A hospital stay is normally associated with only increasing a patient’s overall well-being. However, that is not always the case. While the health-care team is fully taking care of a patient’s needs, human dignity can sometimes be lost. Hospital acquired infections, such as catheter associated urinary tract infections, can also pose a threat to a patient’s well-being. Nurses must be trained to combat both of these problems simultaneously. Intermittent catheterization, allowing the patient to be involved in the insertion and removal of a catheter, and educating patients on the use of indwelling catheters can increase human dignity and decrease catheter associated urinary tract infections. Intermittent catheterization is when a catheter is inserted to drain the bladder and is immediately taken out once the bladder is emptied. The use of intermittent catheterization over indwelling catheterization can increase human dignity, especially in home settings, by allowing patients to have more independence in their self-care (Woodward, Steggal, & Tinhunu, 2013). Indwelling catheters contain drainage systems that can be embarrassing and inconvenient for patient’s. Intermittent catheterization gets rid of the drainage systems, allowing …show more content…
In order to combat this, a nurse must find ways to increase human dignity while also decreasing the likelihood that an infection will be acquired by the patient. The use of an indwelling catheter is a known threat to human dignity and can cause urinary tract infections. The use of intermittent catheterization, allowing the patient to be involved in the decision to insert or remove a catheter, and educating the patient on catheterization can increase human dignity while decreasing cases of catheter associated urinary tract
CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents.
During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). Many patients later developed pain and a urinary tract infection or Community Acquired Infection secondary to frequent cauterization. Therefore, the gap identified was related to a knowledge deficit of the current practice that inserting a
There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
It is also used if a patient will be receiving IV therapy for a long period of time, typically longer than a week. Some teaching points for patients who have a PICC line keeping the PICC line dry. They can shower as long as the site is covered with a water-resistant covering. They will need to check the site daily for signs of infection including redness, swelling or pain. Instruct to never use scissors to remove the dressing.
They had not been checked off on vital signs or any part of physical assessments yet. Therefore, I assisted students and their patients with the proper way to ambulate and get non-independent patients on the commode or to the bathroom. Overall, I felt that my biggest
According to Stanton, low-staffed hospitals resulted in higher incidences of poor patient outcomes. Such as, UTIs, pneumonia, and fall. However, poor patient outcomes not only result from short-staffed nurses, but can also result from inadequate nursing assistants as well. NAs play a great role in providing basic daily care of patients. These professionals are very crucial in the healthcare industry but sadly, there are NA shortages.
Identify current patient safety goals for one health care setting NPSG.07.06.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. Managing indwelling urinary catheters according to established guidelines is crucial for patient safety. It is important that health care providers are securing catheters for unobstructed urine flow and drainage, maintaining a sterile system for urine collection, and replacing the system when required. These things, along with collecting urine samples, are all examples of how to implement the evidence-based guidelines to ensure safety and quality health care to patients (The Joint Commission, 2015).
Getting Started With Self-Catheterization If you have a medical condition or injury that damaged the nerves to your bladder, you may need to use a catheter so you can pass urine properly. Your doctor might insert a permanent catheter for you to wear, but it's also possible you'll have to insert a catheter yourself a few times a day to drain your bladder. Although the thought of inserting a catheter yourself at home may sound daunting, it's actually an easy process once you've had some practice. Here is a quick look at buying and using catheters at home.
In 2009 the NHS constitution was published by the Department of health to help set key principles for all NHS bodies. The Department of health has last renewed the NHS constitution in 2013.The Department of health sets out that it will renew the constitution every 10 years (NHS constitution, 2015). The NHS constitution is there to provide a professional standard of care in a safe, high-quality environment. These values are in place to be a common reference for all NHS staff; patients and public so that they are striving towards the same principles and values.
It was a satisfying moment as a nursing student to not be afraid and know how to provide safe and preventative care to reduce the risks for falls, such as having my clinical instructor, a colleague and myself to help a client that has fragile bones and was confused because of their medical diagnosis. As well, we can provide proper prevention and infection control by applying correct hygiene care after assisting a client with an infection such as clostridium difficile. What did not go well after this experience is I found out that this client had clostridium difficile and at first, I was scared that now I am at risk and will acquire this infection. Instead, I looked at it as I am overcoming my fear of the different infections and diseases I will be exposed to as a nurse and that is why learning how to perform proper hygiene is very important. This bad thought turned into a learning curve and that nothing will make me not provide safe and effective care to any client.
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
Discuss the population at increased risk for CAUTI and identify evidence-based practice in maintaining a Foley. 4. Identify the appropriate anatomical location for catheter insertion and demonstrate suitable inches for catheter insertion for male versus female. 5. Demonstrate the correct technique in cleaning a catheter using water and soap. 6.
The paper is purposely meant to critically criticize a nursing article entitled Promoting Urinary Incontinence in Women after Delivery authored by Linda Brubaker and was published on 25th May 2002 in the British Medical Journal. The article was picked since urinary incontinence is a challenge that most patients fall short of deliberate with the medical practitioners and clinicians thus rendering it a huge complication that is not often reported and treated (Chiarelli & Cockburn, 2002). Urinary incontinence is among the monotonous perennial nursing conditions that are visible in basic care practice. The condition is often popular compared to diabetes and other diseases that are considerably attended to.
The circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.
As a nursing student, I need to ensure I am performing my tasks, including perineal care, to the highest standard, and addressing areas of concern that I observe during my shifts. As mentioned by Marshall & Bailey (2008), incontinence can greatly impact the quality of life of a patient, as well as increases their risk of potential perineal skin breakdown. Improper perineal care following incontinence can lead to painful skin irritation, UTIs, and pressure sores. Frequent monitoring, and management of incontinence are the first steps in appropriate management. Seeing as I was diligent in observing and reporting the incident of improper perineal care, I was able to follow these crucial first steps in preventing a potential UTI in this geriatric patient.