CAUTI is a hospital-acquired urinary tract infection that results from an extended use of a urinary catheter. Around 75% of hospital-acquired urinary tract infections are associated with a urinary catheter. The hospital has implemented interventions like educating medical staff on the CAUTI bundle, nurse-driven timely removal of catheters, and proper catheter care during placement to reduce CAUTI rates and improve patient outcomes and safety.

1. Catheter Associated Urinary Tract Infection (CAUTI)
Catheter Associated Urinary Tract Infection (CAUTI)Catheter Associated Urinary Tract
Infection (CAUTI) CAUTI is a risk hospital-associated infection resulting from the extended
use of the urinary catheter? The problem affects parts of the urinary system, which include
kidney, ureters, urethra, and bladder. Among hospital-acquired urinary tract infections,
almost 75% are linked to a urinary catheter. In the hospital where I work, between 15 to
25% of admitted patients receive urinary catheters during their stay in our healthcare
facility. Since the problem has turned out to undermine the outcome of care services given
to our patients, the hospital has implemented several interventions to combat CAUTI. These
current interventions are, educating medical practitioners on reinforcing the CAUTI bundle,
nurse-driven timely removal of urinary catheters, and urinary catheter care during
placement.ORDER COMPREHENSIVE SOLUTION PAPERS ON Catheter Associated Urinary
Tract Infection (CAUTI)Educating Staff on Reinforcing the CAUTI Bundle This intervention
is regarded as clinical practice and practice change that can improve the safety of patients,
especially in our healthcare setting, where the use of indwelling catheters is common. As a
result, the facility has implemented an education program for all medical practitioners on
CAUTI to improve their knowledge in managing patients with indwelling catheters. The
knowledge they receive includes the management of extended use of the catheter and
proper insertion and maintenance (Fritsch, Sutton, Roche, Berberi, Whidden, & Holder,
2019). Nurses are being engaged regularly because they significantly impact the care
quality of the entire hospital. The education program covers the best guidelines that are
supported by evidence-based knowledge to advocate for patients with CAUTI. So, the
education strengthens nurses’ ability to work within the best guidelines and attaining better
catheter monitoring. One of the facility, goals are to reduce the CAUTI rate in long-term stay
in the hospital. Through the implementation of the education program in reinforcing the
CAUTI bundle, the healthcare facility achieves this goal, where it ensures the safety of
patients and satisfaction while minimizing financial burden related to CAUTI. For instance,
financial penalties from Centers for Medicare & Medicaid Services. Improving the
knowledge of nurses by educating them on evidence-based guidelines means that the
nurses will develop confidence in providing quality care to patients with indwelling
catheters (Fritsch et al., 2019). This new knowledge currently assists in bridging the gap
that exists between evidence-based practice and application of concepts of EBP to nursing,
increasing nurses’ awareness, and enhancing the descending trends in the CAUTIs’
occurrences. In general, the hospital education program on CAUTI bundles consists of

2. washing hands and wearing gloves, red sealing intact, having free-kinks tubing, drainage
bag, and tubing not touching the floor, and conducting a daily evaluation of catheter’s
need. Nurse-Driven Timely Removal of Urinary Catheters This intervention in the hospital
helps nurses in answering some critical questions regarding the safety of patients using
indwelling catheters. For instance, if the urinary catheter is in place, healthcare facility
nurses look at whether the patient meets the criteria to leave a catheter in (Yatim, Wong,
Ling, Tan, Tan, & Hockenberry, 2016). The responsibility of a nurse becomes continuing to
assess a patient daily. If there is no urinary catheter, nurses are required not to take action
necessary; instead, they should focus on continuous assessment of urinary output while
avoiding the placement of the catheter. Also, nurses in our hospital under nurse-driven
timely removal of urinary catheters the intervention has followed protocol unless the
patient falls into at least one of the following categories: · Haematuria, gross· Obstruction
catheterization by Urologist· Urologist surgery· Decubitus ulcer· Nursing end-of-life care·
Immobility due to unstable fracture or bedbound When a patient has none of the listed
above categories, nurses are taking the removal of catheter and assessment of voiding
within six hours as an action. Urinary Catheter Care During Placement The nurses in the
healthcare clean a patient’s genital area with a sterile solution as a strategy of implementing
urinary catheter care during placement. Lubricant jelly is one of the current equipment for
ensuring care during catheter placement, where nurses use it to ensure that the catheter
goes smoothly (Luo, Lee, Ng, & Koh, 2017). Other care measures that nurses are taking
during catheter placement include asking a patient to take slow, deep breaths, or to push as
if he is trying to urinate as the catheter is inserted. Also, the intervention requires nurses to
insert the catheter in a slow and gentle move into a patient’s bladder. In case nurses see
urine flowing from the catheter, they take action to fill the balloon at the catheter’s end. This
balloon ensures that the catheter does not come out. This action has strengthened the
efforts of providing urinary catheter care during placement. Overall, the three interventions
discussed above have promoted patient safety in healthcare facilities through solving CAUTI
issue in measurable approaches. Education program for nurses on the reinforcement of
CAUTI bundle brings practice change in which nurses gain in-depth knowledge of managing
patients with CAUTI and putting prevention measures to protect hospitalized patients. On
the other hand, nurse-driven timely removal of the urinary catheter has helped care
providers in defining the best ways to use catheters to enhance patients’ safety. Urinary
catheter care during placement focuses on appropriate insertion procedure to ensure the
problem is contained at all levels. The hospital has continued to benefit from the
implementation of these three interventions in terms of ensuring patient safety, improving
care services, and reducing medical expenditures. References Fritsch, P. F., Sutton, J., Roche,
E., Berberi, V., Whidden, E., & Holder, C. (2019). Reinforcing a Catheter-Associated Urinary
Tract Infection (CAUTI) Bundle Compliance Decreases Overall Catheter Days and
CAUTIs. American Journal of Infection Control, 47(6), S22. Luo, R., Lee, S. L., Ng, F. C., & Koh,
L. T. (2017). Inadvertent placement of a urinary catheter into the ureter: A report of 3 cases
and review of the literature. Asian journal of urology, 4(4), 256-261. Yatim, J., Wong, K. S.,
Ling, M. L., Tan, S. B., Tan, K. Y., & Hockenberry, M. (2016). A nurse‐driven process for timely
removal of urinary catheters. International Journal of Urological Nursing, 10(3), 167-172.