In my facility, the safety of our patients is our top priority. We use a set of interventions using clinical indications to ensure the safety of patients with indwelling catheters. These indications are strict intake and output (I&O), patients monitored for acute renal insufficiency or failure, sedated patients with critical illness, and neurological patients monitored for syndrome of inappropriate antidiuretic hormone (SIADH) or diabetes insipidus. Patients suffering from acute urinary retention, or bladder outlet obstruction with the inability to void, as well as select surgical patients, are also indicated.
I write on behalf of my patient, Phil Robins, who is a sixty-five-year-old male facing acute urinary retention. Phil Robins shows several medical symptoms, including an inability to urinate, severe pain and discomfort in the lower abdomen, and bloating of the lower abdomen. My patient has been previously diagnosed with benign prostatic hyperplasia which has been obstructing his urinary tract. Because of this, he frequently has to use a catheter to empty his bladder. My main concern for Mr. Robins is the prevention of infections commonly associated with catheter use.
Therefore, the expected practice using the American Association of Critical-Care Nurses (AACN) Levels of Evidence is to assess the patient’s need for an indwelling catheter and other options prior to placement. When absolutely necessary, adherence to aseptic technique is essential for placement,
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
It gives an access to a much larger vein than a regular IV catheter do, it also remains in place for long periods of time (weeks to months) than regular IV catheters, that’s why the central line is much more likely to cause serious infection especially in patients admitted to intensive care
On assessment of his abdomen I noticed his lower pubic area was bulging outward, which looked very abnormal. I started to insert the Indwelling catheter and noticed that when it was fully inserted there was no urine return, but I was
I am comparing and contrasting a peripherally inserted central catheter (PICC) line, tunneled catheter and an implanted port. A PICC line is inserted into a vein in the arm rather than into the neck or chest. It is usually inserted inside of the upper arm then threaded into the larger vein in your chest. A PICC allows medications to be given that would otherwise cause damage if given in the smaller veins.
Patients that are admitted to the hospital frequently require intravenous (IV) fluids. Many hospital policies require IV sites to be changed every 72-96 hours to reduce the risk of complications caused by the IV catheter. There is increasing evidence supporting that routine IV site replacement is ineffective (Rickard, McCann, Munnings, & McGrail, 2010, p. 2). Working in the labor and delivery department, we rarely have patients that require an IV site for more than 24-48 hours.
For the first time I saw a rectaltube, is something very similar to the Foley Catheter. I felt a little bad when I could not hear the heart and lungs sounds of this patient while we were making him a head
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). This volume gave rise to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
Hospital National Patient Safety Goals include: a) identify patients correctly, b) improve staff communication, c) use medicines safely, d) use alarms safely, e) prevent infection, d) identify patient safety risks, and, e) prevent mistakes in surgery (National Patient Safety Goals, 2016). Preventing and reducing the risk of healthcare-associated infection is one of the major concern in an in-patient setting. Patients
Heads the Surgical team in ensuring the safe movement of sterile supplies; monitoring of appropriate temp and humidity in the OR Core; and facilitating a smooth transition to operational process. Facilitates the movement of sterile supplies from the OR suites and IR/Cath Lab to the OR Core. Monitored the execution of process efficiently minimizing the risk of compromised supplies and eventually wastes. Ms Fernandez directs nursing, cath lab team, logistics and EMS in addressing concerns and employing appropriate communications and actions. This resulted in the absence of compromised supplies, surgical and procedural cases were conducted as scheduled after the project.
During treatment, there are numerous people with various types of health-care providers including doctors, nurses, pharmacists, social workers and several more involved in handling the patient,(Who.int,2015).Therefore, there is an increased difficulty in ensuring safe care, unless there is an effective system designed to facilitate any general probable issues.(Who.int,2015). Thus, harmful effects can arise from problems within the practice, with the products, the procedures or the systems. Patient safety therefore demands an intricate system wide effort which involves a wide range of actions surrounding performance improvement, environmental safety and proper risk management which focuses on infection control, the safe use and handling of medicines, equipment safety and creating a safe clinical environment to care for the