Free Essay

Wzt Task 2

In: Other Topics

Submitted By Brooklyn04
Words 963
Pages 4
The procedure that I will examine is the overuse of urinary catheterizes prior to surgery. I work in a busy post-surgery office and it seems as the more we catheterize patients not taking into consideration of length or type of surgery one is having the more the infection rate goes up. According to the CDC 75% of hospital acquired UTIs are due to urinary catheterization (Catheter-associated Urinary Tract Infections, 2015). It is this reason my colleagues and I have questioned why we do this for all of our patients. The doctors are the ones that determine the basis for this process. The basis for placing the catheter prior to surgery is because the patient will be unconscious for the procedure and without it the patient may void and possibly contaminate the sterile field and research shows that one’s bladder could become distended during such procedures. (Newman, 2011) The decision makers implemented the current process because during surgery the bladder will not distend. This can interfere with the surgery itself, creates discomfort, and can possibly increase a patient heart rate and blood pressure. My recommendation would be to only catheterize patients that are expected to be under anesthesia for more than three hours. The evidence to support this change as discussed by Getz is that there is an increase of infection rate, catheter discomfort for the patient, and possible trauma. The need for catheterization can be limited by administering less IV fluids during surgery (Getz, 2015). Many hospitals and outpatient clinics have already implemented changes in their catheterization policies. The recommendation of practice change is evident by
List of Sources
Catheter-associated Urinary Tract Infections. (2015). Retrieved from CDC: http://www.cdc.gov/HAI/ca_uti

Clark, C. (2013, May 28). Three Reasons Urinary Catheters are Overused in Hospitals. Retrieved from Health Leaders: http://www.healthleadersmedia.com/content.cfm
Getz, L. (2015). Catheter Conundrum: Reducing Unnecessary Placement. Aging Well, 14.
Jain P, P. J. (2013, February). Overuse of the Indwelling Catheter in Hospitalized Medical Patients. Retrieved from PubMed: http://www.researchgate.net/publication/15405298/Overuseoftheindwellingcatheter
Newman, D. (2011). Evidenced Based Practice: intermittent caheterization versus indwelling foley. Urologic Nursing, 31.

The possible clinical and practice implications that would result in my recommendation would include less infection, false passage, urethral strictures and infections. (Jain P, 2013) According to the CDC all catheters should be removed if the patient is conscious and there are no other complications within 48 hours of postop. The evidence collected in the sources in which this writer used shows that 25% of all hospitalized patients end up with a foley catheter and the most common hospital acquired infection is due to urinary catheters. “The duration of catheterization is the most important risk factor for development of infection.” (Olson, 2008) If the number of urinary infections decreased because of this implement change then the stakeholders would see the value of how cost effective this would be. Medicare and many insurances will not pay for hospital acquired infections and this is very costly to hospitals. (Medicare Nonpayment for Hospital Acquired Conditions, 2015) The stakeholders can be involved in the decision to make the recommended policy change by having the physicians come to board meetings and explain the benefits medically and financially. The stakeholders should be an important asset in order to ensure the policy change is relevant and appropriate. It is imperative that they all be included and not limited to the direct recipients of the change. The main strategy that is useful in the change process is communication. Understanding their agenda will aide in the implementation process and lead to success and help decrease any conflicts that can arise. The influence of the stakeholders can affect the success of the process change. To have success is a direct reflection of the power stakeholders. A good question to ask yourself is how much capacity the stakeholders can contribute. You then can come up with a plan on how to roll out the new initiative and gain invaluable insight of their perspective.
There will be barriers whenever something new is implemented. The hospital that I work at is a teaching hospital which means there are always new residents and interns. With so many doctors coming and going this maybe a difficult change for them to make. It has been ingrained in them to catheterize surgery patients. Also, sometimes nurses will want the doctor to leave the catheter in because it is less time consuming if she has a busy load. This is very unethical but does happen. Several strategies can be put in place to help overcome these barriers. One is when a new set of residents come onboard there can be a place in their orientation to let them know about this new initiative. Also there can be a watchful eye. This means a nurse can be assigned to double check how long a patient has had a catheter and report to the physician if it has been over 48 hours. It is also important to share the research that I have gathered and implement the findings to the entire staff to show why we are making this change.

