Urethral Catheters Essay -- Health, Diseases, Urinary Tract Infection

Urethral catheters be small tubes inserted through the urethra to drain urine. Thesedevices are often linked with high rates of urinary tract infections (UTI) and are frequently usedin the older tribe. This contributes to lengthier hospital stays confidential information to increased medical examcosts. In 2008, the Centers of Medicare and Medicaid Services (CMS) taked catheterassociatedbacteriuria (CAB) as oneness of the preventable hospital-acquired conditions (HAC) thatwill affect reimbursement if contracted by a persevering in the acute and long-term setting. This paperfocuses on three lift out evidence-based practices and care for strategies to prevent CABs.BackgroundVan Buren is the second largest urban center in the Fort Smith, Arkansas (AR)-Oklahoma (OK)metropolitan statistical area and is the county seat of Crawford County, AR. The city of VanBuren has numerous subsystems dedicated to the well-being of the community, which includesone medical facility, pentad medi cal clinics, three nursing homes, three ambulance services, and theCrawford County Health Department (Yellow Pages, 2010).The medical facility, Summit Medical Center, provides full-service general acute care toapproximately 160,000 residents each year in Crawford, Franklin, and Sebastian Counties in ARand Sequoyah County in OK. The facility has 103 beds, has more than nose candy nurses on staff, andhas over 140 physicians in the medical clinics (Summit Medical Center, 2011).In 2009, the medical facility emergency department (ED) hard-boiled 170 residents fromnursing homes, 70 of which were hospitalized after examination and treatment in the ED, 58were treated as ED outpatient visits, and 42 were direct hospitalization visits (Summit MedicalCenter, 2011). The legal age of... ...See Figure I). The decision tree is used as a contain for clinicians inmaking clinical decisions to either continue or smash indwelling urethral catheters.ConclusionUrethral catheterization in the older population should be considered as a last optionbecause it can bear to catheter-associated bacteriuria, bloodstream infection, sepsis and death. Itshould not be used for staff convenience, or to pluck urinary incontinence manageable by othermeans. CAB is a condition that can be prevented with the application of evidence-based bestpractice strategies. These include criteria for catheter placement and discontinuation, use ofsilver-alloy catheters for short-term catheterization, and limiting bladder irrigation. An algorithmfor urethral catheter insertion, care and removal is used as a tool to avail prevent CABs andachieve better patient outcomes.