Proper Indwelling and External Catheter use to Reduce CAUTI's

Taylor Stephens

Abstract/Description

Proper Indwelling and External Catheter use to Reduce CAUTI’s

Evidence based practice and research shows that the risk for CAUTI’s increases each day of catheterization. Research also showed that the rate of inappropriate catheterizations was very high. The conclusion made from the research recommended that catheters be removed as soon as possible in order to decrease the risk of CAUTI’s. Interventions to decrease CAUTI and inappropriate catheterization rates includes requiring a new doctors order for the continuation of an indwelling catheter every day and requiring more frequent assessment of the need for a PureWick. This method forces both the doctor and the nurse to assess the patient for the need to continue IDC and it requires nurses to assess patients for the actual need to continue the PureWick. By implementing these interventions into practice, the rates of CAUTI’s, skin breakdown and inappropriate catheterizations should decrease. Catheter associated UTI’s are a huge issue in hospitals today, and they account for a large portion of nosocomial infections. These CAUTI’s have a variety of causes and have the ability to affect anyone regardless of age, gender and ethnicity. Two things that all of these studies have in common is that longer durations of catheterization lead to increased risks of CAUTI’s and older adults are the most common populations for inappropriate catheterization. The aim of this study is to show interventions that could reduce CAUTI’s in the future.

Key Words: CAUTI, daily orders, catheterization

 

Proper Indwelling and External Catheter use to Reduce CAUTI's

Proper Indwelling and External Catheter use to Reduce CAUTI’s

Evidence based practice and research shows that the risk for CAUTI’s increases each day of catheterization. Research also showed that the rate of inappropriate catheterizations was very high. The conclusion made from the research recommended that catheters be removed as soon as possible in order to decrease the risk of CAUTI’s. Interventions to decrease CAUTI and inappropriate catheterization rates includes requiring a new doctors order for the continuation of an indwelling catheter every day and requiring more frequent assessment of the need for a PureWick. This method forces both the doctor and the nurse to assess the patient for the need to continue IDC and it requires nurses to assess patients for the actual need to continue the PureWick. By implementing these interventions into practice, the rates of CAUTI’s, skin breakdown and inappropriate catheterizations should decrease. Catheter associated UTI’s are a huge issue in hospitals today, and they account for a large portion of nosocomial infections. These CAUTI’s have a variety of causes and have the ability to affect anyone regardless of age, gender and ethnicity. Two things that all of these studies have in common is that longer durations of catheterization lead to increased risks of CAUTI’s and older adults are the most common populations for inappropriate catheterization. The aim of this study is to show interventions that could reduce CAUTI’s in the future.

Key Words: CAUTI, daily orders, catheterization