References
Clark, C. (2013, May 28). Three Reasons Urinary Catheters are Overused in Hospitals. Retrieved from Health Leaders: http://www.healthleadersmedia.com/content.cfm
Getz, L. (2015). Catheter Conundrum: Reducing Unnecessary Placement. Aging Well, 14.
Jain P, P. J. (2013, February). Overuse of the Indwelling Catheter in Hospitalized Medical Patients. Retrieved from PubMed: http://www.researchgate.net/publication/15405298/Overuseoftheindwellingcatheter
Medicare Nonpayment for Hospital Acquired Conditions. (2015, Febrary). Retrieved from NCSL: http://ncsl.org/research/heatlh/medicare-nonpayment-for-hosptal-aquired.aspx
Newman, D. (2011). Evidenced Based Practice: intermittent caheterization versus indwelling foley. Urologic Nursing, 31.
Olson, D. (2008). SHEA-IDSA Compendium. IDSANews, 10-18.…...

Similar Documents

Premium Essay

Jet 2 Task 2

...than $50,000 in this area than the previous year. I would suggest that the budgeted amount be somewhere between the year 7 & 8 amounts, given the positive prediction that sales will increase, which would put it between $1273867 and $1322075. This over statement in this category has also led to the company to under budget their Operating Income which they have budgeted at $80585. With the prediction of selling more units than year 8, the company should be budgeting a higher Operating Income than the previous year’s amount of $97,533. They definitely should not be indicating that they will be selling more but making less. This would be a bad financial sign for the company, as it is showing a lack of leadership and management skills. 2. No budget can be perfect, so keeping this in mind; one would expect variances to be present within the flexible budget. The variances found within this flexible budget, however, seem to highlight the flaws that were noticed and explained above. The first variance that is displayed is the unfavorable variance of $130,065.00 in Net Sales. This is due to the fact that the company sold 3423 units, not the 3510 that was placed in the budget. The variance is considered unfavorable, as the company did not make as much in net sales as it had budgeted for. The positive side for the company is that it did, in fact, turn around the negative sales trend that existed between years 7 & 8. The next variance comes in Direct Materials. ......

Words: 1118 - Pages: 5

Free Essay

Task 2

... and might then retain a copy of the assignment on its database for the purpose of future plagiarism checking. Requirements Modelling Report for the Sales & Book Tracking System Prepared for: Pinnacle Publishing Company 20th December, 2011 Prepared by: |Name |Student No. | | | | | | | | | | | | | KXO221 Assignment 3 Table of Contents Executive Summary 1 Introduction 2 1 Required Functions of the Sales & Book Tracking System 3 2 Functional Decomposition Diagram 4 3 Data Flow Diagram – Context 5 4 Data Flow Diagram – Level 0 6 5. Data Flow Diagram – Level 1 8 6. Data Dictionaries 10 6.1 Data Dictionary – Processes 10 6.2 Data Dictionary - Data flows 11 6.3 Data Dictionary - Data Stores 15 7. Entity Relationship Diagram 16 8 Use Case Diagram 18 9. Conclusion 20 References 21 Executive Summary Considering the current situation and management’s requirements, our group analyzed the Pinnacle Publisher’s business process and the communication of data, and then a model of new system was designed. This requirement modeling report aims to present a general understanding......

Words: 3520 - Pages: 15

Free Essay

Jet 2 Task 2

...Research for marketing decisions. Englewood Cliffs, N.J: Prentice-Hall. Horngren, C. T., Foster, G., & Datar, S. M. (2006). Cost accounting: A managerial emphasis. Upper Saddle River, NJ: Pearson Prentice-Hall. Lester, A., & Lester, A. (2007). Project management, planning and control: Managing engineering, construction and manufacturing projects to PMI, APM and BSI standards. Amsterdam: Elsevier/Butterworth-Heinemann. Snow, C. C. & Hambrick, D. C. (1980), Measuring Organizational Strategies: Some Theoretical and Methodological Problems, Academy of Management Review, pp. 527-538. William, J. Bruns, Jr. & John, H. Waterhouse (1975), “Budgetary Control and Organization Structure “, Journal of Accounting Research, Vol. 13, issue 2, pp. 177-203....

