implementation of the catheter associated urinary tract infection

Proposed Solution

The implementation of the catheter associated urinary tract infection (CAUTI) prevention bundle is the proposed solution. The problem states that the population is adult patients with an indwelling catheter. A near sterile system with a catheter and a ball retention device implanted either through the urethra for bladder draining is an occupied urinary catheter(Davies, et al., 2018). The urine storage catheter is associated with external collecting instruments (e.g., drainage pipe and bag). Urinary catheters for indwelling are only recommended for short-term use, defined less than 30 days. Throughout two specific bladder dysfunctions, Urinary Incontinence (UI), and urinary retention, the bladder emptying by the catheter(Dehghanrad, et al., 2019).

The definition of a CAUTI Prevention Package strategy is a collection of straight forward, evidence-based interventions that have an interconnected and preferably synergistic impact. Avoid unnecessary urinary catheters, attach urinary catheters using aseptic procedures, manage urinary catheters dependent on instructions, assess urinary catheters on a daily basis, and eliminate as quickly as possible. The package method includes the following(Davies, et al., 2018).

In particular, CAUTI prevention is primarily targeted at the use of urinary catheters with a particular focus on continuous catheter evaluation and elimination, especially for those patients for whom no clear indication is appropriate. The bladder kit, therefore, focuses primarily on the “method” of urinary catheter reduction(Sorour, et al., 2016). In CAUTI prevention, Bladder Bundle is the first defense line. This helps healthcare clinicians to have an effect on results by assessing the bladder role and then using the right alternatives. The bulk of patient care starts and ends with the bladder kit. The opportunity for contamination is one of the significant risks involved with urinary catheters. Reasonable care will mitigate this risk(Monina Hernandez, PGDipHSc, Stewart, & PGDipHSc, 2019).

Organization Culture

The bladder bundle approach also reflects the culture and resources of the community. In the corporation, it could quickly be enforced. For a number of essential factors, CAUTI avoidance has been difficult. Careful use of urinary catheter and CAUTI rates monitoring will help to maintain urinary catheter interventions. Most specifically, changing procedures of placing and removal of urinary catheters will also include steps to improve nurses, doctors, and patients ‘ needs for urinary catheters(Elkbuli, et al., 2018).To help organize and prioritize the many options for CAUTI prevention, the conceptual model of the “Urinary Catheter Lifecycle” highlights the fact that the best-performance interventions to prevent CAUTI will be directed at least one of the four “stages” of catheter “life.” Urinary catheter bags need to be emptied to a clean container daily at regular intervals to prevent pull on the catheter.It must be occur every 3to 4 hours or whenever the bag is about half to three-quarters full. Hand hygine is the effective method to prevent all the infections(Monina Hernandez, PGDipHSc, Stewart, & PGDipHSc, 2019).

Expected Outcomes

The expected result of the PICOT is that the CAUTI levels would be rising.  The solution of the bladder kit lowers the CAUTI output efficiently. Nevertheless, the correct urinary catheter placement procedure is also essential. Ensure that catheters are inserted using the right technique only by trained individuals. Using the aseptic technique and sterile tools, insert the catheter, and protect it correctly after injection to avoid friction and urethral movement. Velcro moves and also slipping in and out can lead to irritation as well as micro-organism transmission to urinary meatus(Elkbuli, et al., 2018). It is crucial to take the protection. There are various types of protections available for the skin care of the patient. It is also critical to resist the products which can hurt the skin of the patient (Elkbuli, et al., 2018).

Hand hygiene is the most important method to prevent transmission of infection. The maintenance of a correct protocol of hand hygiene is the only significant means to avoid infectious agents’ transmission. Make the use of antimicrobial / antiseptic impregnated catheters if the CAUTI threshold for your company is not lowered with the aid of a specific strategy (Davies, et al., 2018).

Method to Achieve Outcomes

The first phase in the development is participating and preparation. Involving and educating the bladder package program, encourageparticipating in presentations, through material conference calls. In turn, each location will be provided a packaging toolkit outlining prevention strategies, interventions, and helpful guides through face-to-face sessions(Davies, et al., 2018).

In order to lead the effort and to assemble a bladder package squad that usually often involves a surgeon, the facility will recognize and welcome at least one nurse champion (for example, case manager, child supervisor, professional nurse expert). Members are invited to participate in regular face-to-face workshops by the bladder bundle team. The conference calls include all material calls of experts concerned with a specific subject matter as well as coaching calls. These calls are recorded so that participants who do not participate can listen to the debate at any time(Dehghanrad, et al., 2019).