Tiêu đề NCM 112 RLE MIDTERMS ✅

RD PRS appropriate clinical information, positioning changes, and calibration variations on the ECG tracing, and place it in the patient's medical record. Document teaching provided to the patient and family (if applicable), their understanding of that teaching, and any need for followup teaching. Indwelling Foley Catheter(female).mp4 - Female Indwelling urinary (Foley) catheter ● remains in bladder to provide continuous urine drainage. ● balloon inflated at catheter's distal end prevents it from slipping out of the bladder after insertion. ● Insert an indwelling urinary catheter only when absolutely NECESSARY because its use is associated with increased risk of UTI, and risk increases with each day of use. ● Catheter-associated UTI (CAUTI) accounts for 35% of health care–associated infections in the United States, making it the most common type. Hospital-acquired condition alert: Centers for Medicare and Medicaid Services considers CAUTI a hospital-acquired condition because it can be reasonably prevented using best practices. Be sure to follow CAUTI prevention practices—such as 1. Performing hand hygiene before and after any catheter manipulation; 2. Maintaining sterile, continuously closed drainage system; 3. Maintaining unobstructed urine flow; 4. Emptying the collection bag regularly; 5. Replacing catheter and collection system using sterile technique when a break in sterile technique, disconnection, or leakage occurs; 6. Discontinuing the catheter soon as it's no longer clinically indicated Consider alternatives to indwelling urinary catheterization when appropriate: external catheter application, bladder ultrasonography, intermittent catheterization, use of optimal incontinence products, prompted toileting, urinal and bedside commode use, and daily weight Indwelling only for appropriate indication: ● acute urine retention or bladder outlet obstruction ● need for accurate urine output measurements in critically ill patients ● perioperative use for patients undergoing urologic surgery or other procedures on structures of the genitourinary tract ● prolonged surgery (with removal of catheters inserted for this purpose in the postanesthesia care unit) ● surgery requiring large-volume infusions or diuretic use ● intraoperative urinary output monitoring ● assistance in the healing of open sacral or perineal wounds or skin grafts in selected patients with incontinence ● prolonged immobilization (such as for a potentially unstable thoracic or lumbar spine or multiple traumatic injuries, including pelvic fractures) ● improved comfort for end-of-life care, if needed. Indwelling urinary catheter insertion is contraindicated in a patient who has a urethral injury, which typically is associated with pelvic trauma. Relative contraindications include urethral stricture, recent urinary tract surgery (example, of the urethra or bladder), and presence of artificial sphincter. For these issues, a practitioner should be consulted to perform the procedure. Use STERILE TECHNIQUE when inserting, manipulating, and maintaining an indwelling urinary catheter. Maintain sterile, continuously closed drainage system; don't disconnect or break system unless absolutely necessary. Avoid irrigation unless necessary. If indwelling urinary catheter inserted for surgery, ensure discontinuation within 24hrs after surgery unless another indication exists. Review need for the indwelling urinary catheter daily and remove it as soon as it's no longer necessary. Equipment ● Sterile indwelling urinary catheter (smallest-bore catheter possible that will support adequate urine drainage) ● Syringe filled with 10 mL of sterile water ● Fluid-impermeable pad ● Gloves, Sterile gloves, Sterile drape ● Sterile fenestrated drape ● Sterile presaturated antiseptic swabs or antiseptic solution, sterile water, or sterile saline and sterile swabs or sterile cotton balls and plastic forceps ● Single-use packets of soap-containing wipes or soap and water and a washcloth ● Single-use packet of sterile water-soluble lubricant ● Sterile drainage collection bag ● Catheter securement device or tape ● Optional: insertion checklist, towel, examination light or flashlight, bladder ultrasonography device, gown, mask and goggles or mask with face shield Prepackaged sterile disposable kits are available that usually contain all the necessary equipment. Preparation of Equipment Inspect all equipment and supplies; if a product is expired, its integrity is compromised, or it’s defective, remove it from patient use, label it as expired or defective, and report the expiration or defect as directed by your facility. Implementation ● Verify the practitioner's order. ● Assess patient to make sure that an indwelling urinary catheter is indicated; assess for alternatives to indwelling urinary catheter use. If needed, use bladder 3