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…
catheterizations or chronic urinary tract catheters (2). The rate of UTI in SCI patient is 2.5 episodes in patient per year. UTI is second leading cause of mortality in SCI patients (3). Patients with SCI who have urinary catheters have an increased risk of UTI. Urinary tract infection…
insertion of the catheter, the greater the chance for UTI. If the catheter stays in for more than 3 weeks the risk of bacteria in the urine increases to 100%, and 3% of these infections will progress to bacteremia (Dumont & Wakeman, 2010). There are many precautions that can be employed reduce the risk of UTIs. The CDC and Association of Practitioners in Infection Control (APIC) have promoted many evidence-based guidelines and precautions that may reduce CAUTIs cases. Too often catheters are…
ablate renal nerves in order to reduce RSNA1*. The catheter is taken to the kidney via the femoral artery. There have been many different techniques and methods of ablating renal sympathetic nerves, with the simplicity trial proving to be the most effective and efficient4. During the symplicity HTN-1 trails, 153 patients over 19 different site around the world received renal sympathetic using the symplicity catheter2. The symplicity catheter is rotated around the renal artery, 4-6 ablations…
incidences of an indwelling catheter insertion. Other options such as the use of condom catheters or even the use of in-and-out catheterization should be considered first. Studies have also shown that a simple measure such as daily reminders to doctors and physicians from nurses to remove the urinary catheters that are no longer useful can reduce the infection rate. A research carried out by Huang and colleagues showed that reminders from nurses to physicians to remove catheters after five days…
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. However, when a patient’s…
delivery may have limited lesion depth using early 4-mm-tip catheters, the development of irrigated tip catheters has improved our ability to make large enough lesions to achieve transmurality in the atrium. Yet, PV reconnection continued to occur. I recall as a fellow being told by an attending to “ride the wave,” as I tried to balance the catheter on the left atrial appendage ridge while the patient…
The use of a urinary catheter is an instrument that is widely used in the health care field. It is believed that “the first urinary catheter was used in ancient Egypt to treat urinary retention” (Fenely, Hopely & Wells, 2015). Throughout the years the use of the urinary catheter has broaden while the device has actually improved. Patients that are admitted to an intensive care unit are frequently catheterized in order to monitor their condition and facilitate early intervention. Notwithstanding…
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,…
unsuccessful in catheter insertion. In addition, the Catheter, associated infection (CAUTI) remains up on some units. A committee was created which included nursing, nursing administration, education, infection control, urology, infectious diseases and performance improvement to look at both issues to find solutions. Part of the plan is for urology to provide education on in techniques of Foley catheter insertion. Infectious disease physicians and education department to educate on catheter…