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- Title
Prevention of Catheter Related Urinary Tract Infections (UTIs) in a Level II Neuro/Trauma Intensive Care Unit.
- Authors
Kure, Lars; Duncan, Barb; Adamson, Melissa
- Abstract
Purpose/goals: To describe and evaluate the implementation of a protocol for early removal of urinary catheters in a Level II Neuro/Trauma Intensive Care Unit. Session description: Urinary tract infections (UTI) account for approximately 23% of UTIs in US adult ICUs, of these, up to 80% are attributable to indwelling urinary catheters (IUC) (Titsworth et al., 2012). Catheter associated UTI (CAUTI) is correlated with increased length of stay and cost (Chant et al., 2011). In collaboration with interprofessional staff, several contraindications to removal of IUC were identified, based on current literature and clinical practice. A point prevalence survey (n=55) identified that although 84% of patients had an appropriate indication for insertion of an IUC, 76% did not have an appropriate indication for keeping the IUC in place, adding up to 294 inappropriate catheter days. To decrease the number of IUC in the ICU a protocol was developed, which included contraindications for removal and a post removal management algorithm. A multipronged educational approach was used to implement the protocol including one-on-one in-services, email, daily reminders, and walkabouts. Learning outcomes: 1. Identify contraindications to removal of urinary catheter in the level II ICU patient. 2. Discuss different post removal interventions.
- Subjects
CATHETER-associated urinary tract infections; CATHETERIZATION; INTENSIVE care nursing; INTENSIVE care units; POSTERS; HUMAN services programs; MEDICAL device removal; EVALUATION of human services programs; PREVENTION
- Publication
Canadian Journal of Critical Care Nursing, 2017, Vol 28, Issue 2, p57
- ISSN
2368-8653
- Publication type
Article