The prolonged use of indwelling urinary catheters can lead to many complications, the most prevalent being urinary tract infections. These hospital-acquired infections can increase hospital costs, length of stay, and mortality rates. Evidence-based guidelines for the prevention of urinary tract infections are compared and discussed. Minimizing indwelling urinary catheter use is well-recognized in the literature to reduce the risk of these infections. To decrease the incidence of catheter-associated urinary tract infections, the staff of a 22-bed, mixed medical, surgical, and trauma intensive care unit focused on reducing the number of foley catheter device days. A multidisciplinary team was convened to create an evidence-based plan. Staff nurses were engaged in the development and implementation of the plan. Criteria-based foley catheter guidelines, a decision-making algorithm, and a daily checklist were implemented that led to a significant reduction in foley catheter device days and a decrease in catheter-associated urinary tract infections.
Reducing Foley Catheter Device Days in an Intensive Care Unit: Using the Evidence to Change Practice
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Laura Reilly, Patty Sullivan, Sharon Ninni, Denise Fochesto, Karen Williams, Brandee Fetherman; Reducing Foley Catheter Device Days in an Intensive Care Unit: Using the Evidence to Change Practice. AACN Adv Crit Care 1 July 2006; 17 (3): 272–283. doi: https://doi.org/10.4037/15597768-2006-3006
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