Words: 1345 - Pages: 6

Premium Essay

Task 2

...Leadership is important in managing and organizing the structure of the organization while trying to maintain a profitable company that takes into consideration employees, shareholders, customers and board of directors, etc. Another attribute of a great leader is managing diversity in the workplace. However, diversity includes many different issues and needs to be managed and if done properly can lead to competitive advantages for the company. Thomas A. Kochan, professor at MIT, stated “Diversity can enhance business performance only if the proper training is provided and the organizational culture supports diversity (Dubrin, 2010). Managing Cultural Diversity: Managing cultural diversity is not an easy task, however, when incorporated into the organizations core values, is makes it easier to incorporate (Dubrin, 2010). Below is a diagram that provides a breakdown of areas or issues that may need to be looked at to evaluate the possibility of creating and leading a culturally diverse organization. These areas may help to identify areas where a competitive advantage may be available in the organization. In such a culturally diverse world and as the organization makes decisions that will impact them globally, these discussions are vital for the success of the company. Whether not decisions are made to implement or not to implement decisions based on diversity within the organization, these ideas, may identify some of the organizations strengths and weaknesses. ......

Words: 1249 - Pages: 5

Premium Essay

Task 2

...Task 2 A Mahatma Gandhi was born in Porbandar, Kathiawar, India on October 2, 1869, in. After studying law in London, England, he left for South Africa in 1893, where he spent twenty years fighting biased legislation against Indians. As an innovator of passive opposition of mass non-violent civil defiance, he turn out to be a major political and spiritual leader (Biography.com 2013). In 1914, Gandhi went back to India and became the leader of the Indian National Congress and gave his support the Home Rule movement, furthermore advocating a strategy of non-violent non-cooperation to attain independence. Gandhi’s main objective was to assist poor laborers and farmers protest discriminating taxation and prejudices. His struggled was to liberate women, ease poverty, and stop class discrimination. Mahatma Gandhi main goal was for India to rule itself (Biography.com 2013). Mahatma Gandhi spent two years in jail, from 1922-24, for conspiracy. In 1930, he marched 200 miles to the ocean to gather salt to show defiance to governmental control. Gandhi sat at the London Round Table Conference in 1931, regarding Indian constitutional reform. In 1946, he negotiated for a new constitutional structure with the Cabinet Mission. In 1947 after the independence, Gandhi worked to stop the Hindu-Muslim conflict in Bengal, which eventually caused his assassination (Biography.com 2013). Mahatma Gandhi's pledge to non-violence and conviction to simple living has been an inspiration of hope for......

Words: 816 - Pages: 4

Premium Essay

Jet 2 Task 2

...Rachel Johnson Addy JET Task 2 March 29, 2014 JET Task 2 1. A budget is an itemized estimate of expected income as well as estimated expenses over a specified period of time. The reason to design a budget is to regulate spending. There are multiple causes of concern with Competition Bikes budget plan. The main cause for concern is that the sales estimated for year 9 is 3,510 units. This estimate is not supported by past sales data. Due to the current economic status, the amount of units sold from year 7 to 8 decreased 15% according to the horizontal analysis. Rider sponsorships were also reduced and will most likely remain limited in the future (WGU, 2014). There is some misleading and inaccurate information posted within the budget. Under the Selling, General, and Administrative breakdown “utilities” is listed at $150,000 on the vertical analysis for year 8 and year 9. Then there is another listing for “utilities and services” of $54,000. This is misleading because this entry was not listed in the expenses from the previous year. Another cause of concern is that the cash budget is not included in the uncollected receivables. CB makes expensive bikes so there should be room for uncollectable accounts. The uncollectable receivables budget could be used to cover the any uncollected payments. The reduction of sponsorships and the slow economy could possibly cause a rise in uncollectable accounts. There is also some concern because the operating income is......

Words: 1749 - Pages: 7

Premium Essay

Task 2

...Task 2 Compare and contrast the life span and the diseases and illnesses profile for an infant born today in the developed world and in the developing world. Sierra Leone (developing country) United States of America (developed country) Life expectancy 47.5years 78.7 years Population 5.4 million 313.9 million Fertility rate 6.3 births per women 1.8 births per women Effecting factors • pervasive poverty • high level of illiteracy significantly among females • limited access to safe drinking water • proper sanitation • malnutrition • overcrowded housing • access to quality health services • obesity • lack of a healthy life style • eating and workout habits • smoking • drinking Diseases • Malaria • Acute Respiratory Illnesses • STI • Diarrhoea • Heart disease • Cancer • Chronic lower respiratory disease • Stroke • Accidents • Diabetes If a baby girl was born in a developing country such as Sierra Leone, her chances of survival are minimum. The effecting factors of life expectancy is primarily based on the lack of resource her county has to ensure her survival. Factors such as "limited access to safe drinking water" is a non-problem to a child born in a developed country. In regards, to diseases many individuals in developing countries do not live long enough to contract any chronic illness. Developing countries are plagues with acute diseases, like Malaria and STI's that demolish their population because they lack efficient health care....

