Catheter

bile duct and the pancreatic duct through a catheter. This catheter has to be placed in the correct anatomic structure, otherwise the contrast media will not be flushed through the biliary ducts or the pancreatic duct. X-rays are sometimes needed for the placement of the catheter before the contrast is injected. (Bontrager & Lampignano, 2014). The catheter is placed by the means of using an endoscope. The surgeon threads the endoscope with the catheter inside, down the patient's mouth, through…

An estimation of 380,000 bed days are being lost each year, this study was undertaken in three large hospitals. Over a 32 week period an intervention of chlorexidine (0.1%) solution was used as a cleaning method prior to catheter insertion. For Marjorie Templeton’s case this is extremely relevant as upon admission she had received an intravenous and was given antibiotics. Due to the high risk rate of acquiring HAUTIs it is important to monitor Marjorie not only throughout…

leads did not like the idea. Unfortunately, those few felt it would only add to their workload and did not want the additional responsibility at this time. While their reasoning was it is up to the patients’ individual nurse to advocate for urinary catheter device removal and not their responsibility. The plan to decrease the incidences of CAUTIs on the unit is to increase support to the new nurses with the addition of nurse champions. Overall, the meeting ended positively…

an indwelling urinary catheter using the CAUTI bundle. When the nurse receives this electronic order, she is prompted to answer several questions prior to the insertion to assure there is a need for the catheter. On each subsequent day, the nurse is asked another set of questions to confirm the need for continued use of the catheter. If the indication is no longer supported, the nurse is encouraged to call the doctor for an order to remove. This places the need for the catheter at the front of…

AF: electrical cardioversion and catheter ablation. For electrical cardioversion, an electric shock is delivered to a patient’s heart to restore the normal heart rhythm. For catheter ablation, radiofrequency energy or cryo energy is used to selectively destroy areas of heart tissue that cause the abnormal heart rhythm. However, both methods are unable to specifically pinpoint the exact origin of the erratic electrical signals and difficult to locate the catheter tip during…

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…

the survey. These questions focused on catheter care practices in 3 areas…

week in clinical I was on the Critical Care Unit. My patient was in for respiratory problems. At the start of clinical I was getting report and one of the nurses and was interrupted to assist with a catheter. Was excited to insert a catheter, which was my first time successfully inserting a catheter in to a female patient. During this shift my nurse had three patients. She had to focus and work efficiently to get everything completed on time. She also had to be flexible to move patients in and…

of the cover for the catheter stand. As a result, a rang of methods can be used in both retrospective and concurrent audits to collect appropiate evidence about the quality of care including observation, checklist of compliance, documentation of approve audit, questionnaire and interview both stakeholders (Smith 1992). The evaluation audit tool will highlight a clear measurable objectives of the PSI by using the SMART plan, which stand for Specific - cover for the catheter stand and the…

CVC General Consideration INDICATIONS To give medications to the patient e.g. vasopressors, chemotherapy, antibiotics1 Parentral nutrition (PEN) Hemodynamic monitoring – e.g. central venous pressure (CVP) In case of difficult or poor peripheral venous access CONTRAINDICATION: some of the relative contraindications are Anatomic distortion at insertion site Coagulopathy Already existing intravascular devices SITES Internal juglar vein (IJV) Suvclavian vein ( SCV) Femoral vein…