Capstone Project Topic Selection and Approval Spate NRS493.docx

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Running head: CAPSTONE PROJECT TOPIC SELECTION AND APPROVAL1Capstone Project Topic Selection and ApprovalSara Emalee PateGrand Canyon University: NRS 493October 31, 2020
CAPSTONE PROJECT TOPIC SELECTION AND APPROVALCapstone Project Topic Selection and ApprovalIndwelling Foley catheters many times are necessary to give patient relief and treatmentat within an acute care setting. Depending on the treatment for the patient whether they arehaving a surgical procedure, intubated, sacral wounds, or having retention issues it is alwaysimperative to assess the situation to decide when to take the Foley out. Unfortunately, Foleycatheters can put patients at risk for catheter associated urinary tract infections (CAUTI). One ofthe most common hospital acquired infections, catheter associated urinary tract infections areconsidered to be a reasonably preventable complication of hospitalization. (Knudson, L., 2015)Catheter associated urinary tract infections are one of the most common health care associatedinfection that affects the length of stay tremendously, the patient discomfort, an increase healthcare costs, and even mortality for the patient. In many instances, catheter associated urinary tractinfections can be prevented by the nursing staff when a good evidence-based nurse-drivenprotocol and bundle is implemented.Registered nurses are the main health care providers ofphysical care, including hygiene to reduce and prevent hospital-acquired infections, forhospitalized critically ill patients. (Fox, Wavra et. al, 2015) As nurses, we spend more time withpatients than any other healthcare provider, by using a nurse-driven protocol it will implement areason to remove the Foley or to keep the Foley. This can be done without a doctor’s order, and itcan reduce indwelling catheter length of insertion and catheter associated urinary tract infectionsfor the patient. Nurse-driven protocols and bladder bundles involve a nursing assessments,reason for Foley insertion, and a proper maintained method directed to diminish the catheterassociated urinary tract infections. This proper maintenance method would be making sure nodependent loops are in the Foley catheter tube, using hospital approved catheter cleaning wipes,timely removal of indwelling catheters, and proper documentation of maintenance from each2
CAPSTONE PROJECT TOPIC SELECTION AND APPROVALshift. This protocol or bundle can be implemented as an in-service at the nurse’s station or evenas a refresher class with yearly check off’s each year for the nursing staff and nursing assistance.Physicians should also be informed and given an in-services on how the protocol works and whatits purpose is for nurses to use to reduce the catheter infection rate within the facility. As nurses,it is important to advocate for better care for our patients this can in turn bring higher qualitypractices to facilities across the United States and reduce the cause for infection as well. During

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Term
Spring
Professor
NoProfessor
Tags
urinary tract infection, Catheter, Urinary catheterization, Foley catheter

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