Urinary Catheterization in Nursing Research
RN to BSN
Feb 25th, 2016
Western Governors University
The current procedure that is being performed in my facility for the insertion of a urine catheter with one licensed professional is as follows: Introducing yourself to the patient, wash your hands, identify the patient by date of birth and first and last name, and informing them of the procedure that is about to take place. The patient lays down in a supine position and legs are spread apart. After opening the kit the sterile gloves are placed on. One hand is placed on the genital area which no is longer sterile, the other hand is used to clean the area with the ...view middle of the document...
The current policy is not working anymore and the numbers of the infection rate shows that. In the medical field it is a constant changing field and it’s always for the better. The healthcare facilities have to see what can be improved on and how to protect the patients from infectious situations. Based on the article by Nazarko, “Urinary catheterisation is an aseptic procedure and should be performed by staff who are trained and competent to carry out this procedure.” (Nazarko, 2012) although the licensed professionals are trained there is no current competency that are in place within the facility. The aseptic rate of 59% shows that although these registered nurses are trained, their education level is not appropriate to practice.
The urinary catheterization procedure was placed by the infection control administration. They stay up to date on infection rates in regards to the catheterizations that are being placed continuously. The current use of urinary catheterization for different medical issues are as follows: urinary retention, bladder obstruction, prolonged duration of surgery, prolonged immobilization, and end of life care. Infection control administration follows the current guidelines that the CDC and JCAHO recommends in order to maintain patient safety and appropriate care. By following the CDC and JCAHO recommendations, the infection rate according to the facility should be maintained at a low level.
The current process of inserting a urinary catheter is done by one licensed professional at my facility. I have been working in my current facility for over 5 years and started to become involved with different types of committees. One of the committees that caught my eye was the infection control committee. The facility had started to notice that the infection rates of urinary catheters have increased within the past few years. My suggested practice change would be to add an additional licensed professional when inserting the indwelling catheter in order to decrease the level of infection rates by maintaining aseptic technique. According to Davey articles, “Urinary catheters account for more healthcare-associated infections than any other device (Kleinpell et al, 2008), therefore managing them effectively is key” (Davey, 2015). By adding an additional licensed professional, I believe it can improve on the infection rates of urinary tract infections. Aside from adding an additional licensed professional an annual competency exam should be given out to all licensed professionals in order to keep everyone updated on current events. Education is key when treating patients and their safety.
Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease
the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of
Catheter- Associated Urinary Tract Infections.Urologic Nursing, 32(1), 29-37 9p.
Chasing Zero: A Nurse-Driven Process For Catheter-Associated Urinary Tract...