Nurses’ Practice Environments Essay

Purpose Medication misapprehensions await a threat to diligent safety. Therefore, the purpose of this study was to determine the relationships among characteristics of the breast feeding practice environment, nurse staffing levels, nurses error interception practices, and rates of non-intercepted medication errors in slap-up cargon hospitals. Summary LTICs are used in patients of various ages, moreover are most frequently seen in older adults. LTICs are determined in patients due to a number of reasons such as urinary retention, incontinence, immobility and spinal cord injury. The bodys natural and important justification mechanism against UTIs occurs when voiding, and in the bladders bulwark where bacteriacide activity arises. However, when an LTICs are present, the chance for UTIs increase due to reasons such as exasperation due to catheter parts, pressure caused by the inflated balloon, residual piddle in the bladder from the placement of the balloon, and the ischemic damage to the bladder mucosa caused by bladder distention (Muzzi-Bjornson & Macera, 2011).Essentially, the bodys natural defense is altered, and thus this irritation increases the risk for UTIs. In addition, biofilm formation on the LTIC, besides poses a risk for CAUTIs. Biofilm formation on a urinary catheter is a layer of microorganisms on the catheter surface. Ultimately, the long-life duration (days) catheters remain in place, the risk of CAUTIs increases. A major problem associated with LTICs and urinary catheters in general, are their tendencies to shove and possibly damage the urethra, resulting in an inflamed urinary mucosa. Thus, it is critical to vex preventative measures to decrease the risk for CAUTIs for those using LTICs. For instance, these measures include basic nursing careespecially keeping a sterile environment, intake of cranberry juice or extract, use of appropriate catheter, antibiotics, and oral drug with deactivated/killed bacteria. Nursing Implication s1. patronage the setting, whether the patient is at home or in the hospital, sterile conditions are vital. Perform hand hygiene and use aseptic technique upon founding of indwelling catheter. 2. Assess catheters regularly to reduce infection. Keep in pass that catheters should be removed as soon as possible. Remember that the longer the catheters are in place, the greater risk of infections. Also, be aware of patients symptoms of CAUTI. 3. Ensure that the catheter is a closed drainage system, and secure the winding in place. This will aid in reduction of bladder wall and lining irritation, reduce the patients pain, and promote good pissing drainage into the collection bag. 4. Obtain urine sample with culture for patients on drug therapy, and monitor/maintain patients fluid intake. 5. If non contraindicated, follow orders and give patient cranberry juice and/or extract. Cranberry juice has been speculated to put down urinary pH levels, which impedes bacterial growth. 6. Strict ly monitor patient if on prophylactic antibiotics be aware of dangers/adverse effects.ReferenceFlynn, L. , Liang, Y. , Dickson, G. , Xie, M. , & Suh, D. (2012). Nurses practice environments, error interception practices, and inpatient medication errors. Journal of Nursing Scholarship, 44(2), 180-186.