The insertion of urinary catheters is common practice in healthcare settings to keep the bladder empty. Through this practice, many patients will develop catheter associated infections.
B. The presence of a urinary catheter bypasses many of the body’s natural defenses and provides a direct route for entry of bacteria into the sterile bladder.
C. Indwelling catheters is an invasive intervention with potentially serious outcomes in hospitalized patients.
II. In acute care settings urinary tract infections account for at least 35% of all hospital acquired infections.
A. Use of indwelling catheters after considering alternative methods of management
1. Frequently review the patient’s clinical need for catheterization, remove catheter as soon as possible.
2. Ensure that direct care staff are trained and competent to carry out and maintain urethral catherization.
III. Competency outcomes and performance assessment
A. Specifies a set of core competency outcomes and performance assessment systems
B. Competencies that focus on learning
IV. Overcoming resistance
A. Staff may be resistant to change due to fear of the unknown.
1. It is important to involve staff in the decision making process in order to increase acceptance
2. Staff must be encouraged to provide care that is backed by research and found to be the best practice.
V. Conclusion
A. Indwelling catheters is an invasive intervention with potentially serious outcomes in hospitalized patients.
B. Competencies must be obtained to provide care that is safe and of quality.
References
Bernard, M., Hunter, K., & Moore, K. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter associated urinary tract infections. Urological Nursing, 32(1), 29-37
Lenburg, C. (1999). The Framework, Concepts and Methods of the Competency Outcomes and Performance Assessment (COPA) Model. The online journal of issues in nursing, 4(2). Retrieved from
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