NR 452 Capstone - Chamberlain College of Nursing_Prevention of CAUTI in the ICU utilizing a multidisciplinary checklist

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NR 452 Capstone - Chamberlain College of Nursing_Prevention of CAUTI in the ICU utilizing a multidisciplinary checklist RUA: Prevention of CAUTI in the ICU utilizing a multidisciplinary checklist Pea... ches Duon NR 452: Capstone Course Chamberlain University Prevention of CAUTI infection in the ICU utilizing a multidisciplinary checklist 2 Introduction The most serious complications in United States hospitals are health care-associated (HAIs). Data from the Agency for Healthcare Research and Quality in 2012, show that healthcare-associated infections affect an alarming 2 million U.S. hospitalized patients, which resulted in 99,000 deaths. Catheter-associated urinary tract infection (CAUTI) is one of the most common infections that is acquired in the adult intensive care settings. The purpose of this paper is to implement a multidisciplinary checklist in the adult intensive care unit at University Medical Center of Southern Nevada to determine whether or not this intervention will have a positive impact on preventing infections acquired by an indwelling catheter. The nurses, physicians, respiratory therapists, pharmacy, nutrition, and other associates of the health care team will take part in completing the checklist as well as completing their other daily tasks. With the amount of catheter associated urinary tract infections rising, the checklist being implemented relates to health promotion and maintenance category of the NCLEX-RN exam blue print of 2013 because the checklist allows for the nurse to prevent the occurrence of the urinary tract infection from increasing by providing direct nursing care to the client to help them achieve optimal health. Importance The prevalence of CAUTI in the hospital ranges from 30%-40% and is one of the most common healthcare-associated infections in the intensive care setting (Marra, 2011). Each patient who contracts CAUTI has an additional estimated cost of care of $1,000 (Fuchs, 2011). Annually the medical costs that are estimated due to CAUTI is about $4.5 billion and have risen to around $6.65 billion based on consumer price index (Fuchs, 2011). With CAUTIs having an incidence 2 million cases per year, the Centers for Medicare and Medicaid Services have identified CAUTI Prevention of CAUTI infection in the ICU utilizing a multidisciplinary checklist 3 as a “never event,” which they are limiting reimbursement to acute care hospitals (Vacca and Angelos, 2013). As a consequence of the use of indwelling catheters in patient’s there is a high risk of these patient’s, contracting a urinary tract infection. The urinary catheter enables microorganisms to gain direct entry into the bladder as well as into the catheter surface if the proper sterile technique was not used during the time of insertion. Another way for micro-organisms to gain entry is the urinary catheter drainage system through any of the connection points if and when they are disconnected (Fryklund, Haeggman, Burman, 1997). The organism that most often is the cause of a urinary tract infection is Escherichia coli. It is important to address CAUTI in a patient because leaving this issue unresolved may lead to secondary infections as well as urosepsis which increases the risk of the patient developing septic shock, morbidity, and mortality (Leone et al., 2003). [Show More]

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