Question

1,Identify nursing priorities/standards of care for these interventions

Central Line/Dressing Standards of Care:

Nursing Standards of Care:         

Rationale:

2, Identify nursing priorities/standards of care for these interventions

Insert Urinary Catheter/Standards of Care:

Nursing Standards of Care:         

Rationale

Answer 1

1. Nursing care for dressing standards of care for Central line:

-This procedure is mainly done for the patients who are hospitalized patients. While maintaining Central line should follow aseptic techniques like catheter site inspection,dressing changes,proper removal of catheter.

-Central line care needs routine care to prevent from infection.Always wash hands while dressing change. Initial placement of catheter mainly done by trained physicians,physician assistants and nurse practitioners in sterile manner. Routine evaluation should be done by health care team will ensure appropriate handling and care of the central line reduce the risk of catheter associated complications and infections.

-Standard Hand hygiene and clean glove practices should be done while giving care for central line and should be done daily. Inspection of the site should be done daily and dressing changes should be done every 5 to 7 days or every 2 days with a guaze dressing. If the dressing has break or soiled ,it should be changed , and proper cleaning and replacement of new sterile dressing should be done.

-Whenever the central access line is no longer necessary the central line should be removed carefully and promptly.

2. Care for Inserting urinary catheter:

-Urinary catheterization is done mainly for patients with urologic disorder or any kidney dysfunctions or when urine drainage cannot be done naturally. Care must be done to ensure that urinary drainage is adequate and the kidney function is preserved.

-Care of catheterization should be done in a aseptic technique during insertion of catheter. Catheter bag and tubings should be sterilized in a aseptic manner before insertion.

-The nurse should be observe the catheter daily to make sure it is properly anchored,to prevent pressure on the perineal area to prevent from pressure tension and traction on bladder both male and female patients.

-The catheter is a foreign body in the body and it produces reaction in uretheral mucosa with some discharge.So the area should be cleaned daily to prevent infection.

-A liberal fluid intake within the limits of the patient's cardiac and renal reserve and an increased urine output must be ensured to flush the catheter and to dilute urinary substances that might form encrustations.

-Hand hygiene is essential when moving from one patient to another to provide care and before and after handling any part of the catheter or drainage system.