Unilateral anal sacculectomy for anal sac apocrine gland adenocarcinoma with urethral involvement

The patient presented to a veterinary hospital with a month-long history of ‘scooting’ and a right-sided anal gland mass. A diagnosis of a stage 2 anal sac apocrine gland adenocarcinoma was confirmed, and the patient underwent a right-sided anal sacculectomy. There was involvement of the urethra and adherence to the rectum and a subsequent urethral incision was necessary, which was surgically repaired at the time of surgery. The patient was hospitalised for several weeks postoperatively for urinary catheter care and further nursing interventions. The patient was discharged from hospital 3 weeks after surgery once the urethra had healed sufficiently enough to enable normal micturition and subsequently made a full recovery.

EP.TU.55Increased Communication within hospitals enhances Catheter Care for Colorectal patients

Audit Aims 1. To quantify staff compliance in documenting catheter insertion using newest (2019) vs older (2011) Catheter Care Plans (CCPs) in our hospital. 2. To assess completion of CCPs against NICE Quality Guidelines on Infection Prevention and Control1. 3. To action (and measure the impact of) interventions to improve CCP completion. Methods CCPs for all emergency and elective colorectal surgery patients with a urinary catheter inserted in our hospital, over a three-week period, were analysed. Interventions (including distributing new CCPs and placing posters) were implemented to raise awareness of desired documentation standards. Post-intervention, the audit loop was closed via a two-week analysis of a similar cohort. Results Pre-intervention, 25% of the 20 CCPs were new. The average completion rate of new and old CCPs, respectively, was 63.48% ±9.53% and 49.28% ±7.65%. Post-intervention, 66.6% of the 18 CCPs were new. The average completion rate of new and old CCPs, respectively, was 49.28% ±18.48% and 42.75% ±3.27%. Aside from one uncompleted, new CCP post-intervention, which skewed the results, we were 100% compliant with overall guidance on NICE1. Conclusions Increased communication between the wards and theatre teams is pivotal to ensure optimal catheter care for patients. Improvement points include: replacement of residual old forms with new CCPs, and more education to ensure correct completion of new CCPs. Further progress requires both awareness and availability of patient advice leaflets and catheter passports, as well as reminding staff of NICE Quality Guidelines1.

Assessment of Up-Grading Nursing Students’ Knowledge and Practice towards Short Peripheral Catheters (SPCs) Care at Al-Quds University

A short peripheral catheter is a medical device, a plastic tube inserted into a vein. A cross-sectional descriptive study was conducted to assess knowledge and practice towards short peripheral catheter care among first-year up-grading nursing students at Al-Quds University in Palestine. A convenience sample of 90 students filled questionnaires that showed they were newly- graduated with 46.1% having low experience and an inadequate knowledge level and 57.5% having a moderate practice level, with an inverse correlation between knowledge and practice. Sessions in the simulation laboratory about peripheral catheter care should be conducted to enhance quality and safety.

TO ASSESS THE ATTITUDE OF NURSES TOWARDS CATHETER CARE FOR PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTION AMONG PATIENTS ADMITTED IN TERTIARY CARE HOSPITAL BATHINDA (PUNJAB).

Healthcare associated infections (HCAI) or nosocomial infections constituting a major health problem worldwide; among them the major one is Catheter Associated Urinary Tract Infection (CAUTI) and it occurs after the admission of the patient in hospital due to the reason of other than that infection .Thus the present Study was planned to assess the attitude of staff nurses towards catheter care to prevent CAUTI among Patients Admitted in Tertiary Care Hospital, Bathinda (Punjab) Objectives 1.To assess the attitude of nurses towards catheter care for prevention of CAUTI among patients 2.To nd out the association between attitude of nurses towards catheter care for prevention of CAUTI among patients with their socio demographic variables. Descriptive survey design was used. A Quantitative Non experimental Approach was adopted to conduct the Study. 200 staff nurses were selected using Non Probability convenience Sampling Technique .The present study included staff nurses working in intensive care units, cardiac care unit, surgery, medical , orthopaedic and gynaecological and obstetrical wards. A prevalidated tool comprising Socio demographic variables and Self structured attitude scale were used to collect the data. Results: depicts that out of 200 staff nurses that most of staff nurses i.e. 120 (60%) were in the age group of 21-30 years. Most of them i.e.132 (66%) were females. About 40(20%) of staff nurses were presently working in CCU .Most of staff nurses 120(60%) were GNM by qualication .Most of staff nurses 89(44.5%) were having <2 years of experience in present area .Half of the staff nurses 118(59%) had attended training regarding infection control .Almost Half of staff nurses 92(46%) were having mild favourable attitude. There was Statistically Signicant Association found between attitude and gender, professional qualication, years of experience and any training attended regarding infection control. Conclusion: In the present study it is concluded that most of the participants have mild favourable attitude towards catheter care for prevention of CAUTI and needs further focus and support to improve nursing care quality.

Implementation of an Electronic Catheter Checklist in Hemodialysis: Results of a Pilot Quality Improvement Project

Background: Performing catheter care observations in outpatient hemodialysis facilities are one of CDC's core interventions, which have been proven to reduce bloodstream infections. However, staff have many competing responsibilities. Efforts to increase and streamline the process of performing observations are needed. We developed an electronic catheter checklist formatted for easy access with a mobile device, and conducted a pilot project to determine the feasibility of implementing it in outpatient dialysis facilities Methods: The tool contained the following content: 1) patient education videos; 2) catheter care checklists (connection, disconnection, and exit site care); 3) pre-pilot and post-pilot surveys; 4) a pilot implementation guide. Participating hemodialysis facilities performed catheter care observations on either a weekly or monthly schedule and provided feedback on implementation of the tool. Results: The pilot data were collected from January 6 through March 12, 2020 at seven participating facilities. A total of 975 individual observations were performed. The catheter connection, disconnection and exit site steps were performed correctly for most individual steps, however areas for improvement were 1) allowing for appropriate antiseptic dry time, 2) avoiding contact after antisepsis and 3) applying antibiotic ointment to exit site. Post-pilot feedback from staff was mostly favorable. Use of the electronic checklists facilitated patient engagement with staff and was preferred over paper checklists, as data are easily downloaded and available for use in facility Quality Assurance and Performance Improvement (QAPI) meetings. The educational video content was a unique learning opportunity for both patients and staff. Conclusions: Converting CDC's existing catheter checklists to electronic forms reduced paperwork and improved the ease of collating data for use during QAPI meetings. An additional benefit was the educational content provided on the tablet which was readily available for viewing while in the hemodialysis facility by patients and staff.