Words: 385 - Pages: 2

Free Essay

Unit 2 Task 2

...system T3. Tills A till is cash register or drawer for money in a shop, bank, or restaurant. Retailers Argos use this to put money in and take out change. T5. CCTV Argos use CCTV to signal a specific place in there store. It is also used to record everything that happens in the store. CCTV is protected by making sure the cameras are in working order. It is maintained by engineers. C) The important of each of these resources in achieving organisational goals , The goals for Argos are the following : P1 The purpose and importance of having equipment at Argos in terms of accomplishing their organisation goals so then they have something they can use to help them finish and achieve given tasks and goals. This leads to them making profit because they are achieving given tasks which means they are selling P2 Premises is something very Crucial for Argos because they need somewhere to physically operate and work from, this will help them reach their organisational goals as they are making sales and profit P3. Shelves are very important to Argos as they need somewhere to put products and equipment on as they are being sold on , this helps them in achieving their organisational goals as they have somewhere physically to put their products which will lead them to making and generating sales P4. The importance of having a forklift for Argos in terms of achieving their goals is so that they will have something that will allow them to move multiple and......

Words: 910 - Pages: 4

Premium Essay

Aft 2 Task 2

...| Accreditation Audit: AFT Task Two | Stephanie Clements | | | Western Governor’s University | | Sentinel Event A sentinel event is defined by The Joint Commission as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (Joint Commission, 2015). The event described in the case study is a sentinel event resulting in the abduction of a child. The event begins when a child is admitted to the preop unit for outpatient surgery with her mother. The child’s mother leaves the facility during the procedure, giving instructions for the nurse to call the mother if the procedure was quicker than expected. After the procedure, the child is discharged home by the recovery room staff with her estranged father who does not have custody of the child. The child is recovered by law enforcement in the care of the father, but the potential harm and psychological damage ensued categorizes these happenings as a sentinel event. Personnel/ Personnel Issues There were several people involved in this sentinel event at Nightingale Community Hospital. Here, they are listed along with their roles and any issues involving them in this event: Person | Role in the event | Barriers | Registrar, Katie Jessup | Responsible for initial intake information and consent to treat. | Followed process as outlined. Knowledge of potential information gaps and custodial issues with children could provoke further questioning. Lack of......

Words: 1742 - Pages: 7

Free Essay

Task 2

...Task Stream 2 Microbiology can be broken down into categorizations based upon the environmental conditions necessary for organisms in which to grow. Two large categories of microorganisms are those requiring oxygen to live (obligate aerobes) and those which can grow with oxygen but have the ability to also grow without it (facultative aerobes). The obligate aerobes produce more energy from nutrients than anaerobes by using oxygen as the “final electron acceptor in the electron transport chain, which produces most of the ATP in these organisms”(Betsy & Keogh, 2005, p.104). The facultative microorganisms are able to use oxygen but can also go without by using fermentation or anaerobic respiration when it is not available (Betsy & Keogh,2005). The microorganisms being cultured in our first task (Lactobacillus acidophilus and Staphylococcus epidermidis) are obligate aerobes. Microorganisms can grow in a variety of conditions with temperature being one of those variables, but the types we frequently encounter in our environment thrive in fairly warm temperatures. Both Lactobacillus acidophilus and Staphylococcus epidermidis are examples of these, which are referred to as mesophiles. Extreme temperatures (as in deep freezing or auotoclaves for example) are effective in destroying microorganisms due to their inability to thrive outside of more moderate temperatures). Growth of these two organisms would be optimized by remaining between 25 and 40 degrees celsius (Betsy...

Words: 1281 - Pages: 6

Free Essay

Task 2

...resources need to be shared.    • Hardware peripherals ‐ Printers and scanners    • Data ‐ Customer lists, Databases of sales information    • Services ‐ Such as email    • Other computers ‐ Both desktop and laptop computers    • Personal digital assistants and smart phones      Equipment requirement    For a computer workgroup to be established, certain equipment must be  used.  As  a  rule,  all  workgroup  networks  should  have  computers  that  want  to  share resources on the network, along with:    • Computers equipped with network cards  It  is  an  expansion  card  that  enables  a  computer  to  connect  to  a  network;  such as a home network, or the Internet using an Ethernet cable with an RJ‐45  connector.  2    • Ethernet hub  A common connection point for devices in a network, hubs are commonly  used  to  connect  segments  of  a  LAN.  A  hub  contains  multiple  ports.  When  a  packet arrives at one port, it is copied to the other ports so that all segments of  the LAN can see all packets.    • Ethernet cables  Alternatively  referred  to  as  a  cord,  connector  or  plug,  a  cable  is  one ......

