Share your written proposal with your manager,

Share your written proposal with your manager, supervisor, or other colleague in a formal leadership position within a health care organization. Complete the “Executive Summary Feedback Form,” located in topic Resources, during the exchange and submit the document. Please share CAUTI prevention TOPIC with your manager, supervisor, or other colleague in a formal leadership position within a health care organization. Request their feedback on 1. Do you believe the proposal would be approved if formally proposed? 2.What are some strengths and weaknesses of the proposal? My written proposal is on CAUTI (Catheter associated urinary Tract Infection)? here is the proposal, plz do not attempt if you can not ? Nosocomial infections, commonly referred to as hospital acquired infections, are illnesses that a patient can avoid while getting medical or surgical care in a healthcare institution. These infections do not exist when a patient is admitted to the hospital; rather, they appear when a patient stays there, visits an outpatient clinic, or sees a doctor. A few examples are central line-associated bloodstream infection, catheter-associated urinary tract infection, and surgical site infection (SSI).. “Catheter-associated urinary tract infections (CAUTIs) are the second most prevalent HAI in long-term acute care hospitals,” according to the data (Zurmehly, 2018). More than 560,000 patients (about half the population of Maine) had CAUTI, resulting in more than 13,000 deaths annually, making up more than 30% of HAI in these institutions (Cantrell, 2016). Initiation of the catheter assessment bundle, justification of the costs and budget for the bundle, and the methodology for the bundle valuation are all covered in this proposal for a quality improvement initiative. It also discusses the significance and advantages of the interprofessional team washing their hands properly during catheter insertion. The board will be presented with this proposal for approval and financing after reviewing it with the management. The initiative’s goal is to increase quality A catheter-associated urinary tract infection is an infection of the genitourinary system (kidneys, ureters, urinary bladder, and urethra) brought on using a urinary catheter, a latex or silicone tube inserted into the bladder to treat urine incontinence (CAUTI). Pre- and postoperatively, or in patients with incontinence, neurogenic bladder, acute kidney injury, or for incontinence. For reliable evaluation of urine output. According to the Centers for Disease Control and Prevention (CDCP), “15 to 25% of hospitalized patients have a urinary catheter implanted during their hospital stay, and almost 75% of urinary tract infections (UTIs) contracted in the hospital are attributable to a urinary catheter.” Using a urinary catheter improperly, poorly managing it, or for a long time are the main causes of CAUTI. This quality improvement project aims to promote the use of appropriate hand washing methods and the beginning and implementation of a catheter evaluation bundle before, during, and after the placement of a urinary catheter that is therapeutically warranted. The intended audience or demographic and are a severe worry for the patients in long-term acute care hospitals who are chronically ill (Gardner, Mitchell, Beckingham, and Fasugba,2014). Due to their severe illnesses and immunosuppression, most residents in LTACs are vulnerable to HAIs, especially catheter-associated urinary tract infections (CAUTIs). The accumulation of comorbid illnesses including diabetes, cancer, stroke, and autoimmune disorders in LTAC patients also contributes to urine incontinence and functional deterioration, which compromises the body’s natural defensive systems and increases the risk of UTI (Genao and Buhr, 2012). The advantages of the initiative for quality improvement The patients and the healthcare institution will benefit from the interprofessional team’s good cleanliness during catheter insertion and evaluation bundle. The proper use of a urinary catheter will be ensured by putting the quality improvement program into action. The best approach to minimize CAUTI is to limit or avoid using a urinary catheter when it is not essential. However, if it is required, a thorough evaluation must be performed to determine the proper treatment triggers, such as “acute urine retention or bladder outlet blockage, the necessity for precise assessments of urine output in critically sick patients, the requirement for incontinent patients’ open sacral or perineal wounds to heal, the need for extended immobilization, peri and postoperative usage, and to increase comfort for end-of-life care if necessary (CDC, 2015). Proper hand hygiene and careful pre-catheter insertion examination are essential since CAUTI lengthens hospital stays, increases costs, increases morbidity, and increases death rates. According to research, “70% of UTI might be averted via consistent infection-control techniques [such as] like hand washing] (Cantrell, 2016). Additionally, the plan will provide healthcare providers with the information required for review of ongoing catheter usage every day. so, enabling early identification and removal of any urinary catheters that the patient no longer requires. Taking this action will When inserting a urinary catheter, remember to wash your hands properly and take hygienic precautions. routine upkeep. The interprofessional collaboration that would be required to implement the quality improvement initiative: The development and execution of the urinary catheter evaluation bundle initiative, as well as the practice of adequate hand hygiene in healthcare facilities, call for ongoing cooperation between the nurses and doctors who are involved in the patient’s