HAIs
What are HAIs?
HAIs are hospital-acquired infections and include central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia (Centers for Disease Control and Prevention (CDC), 2014).
A closer look at CLABSIs and CAUTIs
CAUTIs account for 40% of all annual HAIs. CAUTI risk increases 3-7% each day a Foley is used, after a month of use the risk for bacteriuria reaches a 100%. CAUTI prevention relies on the prompt removal of the urinary catheter. Possible interventions to reduce CAUTI include review of catheter need, catheter care and perineal hygiene (Flanders, 2014).
On the other hand, CLABIs have a mortality rate between 12% and 25%. Recommendations made by the CDC, the Institute for Healthcare Improvement (IHI), and the Society for Healthcare Epidemiology of America with regards to proper central line insertion technique have helped reduce CLABSI rates. Three main practices are recommended; use of sterile technique during insertion, chlorhexidine usage and daily assessment of line necessity (Dumont & Nesselrodt, 2012).
What is the approximate cost of CLABSIs and CAUTIs?
When it comes to central line-associated bloodstream infections (CLABSIs ) and catheter-associated urinary tract infections (CAUTIs), it is estimated the costs range between $5,734 to $22,939 and between $589 and $758 per infection (CDC, 2009) respectively. Back in 2008, the Centers for Medicare & Medicaid Services stopped reimbursing hospitals for hospital-acquired conditions (HAC) such as the ones mentioned here back in 2008, propelling hospital to take additional measurements to reduce the incidence of such infections.
How to prevent CLABSIs and CAUTIs?
Some strategies directed to reduce the incidence of such infections are mentioned next. Strategies to reduce CLABSI include chlorhexidine use, hand hygiene, aseptic technique during insertion and removal of unnecessary device. Strategies to reduce CAUTI include hand hygiene, proper maintenance of drainage system and prompt removal of unnecessary urinary catheter.
What's the APRNs' role?
When it comes to APRNs, their extensive education and expertise allow them to effectively evaluate and compare information provided in databases such as the National Healthcare Safety Network (NHSN) and National Database of Nursing Quality Indicators. APRNs can lead change by implementing evidence-based prevention and timely interventions to prevent HAIs. The use of a team model with APRNs in charge can lead to better patient outcomes (Ryan, 2012).
References
Dumont, C., & Nesselrodt, D. (2012). Preventing central line-associated bloodstream infection CLABSI. Nursing, 42(6), 41-46.
Flanders, K. (2014). Rounding to reduce CAUTI. Nursing Management (Springhouse), 45(11),
21-23.
Ryan, J. (2012). Leveraging the skills of APRNs to prevent HAIs. Nursing Management, 43(9),
22-5.
HAIs are hospital-acquired infections and include central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia (Centers for Disease Control and Prevention (CDC), 2014).
A closer look at CLABSIs and CAUTIs
CAUTIs account for 40% of all annual HAIs. CAUTI risk increases 3-7% each day a Foley is used, after a month of use the risk for bacteriuria reaches a 100%. CAUTI prevention relies on the prompt removal of the urinary catheter. Possible interventions to reduce CAUTI include review of catheter need, catheter care and perineal hygiene (Flanders, 2014).
On the other hand, CLABIs have a mortality rate between 12% and 25%. Recommendations made by the CDC, the Institute for Healthcare Improvement (IHI), and the Society for Healthcare Epidemiology of America with regards to proper central line insertion technique have helped reduce CLABSI rates. Three main practices are recommended; use of sterile technique during insertion, chlorhexidine usage and daily assessment of line necessity (Dumont & Nesselrodt, 2012).
What is the approximate cost of CLABSIs and CAUTIs?
When it comes to central line-associated bloodstream infections (CLABSIs ) and catheter-associated urinary tract infections (CAUTIs), it is estimated the costs range between $5,734 to $22,939 and between $589 and $758 per infection (CDC, 2009) respectively. Back in 2008, the Centers for Medicare & Medicaid Services stopped reimbursing hospitals for hospital-acquired conditions (HAC) such as the ones mentioned here back in 2008, propelling hospital to take additional measurements to reduce the incidence of such infections.
How to prevent CLABSIs and CAUTIs?
Some strategies directed to reduce the incidence of such infections are mentioned next. Strategies to reduce CLABSI include chlorhexidine use, hand hygiene, aseptic technique during insertion and removal of unnecessary device. Strategies to reduce CAUTI include hand hygiene, proper maintenance of drainage system and prompt removal of unnecessary urinary catheter.
What's the APRNs' role?
When it comes to APRNs, their extensive education and expertise allow them to effectively evaluate and compare information provided in databases such as the National Healthcare Safety Network (NHSN) and National Database of Nursing Quality Indicators. APRNs can lead change by implementing evidence-based prevention and timely interventions to prevent HAIs. The use of a team model with APRNs in charge can lead to better patient outcomes (Ryan, 2012).
References
Centers for Disease Control and Prevention. (2009). The Direct Medical Costs of Healthcare-
Associated Infections in U.S. Hospitals and the Benefits of Prevention. Retrieved from
https://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf
Centers for Disease Control and Prevention. (2014). Types of Healthcare-associated Infections.
Retrieved from https://www.cdc.gov/hai/infectiontypes.html
Dumont, C., & Nesselrodt, D. (2012). Preventing central line-associated bloodstream infection CLABSI. Nursing, 42(6), 41-46.
Flanders, K. (2014). Rounding to reduce CAUTI. Nursing Management (Springhouse), 45(11),
21-23.
Ryan, J. (2012). Leveraging the skills of APRNs to prevent HAIs. Nursing Management, 43(9),
22-5.
Comments
Post a Comment