Behrend - DB #6
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University of St. Augustine for Health Sciences *
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Course
7525
Subject
Medicine
Date
Feb 20, 2024
Type
docx
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1
Uploaded by SurfinRN
1) According to CDC/NHSN Urinary Tract Infections (UTIs) are tied with pneumonia as the second most common type of healthcare-associated infection, second only to Surgical Site Infections. UTIs account for more than 15% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract. The incidence of CAUTI in the United States (US) has amounted to over two million cases each year and raised healthcare costs to over 400 million dollars annually. As a result, government funded reimbursements have now been limited to encourage hospitals to implement protocols geared toward reducing CAUTIs (Behrend, 2017). A total of 435 patients were seen over a twelve month period and 15 had infections.
2) Sample size has been determined to be 100 patients in the adult ICU with indwelling foley catheters. Our power, 1-b is equal to .95 if we use a critical value of .05. AIM 1
In order to minimize CAUTI infection rates, supervision while insertion occurs will take place when order written and check list approval with 50 patients.
Outcome:
FC was placed after checklist completed with two RN present. Of the 100 patients observed, 4 broke sterile technique and new sterile kit used and tried again. AIM 2
After indwelling catheter is in for three days, follow-up rounds will occur to deem if FC is still necessary and will remove if warranted or get an order to keep in.
Outcome:
Out of the 100 patients observed, 10 did not have their FC removed
by day three per evidence-based policy. AIM 3
Follow-up on day three to evaluate VS and lab trends to determine if CAUTI is
present.
Outcome:
Two out of 100 patients had confirmed CAUTIs. Statistics: Given that the mean infections rates was 0.0344 with a SD 0.01 with the sample size of 435 patients over 12 months, are data showed that in our sample of 100 patients when two nurses present and follow-up occurs after day three, the mean rates of infection was 0.02 the statistic was -12.985 and the p value was less than 0.0001. This appears to be significant evidence of a difference of means. Behrend, L. A. (2017). Strategies to Reduce Catheter Associated Urinary Tract Infections
. Retrieved from Huntington Beach, Ca:
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