The implementation of the catheter
associated urinary tract infection (CAUTI) prevention bundle is the proposed
solution. The problem states that the population is adult patients with an
indwelling catheter. A near sterile system with a catheter and a ball retention
device implanted either through the urethra for bladder draining is an occupied
urinary catheter(Davies, et al., 2018).
The urine storage catheter is associated with external collecting instruments
(e.g., drainage pipe and bag). Urinary catheters for indwelling are only
recommended for short-term use, defined less than 30 days. Throughout two
specific bladder dysfunctions, Urinary Incontinence (UI), and urinary
retention, the bladder emptying by the catheter(Dehghanrad,
et al., 2019).
The definition of a CAUTI
Prevention Package strategy is a collection of straight forward, evidence-based
interventions that have an interconnected and preferably synergistic impact.
Avoid unnecessary urinary catheters, attach urinary catheters using aseptic
procedures, manage urinary catheters dependent on instructions, assess urinary
catheters on a daily basis, and eliminate as quickly as possible. The package
method includes the following(Davies, et al.,
In particular, CAUTI prevention
is primarily targeted at the use of urinary catheters with a particular focus
on continuous catheter evaluation and elimination, especially for those
patients for whom no clear indication is appropriate. The bladder kit,
therefore, focuses primarily on the "method" of urinary catheter
reduction(Sorour, et al., 2016). In CAUTI
prevention, Bladder Bundle is the first defense line. This helps healthcare
clinicians to have an effect on results by assessing the bladder role and then
using the right alternatives. The bulk of patient care starts and ends with the
bladder kit. The opportunity for contamination is one of the significant risks
involved with urinary catheters. Reasonable care will mitigate this risk(Monina Hernandez, PGDipHSc, Stewart, & PGDipHSc,
The bladder bundle approach also
reflects the culture and resources of the community. In the corporation, it could quickly be enforced.
For a number of essential factors, CAUTI avoidance has been difficult. Careful
use of urinary catheter and CAUTI rates monitoring will help to maintain
urinary catheter interventions. Most specifically, changing procedures of
placing and removal of urinary catheters will also include steps to improve
nurses, doctors, and patients ' needs for urinary catheters(Elkbuli, et al., 2018).To help organize and
prioritize the many options for CAUTI prevention, the conceptual model of the
"Urinary Catheter Lifecycle" highlights the fact that the
best-performance interventions to prevent CAUTI will be directed at least one
of the four "stages" of catheter "life." Urinary catheter
bags need to be emptied to a clean container daily at regular intervals to
prevent pull on the catheter.It must be occur every 3to 4
hours or whenever the bag is about half to three-quarters full. Hand hygine is the effective method to prevent all
the infections(Monina Hernandez, PGDipHSc, Stewart, & PGDipHSc, 2019).
The expected result of the PICOT
is that the CAUTI levels would be rising.
The solution of the bladder kit lowers the CAUTI output efficiently.
Nevertheless, the correct urinary catheter placement procedure is also
essential. Ensure that catheters are inserted using the right technique only by
trained individuals. Using the aseptic technique and sterile tools, insert the
catheter, and protect it correctly after injection to avoid friction and
urethral movement. Velcro moves and also slipping in and out can lead to
irritation as well as micro-organism transmission to urinary meatus(Elkbuli, et al., 2018). It is crucial to take
the protection. There are various types of protections available for the skin
care of the patient. It is also critical to resist the products which can hurt
the skin of the patient (Elkbuli, et al., 2018).
Hand hygiene is the most
important method to prevent transmission of infection. The maintenance of a
correct protocol of hand hygiene is the only significant means to avoid
infectious agents' transmission. Make the use of antimicrobial / antiseptic
impregnated catheters if the CAUTI threshold for your company is not lowered
with the aid of a specific strategy (Davies, et
to Achieve Outcomes
The first phase in the
development is participating and preparation. Involving and educating the
bladder package program, encourageparticipating in presentations, through
material conference calls. In turn, each location will be provided a packaging
toolkit outlining prevention strategies, interventions, and helpful guides
through face-to-face sessions(Davies, et al.,
In order to lead the effort and
to assemble a bladder package squad that usually often involves a surgeon, the
facility will recognize and welcome at least one nurse champion (for example,
case manager, child supervisor, professional nurse expert). Members are invited
to participate in regular face-to-face workshops by the bladder bundle team.
The conference calls include all material calls of experts concerned with a
specific subject matter as well as coaching calls. These calls are recorded so
that participants who do not participate can listen to the debate at any time(Dehghanrad, et al., 2019).