care. Urinary catheters are ordered by doctors, who then instruct nurses to place them. The therapeutic indications of many doctors and nurses are, regrettably, unfamiliar urinary catheters, and there is no check list to track the requirement for a continuing catheter. According to Ferguson (2018), “nurses and healthcare professionals have insufficient understanding of evidence-based procedures concerning indwelling catheter care.” Nursing and medical professionals must work together to handle indwelling urinary catheters since each has a distinct role to play in insertion, maintenance, and removal. To reduce catheter usage, provide appropriate therapeutic use, care, and management, and improve patient care, safety, and result, strategies to promote education on correct hand hygiene and urinary catheter evaluation checklist must be shared with nurses and doctors. Justification for the price or budget This quality improvement initiative’s goal is to raise awareness among clinical personnel, notably nurses and doctors, of the proper hand-washing procedure and the value of thorough evaluations before any patient has an indwelling urinary catheter inserted. The estimated cost for this quality improvement is shown in the budget rationale. initiative. In-service training for nurses and doctors is the main emphasis of this effort, therefore the cost of the amount of resources required is small. The overall cost for the purpose of purchasing soap includes the cost of materials and resources, including a paper towel dispenser in each patient’s room, printed handouts, and a checklist (added later), and paper towels to dry hands linked to the admission/assessment package. As they are only required to be available on training days, nurses and physicians suffer no additional expenditures other than their time and effort. The criteria used to evaluate the quality improvement project This quality improvement program will be evaluated considering a decline in the quantity of urinary catheters ordered and placed for patients. After a comprehensive evaluation for the right indication, the project will be deemed successful if the rate of catheter insertion is reduced by 25%. The evaluation will also consider the drop in individuals with CAUTI diagnoses following catheter insertion. A 25% decrease in CAUTI rates among patients who had catheters inserted therapeutically will signify the effectiveness of a quality campaign. Conclusion The expense of treating CAUTI is high compared to the cost of prevention for healthcare organizations. The cost of the procedure is “about $1000, and Medicare has refused to reimburse the hospital for the expense” (Hollenbeak and Schilling, 2018). The urinary catheter apparatus is not to responsible for CAUTI; rather, its unneeded and avoidable installation by physician combined with inappropriate sterility, faulty hand washing techniques, and subpar upkeep by nurses who deliver the “significant portion of everyday catheter cares” (Gesmundo, 2016). Additionally, a urinary catheter’s duration of stay raises “daily CAUTI risk as high as 3%-7%, since there is a possibility that bacteria and yeast migrating up the catheter may result in CAUTI when the catheter resides in the body for a longer period” (Cantrell, 2016). As a result, nurses and doctors must play a crucial role in CAUTI prevention. The duration of hospital stays, morbidity, and mortality will be decreased, and the general health of the patients will be improved, if correct handwashing procedures are strictly followed. References: Cantrell, S. (2016, January). CAUTI precautions: evidence-based infection prevention protocol and products are the best tools for control. Healthcare Purchasing News, 40(1), 18+. Retrieved from https://linkgalecom.york.ezproxy.cuny.edu/apps/doc/A440550744/PPNU? u=cuny_york&sid=PPNU&xid=7562a9ef Center of Diseases Control and Prevention. (2020). Catheter associated urinary tract infection (CAUTI). Retrieved from https://www.cdc.gov/hai/ca_uti/uti.html Center of Diseases Control and Prevention. (2015). Summary of recommendation. Guideline for prevention of catheter associated urinary tract infection (CAUTI). Retrieved from https://www.cdc.gov/infectioncontrol/guidelines/cauti/recommendations.html#IV Ferguson, A. (2018). Implementing a CAUTI prevention program in an acute care hospital setting. Urologic Nursing, 38(6), 273-302. Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=b6fe9713-ead0-410f-b949-d0cabeeedf5a%40sessionmgr4007 Gardner, A., Mitchell, B., Beckingham, W., and Fasugba, O. (2014). A point prevalence crosssectional study of healthcare associated urinary tract infections in six Australian hospitals. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120374/ Genao, L., and Buhr, G., T. (2012). Urinary tract infection in older adults residing in long term care facilities. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573848/ Gesmundo, M. (2016). Enhancing nurses’ knowledge on Catheter-Associated Tract Infection (CAUTI) prevention. Kai Tiaki Nursing Research, 7(1), 32. Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=4&sid=07e653b3-b728-4e0d-bd74-5b3baa32c9a8%40sdc-v-sessmgr03 Hollenbeak, C. S., & Schilling, A. L. (2018). The attributable cost of catheterassociated urinary tract infections in the United States: A systematic review. American journal of infection control, 46(7), 751-757. https://doi.org/10.1016/j.ajic.2018.01.015 Zurmehly, J. (2018). Implementing a nurse-driven protocol to reduce catheterassociated urinary tract infections in a long-term acute care hospital. The Journal of Continuing Education in Nursing, 49(8), 372-377. doi: http://dx.doi.org.york.ezproxy.cuny.edu/10.3928/00220124-20180718-08 SCIENCE HEALTH SCIENCE NURSING NURSING BS NRS-451VN0

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