Buckley Catherine, Clements Charlotte, Hopper Adrian
Project nurse, at Guy's and St Thomas' NHS Foundation Trust, London.
Br J Nurs. 2015;24(9):S18, S20-2. doi: 10.12968/bjon.2015.24.Sup9.S18.
Healthcare-acquired urinary infection presents a substantial burden for patients and the healthcare system. Urinary tract infections have not gained the same level of media attention as other healthcare-associated infections, yet interventions to reduce urinary catheter use are one of the top ten recommended patient safety strategies. To improve practice around urinary catheter placement and removal requires interventions to change the expectations and habits of nurses, medical teams and patients regarding the need for a urinary catheter. In the authors' trust, a redesign of the existing urinary catheter device record was undertaken to help avoid unnecessary placement of catheters, and resulted in a reduction of urinary catheters in situ longer than 48 hours. Other strategies included implementation of catheter rounds in a high-usage area, and credit-card-sized education cards. A catheter 'passport' was introduced for patients discharged with a catheter to ensure information for insertion and ongoing use were effectively communicated.
医疗保健相关的泌尿系统感染给患者和医疗系统带来了沉重负担。与其他医疗保健相关感染相比，尿路感染并未获得同等程度的媒体关注，然而减少导尿管使用的干预措施是十大推荐的患者安全策略之一。要改善导尿管置入和拔除的操作规范，就需要采取干预措施，改变护士、医疗团队和患者对于使用导尿管必要性的预期和习惯。在作者所在的信托机构，对现有的导尿管设备记录进行了重新设计，以帮助避免不必要的导尿管置入，并使留置时间超过48小时的导尿管数量有所减少。其他策略包括在高使用区域实施导尿管巡查，以及发放信用卡大小的教育卡片。还为携带导尿管出院的患者引入了“导尿管护照”，以确保有效传达导尿管插入及持续使用的相关信息。
