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all interdisciplinary teams, including doctors, nurses, nurse assistants and other patient care personnel. The importance of this collaboration is the constant assessment of IUCs, including the patency, the patient need criterion, and early removal. All of these interventions are in agreeance with the PICO question mentioned earlier. “Are evidence based practice guidelines, not limited to, appropriate sterile technique during insertion and catheter care at a minimum of every 12 hours, beneficial for preventing or reducing CAUTIs in hospitalized patients with an indwelling urinary catheter?” The interventions utilized by the authors are evidence based practice guidelines that either a) reduced the incidence of CAUTIs, b) provided education to nurses caring for patients with IUCs, or c) elicited awareness to the importance of assessment C361 Task 2
9 for early removal. These interventions are recommended to reduce the prevalence of CAUTIs in hospitalized patients. F. Implementation, Stakeholders, Barriers, and Outcomes To implement the recommended interventions, it is important to involve the right people. Three people that I would include in this implementation are firstly, nurses on my unit that I work with on a daily basis. By creating awareness with my co-workers, it starts a chain reaction to assist with the identification of issues. The second person that I would involve is my immediate unit manager. The involvement of my manager would be to determine specific protocols that nurses should follow when placing and assessing for catheter use, on my immediate unit. This has the potential to reduce and prevent CAUTI rates on my specific unit. With cooperation from my manager, it has the potential to reach more staff on the unit as well as have some mandatory impact on specific guidelines to be followed. Thirdly, the last person that I would involve is my Chief Nursing Officer. With this involvement, the potential for change is greater. This involvement could potentially include the Chief Medical Officer as well to implement a collaboration between nurses and doctors to create awareness and impact change. The value that the involvement of my CNO is a hospital-wide implementation of the recommended evidence based practice guidelines. This has the potential decrease my hospital’s overall rates of CAUTIs and ensure reimbursement from insurance companies. With all initiatives there are barriers that must be overcome. One potential barrier is time. Assessment and catheter care take time Nurses are already limited on the time that they can spend with their patients. Adding another policy or guideline is always going to be a challenge. C361 Task 2
10 Another potential barrier is non-compliance. Staff is sometimes unwilling to change habits.