You work as a staff education nurse. Recently, there has been an increase in the rate of catheter-associated urinary tract infections on 7 West (a medical-surgical unit). You are approached by the director of staff education, and she has informed you that you will need to develop a plan of care for clients who are catheterized and a teaching plan to educate the staff on 7 West about the plan of care. You decide to offer three different days and times to ensure that all staff members can attend the presentation. As you begin to develop the plan of care, you consider the components of the plan and how you will deliver the information.

• Develop your plan of care. Identify two nursing diagnoses and interventions related to the case scenario. The interventions should be evidence-based practice from current nursing journal articles.
• Be sure to provide a correctly formatted reference list at the end of the assignment.
• Identify two priority learning needs for the staff on 7 West based on the information in the case scenario and your plan of care. What is your rationale for choosing the priority learning need(s)?
• What will be the goal, based on the learning need(s) you have identified?
• List at least two objectives (using measurable behaviors or activities) related to the learning need(s).
• What content will you include in your teaching plan to meet the goals and objectives that you set?
• What teaching strategies will you use when educating the staff? Include an explanation of why you chose these particular strategies.
• How will you evaluate your plan to ensure that the objectives are met?

ANSWER

Plan of Care: Catheter-Associated Urinary Tract Infections (CAUTIs) Prevention

Nursing Diagnosis 1: Risk for Infection related to indwelling urinary catheterization

Interventions:
1. Daily Catheter Care: Nurses should perform daily catheter care, including cleaning the perineal area and the catheter insertion site with soap and water. This practice helps reduce the risk of infection by minimizing the introduction of pathogens into the urinary tract (CDC, 2021).
2. Maintain a Sterile Closed System: Ensure that the catheter system remains closed and sterile at all times. This prevents the entry of bacteria into the urinary tract through the catheter (CDC, 2021).

Nursing Diagnosis 2: Knowledge Deficit related to catheter care and infection prevention

Interventions
1. Staff Education: Conduct regular educational sessions for staff on 7 West regarding catheter care and infection prevention. This should include evidence-based practices for catheter care and a review of CAUTI prevention guidelines (CDC, 2021; Gould et al., 2018).
2. Skill Demonstration: Organize practical demonstrations of proper catheter care techniques, including hand hygiene, cleaning, and maintaining a closed system. Visual learning enhances retention and implementation of best practices (Eggimann et al., 2019).

Priority Learning Needs

1. Hand Hygiene: The staff’s understanding and consistent practice of proper hand hygiene are crucial in preventing CAUTIs. This is a priority learning need as it serves as a fundamental defense against infection (CDC, 2021).
2. Catheter Care Procedures: Educating the staff about evidence-based catheter care procedures is a priority as it directly addresses the increased CAUTI rates. Correct catheter care is essential to minimize the risk of infection (Gould et al., 2018).

Goal

To reduce the incidence of CAUTIs on 7 West by 30% within three months through staff education and adherence to evidence-based practices.

Objectives

1. By the end of the educational sessions, 95% of staff members will correctly demonstrate proper hand hygiene techniques.
2. Within two months, 90% of staff members will consistently implement evidence-based catheter care practices.

Content

The teaching plan will cover topics such as hand hygiene, catheter care best practices, maintaining a sterile closed system, and the importance of preventing CAUTIs.

Teaching Strategies
Lectures: To provide theoretical knowledge.
Demonstrations: To visually reinforce proper hand hygiene and catheter care techniques.
Interactive Discussions: To engage staff and answer questions.
Role-Playing: To allow staff to practice and receive feedback.

Evaluation

Evaluation will involve observing staff during catheter care, monitoring compliance with hand hygiene protocols, and conducting follow-up quizzes to assess knowledge retention. Regular audits will be performed to track the incidence of CAUTIs on 7 West and measure the program’s success.

By implementing this plan of care and education, we aim to equip the staff with the knowledge and skills needed to effectively prevent CAUTIs and improve patient outcomes.