Cardiac catheterization

Defining the problem How We Know CAUTI is a Problem According to Kennedy et al., (2013) CAUTI’s are identified as one of the most common healthcare related infections. As a result of the high incidence of CAUTI’s, in 2008, the Centers for Medicare and Medicaid Services, stopped reimbursing hospitals for the costs of care for patients who develop a CAUTI during hospital stays (Kennedy et al., 2013). Unfortunately, there are approximately“One million catheter-associated urinary tract infections…

The innovation is a cover for the catheter stand used in hospital and short suspensor pocket for suprapubic catheter leg bag that will not restrict movement when attached. The proposed innovation is chosen to improve the use of urinary catheterisation that will enable nurses and other healthcare professionals to maintain patient dignity, respect, their right to privacy and confidentiality in managing urinary incontinence in all aspects of care as outlined by the Nursing and Midwifery Council…

The PSI is a cover for the catheter stand used in hospital and shorts with suspensor pocket for suprapubic catheter leg bag that will not restrict movement when attached. The proposed innovation is chosen to improve the use of urinary catheterisation that will enable nurses and other healthcare professionals to maintain patient dignity, respect their right to privacy and confidentiality in managing urinary incontinence in all aspects of care as (NMC, 2015). More so, it will minimise the…

) . PENETRATING CARDIAC TRAUMA Penetrating trauma is the most common cause of significant cardiac injury seen in the hospital setting, with the predominant injury being from guns and knives. Penetrating cardiac trauma is secondary to stab wounds in 35 to 96 percent of patients…

Background Statement: The board of trustees of Cabarrus Memorial Hospital has proposed to add open-hearth surgery to their cardiac services. They would have to consider getting a certificate of need, costs of renovation and staffing. The latter may include the hiring of Dr. R.S. Christy who has been part of the hospital staff for some time and was popular among the staff and patients. He is about to complete his fellowship and will have to make a career choice before soon. The board would like…

Approximately 15 years ago, I was working at Fairbanks Memorial Hospital. I attended several Infection Control Committee meetings where evidence was presented to the committee regarding the use of silver coated Foley catheters instead of the current standard catheters. The evidence suggested that the hospital would experience fewer incidences of catheter-acquired urinary tract infections (CAUTIs) because of the antimicrobial characteristics of the silver. I did not stay with the hospital long…

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…

intermittent straight catheter usage is recommended instead of long term catheter usage to reduce risk of CAUTI. It is noted that the subject in this study were physically unable to complete straight catheterization due to lack of dexterity, lack of assistance or other physical issues leaving long term catheterization the only option.(Wilde et al., 2015) Both guidelines, the CDC and NCGC both inform the readers that lack of research in the home setting is a challenge when assessing and…

The aim is to conduct surveillance and implement multidimensional strategy to prevent CAUTI. The proposed INCC multidimensional strategy included implementation of practice bundle which includes training on insertion technique, catheter management, and removal. The plan is to only insert urinary catheters only when needed, and remove them when not needed as well as main unobstructed urine flow along with other interventions such as hand hygiene, education, and outcome and process surveillance of…

Over the past several years, Foley catheters have become the most frequently used implantable medical device (Stickler, 2014). A Foley catheter is simply an indwelling urinary catheter. These catheters are necessary for a broad variety of conditions including, patients with acute urinary retention or bladder outlet obstruction, patients undergoing surgical repair of the genitourinary tract, critically ill patients requiring frequent and urgent measurements of urinary output, incontinent patients…