Susan Ashcraft, Kyle Duncan, Devon Lofters, Denise Wolfe; Moses Cone Hospital, Greensboro, NC

Purpose: Catheter-associated urinary tract infections (CAUTIs) are the most common hospital-acquired infections. CAUTIs lead to an increased mortality, additional health care costs, and longer lengths of stay. A higher rate of CAUTIs in a neuroscience intensive care unit (NICU) may be due to their patients’ neurogenic bladder dysfunction. Our NICU collaborated on an evidence-based project to decrease the number of catheter device days as an intervention to decrease our rate of CAUTIs. Description: The NICU nurses reviewed the literature to identify indications for urinary catheter use and evidence-based methods for insertion, maintenance, and postremoval care for indwelling urinary catheters. A focused search of the literature allowed the staff to understand the truths of bladder dysfunction in neurologically impaired patients. A surveillance tool was created to address indications for continuance and...

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