Management Theory and Associated Urinary Tract Infections
Infection of the urinary tract constitutes a great share of all infections acquired in hospitals (Klevens, Edwards, & Richards, 2007); of these, most cases are of CAUTI or catheter-associated urinary tract infection, which is "reasonably preventable," according to the CMS (Centers for Medicare and Medicaid Services). CMS doesn't reimburse medical facilities for this disease any more. Of the best strategies to reduce CAUTI is ensuring never to employ urinary catheters unless one perceives an appropriate symptom.
Several research works, some even dating back many decades, can be found, of ways to decrease or prevent the development of CAUTI. Over the years, a few of the recommendations have reformed; for instance, at one time, routine catheter irrigation was recommended; however, presently, the medical profession deems it as a practice that must be avoided. Therefore, it is imperative for healthcare organizations to make sure their methods, educational matter, and policies, remain in line with the latest evidence-based, recommended policies and procedures. Four care elements are recommended, to lower/prevent CAUTI cases:
1. Do not utilize urinary catheters until necessary.
2. Use aseptic technique for inserting urinary catheters.
3. Urinary catheter maintenance should be done on the basis of recommended guidelines.
4. The need for urinary catheters must be reviewed every day, and removed without delay.
Putting the above 4 elements into practice calls for a multidisciplinary plan, which involves doctors, leaders, nurses,...
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