Developing An Implementation Plan For Catheter Associated Urinary Tract Infections
My topic is Catheter Associated Urinary Tract infections in regards to this paper i will also be attaching the 15 sources i want used for this assignment below.
Consider the population in which the solution is intended, the staff that will participate, and the key contributors that must provide approval and/or support for your project to be implemented. These stakeholders are considered your audience.
Develop an implementation plan (1,500-2,000 words) using the "Topic 3: Checklist" resource. The elements that should be included in your plan are listed below:
Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff.
Description of current problem, issue, or deficit requiring a change. Hint: If you are proposing a change in current policy, process, or procedure(s) when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
Rationale for selecting proposed solution.
Evidence from your Review of Literature in Topic 2 to support your proposed solution and reason for change.
Description of implementation logistics (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
Resources required for implementation: staff; educational materials (pamphlets, handouts, posters, and PowerPoint presentations); assessment tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); technology (technology or software needs); funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation), and staff to initiate, oversee, and evaluate change.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
5 NRS 441v.11R.Module 3_Checklist.doc
Sources:
Article #1
Gentry, H. & Cope, S. (2005). Using silver to reduce catheter-associated urinary tract infections. Nursing Standard, 19(50), 51-54.
Article #2
Gould, C.V., Umscheld, C.A., Agarwal, R.K., Kuntz, G. & Pegues, D.A. (2009). Guideline for prevention of catheter-associated urinary tract infections 2009. Atlanta, Georgia: Centers for Disease Control and Prevention (CDC).
Article #3
Madeo, M. & Roadhouse, A.J. (2009). Reducing the risks associated with urinary catheters. Nursing Standard, 23(29), 47-55.
Article #4
Pratt, R. & Pellowe, C. (2010). Good practice in management of patients with urethral catheters. Nursing Older People, 22(11), 25-29.
Article #5
Kassler, J. & Barnett, J. (2008). A Rehabilitation Hospital's Experience with Ionic Silver Foley Catheters. Urologoc Nursing, 28(2), 97-100.
Article #6
Dailly, S. (2011). Prevention of Indwelling Catheter-Associated Urinary Tract Infection. Nursing Older People, 23(2), 14-19.
Article #7
Seymour, C. (2006). Audit of catheter-associated UTI using silver alloy-coated Foley catheters. British Journal of Nursing, 15(11), 598-603.
Article #8
Jenkinson, H. (2006). Is infection in the community a real threat? The example of CAUTI. British Journal of Community Nursing, 11(2), 50-54.
Article #9
Foxley, S. (2011). Indwelling urinary catheters: accurate monitoring of urine output. British Journal of Nursing, 20(9), 564-569.
Article #10
Blodgett, T. (2009). Reminder Systems to Reduce the Duration of Indwelling Urinary Catheters: A Narrative Review. Urologic Nursing, 29(5), 369-378.
Article #11
Makic, M., VonRueden, K., Rauen, C. & Chadwick, J. (2011). Evidence-Based Practice Habits: Putting More Sacred Cows Out to Pasture. Critical Care Nurse, 31
Article #12
Slater, R. (2011). Preventing infection with long-term indwelling urinary catheters. British Journal of Community Nursing, 16(4), 168-172.
Article #13
Scott, B.M. (2010). Clinical and cost effectiveness of urethral catheterisation: a review. 20(7), 235-240. Journal of Perioperative Practice, 20(7), 235-240.
Article #14
Trautner, B. (2010). Management of Catheter-Associated Urinary Tract Infection (CAUTI). Current Opinion in Infectious Disease, 23(1), 76-82. Retrieved from file:///C:/Documents%20and%20Settings/Administrator/Desktop/cauti_18.htm
Article #15
Bhatia, N., Daga, M., Garg, S. & Prakash, S.K. (2010). Urinary Catheterization in Medical Wards. Journla of Global Infectious Disease, 2(2), 83-90. Retrieved from file:///C:/Documents%20and%20Settings/Administrator/Desktop/cauti_17.htm
Developing an Implementation Plan for Catheter Associated Urinary Tract Infections
Names
Institution Affiliation
The urinary system infections are common problems reported in the medical health facilities. About 40% of cases of the health care facility acquired illnesses resulted from unsterile fixation of the urinary catheters. Besides, 80% of the cases emanate from prolonged use of catheters by the hospitalized patients. An average of 20% of the admitted sick people receives catheters while in the health care centers. This increases the chances of getting urinary tract diseases, especially when using indwelling tubes. It is therefore crucial to follow the correct indications for catheter use, and ensure sterile care of indwelling lines to avoid these complications (Madeo & Roadhouse, 2009).
