, but each procedure is done a little differently (MyDr,…
During the recent years, changes on reimbursement has forced hospitals to re-examine current CAUTI prevention practices and consider new alternatives in an attempt to ensure payment for provided services. Previous studies have contributed to the currently used practices for the prevention of CAUTI which include proper insertion, catheter composition, maintenance and education. Despite the multiple attempts to prevent CAUTI, the rates remain high due to the prolonged duration of urinary catheters and inappropriate use. The studies reviewed recommend the use of a reminder system options: written, verbal or computer generated alerts to notify providers or nurses of the presence of a urinary catheter; consequently, continuation of the urinary…
The leg drainage bag will be supported with a shorts suspensor pocket which has an elastic band for greater adjustment comfort without contacting the skin and assist to immobilise when the catheter leg bag is attached, it will prevent the catheter from falling and making less difficult to change, reduce urinary leakage and potential blockage to the bladder neck and urethra, which is appropriate to use for both men and women (Eastwood…
As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem I am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in hospitalized patients. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling Foley catheters and other requiring placement of the Foley catheter for various reasons. However, research has found that many patients tend to be at risk of unnecessary catheterization and are also at a greater risk of both infectious and non-infectious complications from the procedure (Carter, Reitmeier, & Goodloe, 2014).…
It’s important to stay up to date on coding changes. To be a truly viable coder it’s absolutely necessary to stay informed about what’s taking place in the industry. Having a membership with AAPC and AHIMA has shown me the importance of staying current and these memberships are a great way to do it. Continuing education is necessary to keep your certification credential current, but the classes, webinars, and seminars will also help you stay informed of new developments that will affect you on the job. By keeping current you can be an asset to your organization and that can be good for you when it comes time for promotions and raises.…
The insertion site of the needle is 1 cm inferior and 1 cm lateral to the junction of the middle and medial thirds of the clavicle. The needle is advanced toward the tip of the contralateral index finger, which is placed in the suprasternal notch. The direction of the needle is now aligned with the central axis of the SCV, minimizing the risk of puncturing the subclavian artery, pleura, or apex of the lung [46]. By keeping the needle in a horizontal plane, the risk of arterial or pleural injury is minimized [47]. On its course the needle goes through skin, superficial fascia, subclavius, clavipectoral fascia, and SCV.…
Patient safety is the main concern, always. There are over one million urinary tract infections caused by catheters each year, resulting in 8,205 deaths each year. Hopefully these numbers begin to decrease every year resulting in fewer catheter-associated infections, and ultimately fewer patient…
It will be used to give you fluids and medicines during the procedure. • You will be given a medicine that makes you go to sleep (general anesthetic). • Your abdomen will be cleaned with a germ-killing solution (antiseptic). • The surgeon will make a small incision in your abdomen and place a tube through the incision.…
The routine usage of Foley catheters has increase, especially on critical care floors due to strict monitoring of the patient’s intake and output status. Usually, patients on this type of floor are respiratory compromised, on the ventilator and receiving diuretics. In addition, a large number of patients experience delirium making it impossible to get them out bed to a bedside commode. These are a few reasons why an indwelling Foley catheter is essential to have.…
They comprise 2 channels in their shaft: a central lumen through which a movable guide wire may be passed and an outer channel through which the dilation balloon is inflated. This type of catheter is advantageous if the catheter needs to be replaced with a catheter of a different size during the procedure. The guide wire can be left in place, the original catheter removed and the new catheter can then be threaded over the wire. However there can be difficulties in maintaining the position of the guide wire during the catheter exchange process. It often requires the use of a very long exchange wire which can prove difficult to handle.…
The circulating nurse’s role in the operating room consists of being the patient advocate, being the right-hand nurse for the surgeon and surgical technicians, and providing safety for the patient. The circulating nurse keeps the patient’s wishes as the highest priority in the operating room. Because of the sterile field, it is the circulating nurse’s job to get all the supplies that may not be readily available in the operating room. For example, if the surgeon needs more sutures than are available, it is the circulating nurse’s job to run and get them and have them ready for the surgeon to use. As far as providing safety for a patient, if a lap pad were to go into an open cavity in the patient’s body, the circulating nurse would document it, and before the surgeon closes the patient up the nurse will count all the sutures and pads and make sure that one is not…