Developing an Implementation Plan

Running head: DEVELOPING AN IMPLEMENTATION PLAN Developing an Implementation Plan Ancy Vallavanatt Grand Canyon University Professional Research Project NRS-441 Joyce Morrison September 10, 2011 Developing an Implementation Plan Implementation Strategy 1.Obtain necessary paper work for approval from superiors and fellow staff members 2.Highlight current problems related to catheterization and CAUTI 3.Present proposed solution 4.Provide detailed explanation of the proposed solution a.Proper assessment for catheterization b.Explore other options c.Proper catheter type and size d.Proper process of insertion e.Proper anchoring or securing f.Proper maintenance and timely removal 5.Provide implementation logistics 6.Present resources needed for implementation a.Staff members b.Educational materials like power point presentation, c.Assessment tools like questionnaires, d.Technology e.Funds Implementation Plan Obtaining Necessary Approvals The initial step in the implementation plan is to establish different committees that will focus on the proposal, implementation and evaluation process. The goal of the proposal committee is to obtain necessary approvals, support, and feedback from Nursing Management, the Chief Nurse, and other staff members of the institution, like pharmacists, dieticians, and others. Part of the committee`s goal is to make sure that any mission, views or objectives of the institution are not compromised. Presenting the proposal to the concerned health care providers can be done through electronic means but presenting a hard copy is a better and more formal approach. When the approvals have been obtained, the implementation group will begin their tasks. Current Problem One of the traditional responsibilities of a nurse is urinary bladder catheterization. In the hospital setting, up to 31% of patients has a urinary catheter CITATION Nic05 \l 1033 (Nicolle, 2005). This commonality of catheterization does not ensure its safety. In relation to the issue of CAUTI, nurses play a major role. Maintaining the urinary catheters sterility and patency is their primary goal. Despite this, 80% of all urinary tract infections are associated with the insertion of a urinary catheter CITATION Ven07 \l 1033 (Venkatram, Grosu, Torchon, & Soni, 2007). Many factors can affect the risk for CAUTI like the process of insertion, the type catheter used, and the patient`s hygiene. However, all these factors can be influenced by the nurse. That is why nurses are the major contributors CITATION Pel09 \l 1033 (Pellowe, 2009) for this project. The unnecessary prolonged use of a urinary catheter is a major problem which increases the risk for CAUTI CITATION JMT09 \l 1033 (Barford & Coates, 2009). According to Foxley (2011), evidence shows that most cases of catheterizations are unjustified and exposes patients to significant risk for urinary tract infection. Appropriate indication for catheterization should be properly assessed before deciding to insert a catheter. The issue of aseptic and sterile technique is also important since catheterization is a very invasive procedure. Choosing of...