Words: 1343 - Pages: 6

Premium Essay

Task 2

...Task 2, Community Health (C228) Edward Croston Western Governors University Task 2, Community Health (C228) MEASLES Measles was at one time in the not too distant past, a killer of those that became infected. Measles has been around for centuries. The first published, written account of the disease was in the ninth century by a Persian doctor. According to the Centers for Disease Control and Prevention (CDC) website on measles, it was not until 1757 that a Scottish physician, named Francis Home, proved that something infectious in the blood was causing the disease. By the early 1900’s, the United States began requiring every healthcare provider and laboratory to report all identified cases, with approximately 6,000 deaths being related to measles each year. Almost all children contracted the disease by the time they were the age of 15, with an estimated yearly infection rate of three to four million United States citizens. Each year, it is estimated, 400 to 500 people died from measles, 48,000 hospitalized, and 4,000 developing encephalitis as a side effect of the disease. The measles, mumps, and rubella (MMR) vaccine was made available to the public in 1963. The MMR has significantly reduced the reported cases of measles. In the year 2000 measles was declared eradicated in the United States. But since then, the disease has returned from time to time. ("Measles History," 2014, p. 2) Measles is a virus that has an incubation period of approximately 14 days. It is......

Words: 1240 - Pages: 5

Free Essay

Biochemistry Task 2

...                  BIOCHEMISTRY TASK......

Words: 756 - Pages: 4

Premium Essay

Amt 2 Task 2

...Community Health Needs Assessment Trinity Community Hospital AMT Task 2 Community Health Needs Assessment Trinity Community Hospital conducted a community health needs assessment (CHNA) to identify the needs of the local population. The assessment focused on oncology, orthopedic, and cardiovascular services. The following report will analyze the community health needs assessment by identifying the major risk factors in the community, and discussing if the needs defined in the evaluation are being addressed. The report will also outline recommendations for any outstanding community needs. Major Risk Factors Oncology Services The community health needs assessment identified that new cancer cases are expected to increase by 34% due to the aging population that will be over 65 within the next five years and a rise in expectation of men and women developing cancer. The assessment also identified that the current services are already stressed.; physician practices are at capacity, facilities and equipment are not keeping pace with the patient volume, services are fragmented, and there is little emphasis on prevention education and control. Orthopedic Services Another risk factor for the community is the sharp increase in the need for orthopedic services forecasted over the next five years. The need for orthopedic procedures in the next five years are expected to increase by 46%, inpatient joint and spine cases will increase by 30%, and outpatient spine and......

Words: 873 - Pages: 4

Premium Essay

Task 2

...Linksys WRT54G Running DD-WRT v24-sp2 firmware The Linksys WRT54G series router was released in 2002. This is an older router capable of utilizing the 802.11b/g standards, however by flashing the WRT54G with DD-WRT firmware you now have a SOHO router that is on par with most business-class wireless routers in capabilities and features. Contents: 1. Configure Linksys WRT54G/DD-WRT to perform NAT 2. Enable packet filter on Linksys WRT54G/DD-WRT 3. Setup the default gateway to share internet and network services among hosts Enabling NAT 1. After powering on the Linksys WRT45G connect the data cable from computer or laptop to Ethernet port 1 on the back of the Linksys. 2. Open a web browser and enter IP Address 192.168.1.1 into the address bar. The browser will open the DD-WRT browser interface at the System Information Page. 3. Click on the Setup tab in the upper left corner of the page. 4. You will be prompted for a username and password. The default username and password is root & admin. 5. From the setup page you will configure the WAN connection (the connection to the ISP). In almost all cases ISPs use DHCP to configure the connection. In the rare case that the ISP use a Static IP you will need to know the IP Address, Subnet Mask, Default Gateway and DNS servers all this info should be provided by the ISP. 6. Once the WAN connection is configured. You will now configure DHCP so the hosts on the client’s network......

Words: 594 - Pages: 3