In the article “A controlled trial of smart infusion pumps to improve medication safety in critically ill patients” the authors, Rothschild et al., identified the need to improve medication administrations through the use of intravenous pumps (2005). The goal of the research study was to assess medication errors, the causes for the errors, how smart pumps impacted (both negatively and positively) medication errors, and how patient safety can be improved. They recognized that little research…
Bloodstream infections are a common outcome for individuals who have a central line catheter. A catheter-associated bloodstream infection is very serious, but most of the time is can be treated successfully with antibiotics. It is known that bloodstream infections cost healthcare systems millions of dollars and results in thousands of patient deaths each year, yet most of these infections are preventable. The Institute of Medicine (IOM) published a report in 2000 and noted that a central…
that is considered the most effective and efficient. The patient has a central line as an access. The clinic as it stands is not meeting the Centers for Medicare and Medicaid Services or CMS guideline (Compton, 2005) to replace her central venous catheter (CVC) or central line access within a ninety day period. If not contraindicated, a permanent access…
Introduction Intravenous infusion therapy is an infusion of fluids directly into the patient’s bloodstream via a vein using an intravenous catheter. It is frequently used in hospital settings for patients that require a rapid onset of medication and for those who are unable to receive medications orally. According to Adams and Urban (2012), intravenous (IV) infusion is considered to be the most dangerous route of receiving medications because medication cannot be retrieved once it enters the…
Peripherally Inserted Central Catheter Dressing Changes The focus of this paper is to provide the importance of evidenced based practice (EBP) in the nursing field and to compare the policy of Kaiser Permanente San Jose Medical Center’s topic of peripherally inserted central catheter (PICC) dressing changes to multiple evidenced based practices. Within the past decades, changing a PICC line dressing has changed over time. Different antiseptic agents and techniques of cleaning the site are…
I chose the topic MRIs. I will discuss the following topics, what an MRI is, what is an MRI used for, and How should you prepare for an MRI and the risks and benefits. Magnetic resonance imaging (MRI) is an examination that uses a magnetic field and three dimensional detailed anatomical images to take pictures of the inside of the body. In many cases, MRI gives different information about structures in the body that can be seen with an ultrasound, X-ray, or even a computed tomography scan or as…
patient’s Foley catheter was taped on his or her lower abdomen, and drainage bag was lying of the floor. This could cause urine to back up into the bladder and cause infection. The urine measuring container was on the floor, and as such increase the spread of…
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…
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…
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…