Urinary Tract Infection: A Case Study

Running Head: Foley Catheter Urinary Tract Infections 1

Catheter Associated Urinary Tract Infections 3

Urinary Tract Infections Associated To Foley Catheter?s

Christy Armes

American Sentinel University

Abstract

Paris Regional Medical Center is an acute care hospital in Texas with 175 inpatient beds. In 2014 the catheter associated urinary tract infection (CAUTI) rate was 0.21 per 1000 patient days. In 2015 the facility had increase in CAUTI rate to1.75 per 1000 patient days. Hospitalized patients who acquire CAUTI will need an increased length of stay in the hospital. Mortality rate is higher for patients who develop these infections.

Centers for Medicare and Medicaid Services (CMS) require hospitals to report hospital

According to ANA, (2014) there are three areas to improve evidence-based clinical care to reduce the rate of CAUTI. Avoidance of inappropriate short term catheter use will assist to reduce foley insertions and utilization. A selection assessment and evidence based management tools used to help nurses manage patients with urinary retention and incontinence. A nurse driven protocol gives emphasis to timely remove urinary catheters. Urinary catheter care during placement is crucial to ensure aseptic technique is not broken during

These definitions include acute urinary retention or bladder outlet obstruction. At the end of life to allowing comfort for patients receiving hospice or palliative care. Nursing may insert a catheter to monitor critically ill patients and obtain accurate measurements of output. Selected surgical procedures ensuring the bladder is empty during the procedure and intraoperative monitoring of urinary output during surgery. Patients requiring large volumes of fluid and/or diuretics anticipated producing large outputs. Assisting in healing open stage II sacral or perineal wound in the incontinent patient to prevent further skin breakdown. For patients who will require a period of prolonged immobilization, due to broken bones, procedures and other medical complications.

When inserting foley catheters the CDC (2009) strongly recommends performing hand hygiene. Hand hygiene must occur immediately before and after insertion and with any manipulation of the catheter device or site. Facilities should ensure that only properly trained staff who have been trained on the correct technique of aseptic catheter insertion and maintenance is given this responsibility. Competency check offs are a way to ensure proper insertion technique of