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Improving Urinary Catheterization
Reducing Catheter-Related Infections at Amsterdam Nursing Home in New York
Group Members
Introduction
Urinary catheters are vital tools that collect urinary in a drainage bag from the bladder.
They are important for patients with a compromised urinary function.
Urinary Catheters are a double-edged sword:
On the one hand, they simplify the handling of a basic bodily function.
On the other hand, they subject frail patients to the risk of infection, which may lead to death, falls, or confusion. The infection is referred to as catheter-associated urinary tract infections (CAUTI) (Parker et al., 2017).
Problem Statement
Catheter-related infections at Amsterdam Nursing Home in New York are currently quite high.
This project aims to find solutions to lower the current infection rate to manageable levels.
The high infection rates are posing diverse risks to the patients in post-acute and long-term care.
The current situation is leading to negative patient outcomes. It also results in unnecessary high healthcare costs.
Aims Statement
This project aims to decrease the infection rates from the use of urinary catheters from the current 10% infection rate to a maximum of 2% infection rate by the end to a 3 month timeframe in the elderly population at Amsterdam Nursing Home.
Establishing Measures
The following measures will prove that the object is working:
A drop in the infection rates from 10% to 2%.
A significant drop in the current expenditure used to treat complications due to infections (at least 50%).
An increase in patient satisfaction based on a survey to be filled by clients (at least 75%).
Selecting Changes
Appropriate Urinary Catheter Use.
Catheters should only be used for appropriate indications as outlined by the CDC. Also, the duration of use should be minimized in high risk patients.
Proper Techniques for Insertion and Maintenance.
High hygiene levels should be maintained. This is in reference to hand hygiene, use of sterilized products, and general cleanliness in the nursing room.
Also, catheterization should only be done by authorized personnel.
Regular maintenance of the catheters should be done. Catheters should be replaced as necessary (Gould et al., 2010).
Selecting Changes
Quality Improvement (QI) Programs.
All practitioners should be routinely educated on the proper use of catheters.
Appraisal programs should e conducted regularly to evaluate effective catheter use in the nursing home.
Administrative Infrastructure.
Provision of relevant guidelines.
Education and Training.
Sourcing of Supplies.
Surveillance.
Testing Changes
Use of Interworking Model.
Model comprised of Donabedian’s conceptual framework, Watson’s Theory of Caring, and Lewin’s Theory of Change (D'Antonio, 2018).
This model is crucial in re-educating staff to enact change, emphasize a nurse-driven initiative, and to assess quality
Testing Changes
Plan
The objective of testing changes is to see if the recommendations will help achieve the Aims Statement.
The change will be tested each week for a period of three months by a select group of physicians and nurses.
Data to be collected include infection rates and cost of healthcare related to dealing with effects of CAUTI.
Do
After conducting the test, it is expected that there will be a decrease in the infection rates from the use of urinary catheters from the current 10% infection rate to a maximum of 2% infection rate by the end to a 3 month period.
Testing Changes
Study
Data that was collected include infection rates and cost of healthcare related to dealing with effects of CAUTI.
Results aligned to the predictions.
Act
The results showed a remarkable improvement in reduction of CAUTI by 8%.
Further improvement will entail the creation of a department to oversee the reduction of diverse infection sources in the nursing home inclusive of CAUTI.
Summary
Catheter-related infections at Amsterdam Nursing Home in New York are currently quite high.
This project aims to find solutions to lower the current infection rate to manageable levels.
This project aims to decrease the infection rates from the use of urinary catheters from the current 10% infection rate to a maximum of 2% infection rate by the end to a 3 month timeframe in the elderly population at Amsterdam Nursing Home.
Recommendations include
Appropriate Urinary Catheter Use
Proper Techniques for Insertion and Maintenance.
Quality Improvement (QI) Programs.
Administrative Infrastructure.
Use of Interworking Model.
References
D'Antonio, L. (2018). Quality improvement initiative aimed at reducing catheter-associated infections and Foley days in the surgical setting. Seton Hall University.
Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee. (2010). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control & Hospital Epidemiology, 31(4), 319-326.
Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, 17(1), 1-9.
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