Approaches of Obtaining the Appropriate Approval
The institution appraisal panel assesses the research project to ensure it meets the ethical requirements. This is because the participants involved in the study are patients admitted in the hospital, and the health care staffs. The right to privacy and confidentiality need to be guaranteed when conducting the research. It is therefore important to present a comprehensive proposal of the plan to the board to ensure legitimate implementation of the project (Gould et al, 2009).
Also, the implementation process requires enormous monetary support, thus the need for institutional assistance. The health care providers such as the nurses and doctors are critical in the implementation stage of the project. Their cooperation and support are hence highly appreciated since they are key stakeholders in the health care organizations. They are required to fully comprehend the effect of the project on the people, its responsibility and significance in preventing catheter-related urinary system infections (Gentry & Cope, 2005).
Explanation of the Present Problem, Subject or Discrepancy Requiring Improvement
The use of poor quality catheters in the hospitals has increased cases of urinary tract infections. Some hospitals use urinary catheters which have been proved to increase cases of Escherichia coli and Proteus bacterial infections. These substandard devices lack silver coating which reduces the risk of catheter-related urinary tract sepsis (Seymour, 2006).
Also, some health care providers do not strictly adhere to the nursing council recommendations on the indications for fixing indwelling urinary tubes. They are unaware of the appropriate cases to fix the devices. In addition, they are not familiar with the risk factors for urinary system illnesses related to use of catheters. Besides, they are not aware of the category of patients at great risk of death associated with catheter related urinary system illnesses (Bhatia et al, 2010).
Moreover, poor maintenance of indwelling catheters contributes the major cause of urinary tract infections. Failure to follow aseptic techniques in the insertion process increases the risk of infection. Also, most of the obstructed urinary catheters are not removed. The glycocalyx blocks the lumen of the tube, causing ascending urinary tract infection to the patients. The catheters are also inserted by inexperienced staff that have a knowledge deficit on the insertion, maintenance and removal procedures of the urinary tubes (Trautner, 2010).
Explanation of the Proposed Solution
The use of silver-compound urinary lines in the hospitals is aimed at preventing urinary system infections. The coating materials in catheters prevent formation of a glycocalyx layer on the devices which causes the illnesses. The health care providers will be encouraged to use this type of indwelling catheters to reduce the increased cases of urinary system infections resulting from poor quality latex tubes without silver coating materials (Foxley, 2011).
Proper health care staff education in a key intervention in minimizing mortality rates related to poor maintenance of indwelling urinary lines. Only competent nurses should catheterize patients to minimize the incidences of the illnesses. In addition, the patients need to be trained on good catheter care practices, since most of the patients contribute to urinary catheter contamination. They frequently touch the catheter with Escherichia coli soiled hands, thus becoming infected (Jenkinson, 2006).
The hospital policies on indications for catheterization, insertion, care and removal of the urinary catheters prevent frequent urinary tract illnesses. The presence of a registered nurse assistant to assist a primary nurse is necessary to validate the whole process of catheterization. This avoids many human omission errors related to nurses forgetting to follow the standard guidelines on nursing procedures (Pratt & Pellowe, 2010).
Rationale for Selecting the Planned Resolution
It is important for health care facilities to use urinary catheters coated with silver compounds to prevent accumulation of microorganisms on the tubes which cause infection. Most of hospitals prefer using cheap latex urinary tubes, thus disregarding the patients’ safety in the procuring process. Consequently, the patients suffer from catheter related urinary illnesses, hence increasing the hospital bills. It is therefore necessary to use this new type of catheters to eradicate the menace, and to ensure cost effectiveness in caring sick people (Slater, 2011).
Training of health care staff on sterile procedures required in catheterizing a patient is paramount in eradicating preventable urinary tract infections. Theoretical knowledge differs from practical knowledge, thus all nurses should be trained on the practical part. The sterile procedures are not strictly followed in hospitals, and the majority of the nurses are not aware of the current reviewed nursing council procedure manual. It is therefore necessary to update them to bridge the knowledge gaps which exist in the health care field (Daily, 2011).
The implementation of catheterization policies in the medical surgical wards significantly reduces the incidences of urinary tract infection. Policies such as the use of chlorhexidine gluconate when inserting and removing urinary lines, reduce urinary tract infection. Removing of catheters in advance when a patient stabilizes prevents infections related to prolonged catheterization. In addition, a registered nurse assistant assists the primary health care provider in ensuring aseptic techniques are observed when inserting catheters. They also remind the primary ...