ICU Patients: A Case Study

Consequently, the ICU patients in general are on ventilator support, sedated, and the indwelling catheter is warranted. Whenever, the patient is not sedated, according to Center for Disease Control (CDC) (2015), the CDC, 2009 guidelines should be followed for insertion criteria. ANA (2017) explains the guidelines include measures, such as encourage the patient to void and record amount, if a patient urinates record amount. Also, if the patient is unable to urinate perform a bladder scan and if 300-500, obtain an order for a straight catheter to be inserted, utilizing sterile technique, and reassess in four to six hours. Moreover, if the patient is incontinent provide a toileting plan, such as, offering bedpan every two hours to regain continence, and protect skin. Hence, if the indwelling catheter is inserted, perform insertion with another nurse. Additionally, secure catheter per facility protocol, keep tubing free flowing, below the bladder, prevent kinks, empty drainage bag regularly, and provide catheter care …show more content…
Therefore, in implementing change, a review of the guidelines is needed, included in the document would be the change needed, justification for change, goals, and objectives. Additionally, when and where the plan will be implemented, consideration for the budget, and nursing interventions. Also, the document should be submitted to the hospital administrator, with documentation of the new changes and research supporting the need to change. Consequently, once approved, stakeholders need to be chosen, such as educators, management, physicians, quality improvement coordinator, and champions. Furthermore, educate mentors on the change, educate and prepare staff members for the new change, and the date it will be executed. Also, perform pilot studies utilizing the champions to educate the staff members. Finally, keep the stakeholders informed of the progress in the