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Ur-Ine Good Hands In The Neuroscience Intensive Care Unit, Molly Lehatto, Courtney Hastings, Monika Mehlbrech, Christina Szabo

VCU Health Nursing

Purpose:

The purpose of this performance improvement project was to decrease the harm to patients related to catheter associated urinary tract infections (CAUTIs) in the Neuroscience Intensive Care Unit (NSICU). Historically, the NSICU had the highest CAUTI rates in our organization with as many as 6 CAUTIs per calendar year quarter. A core group of nurses partnered with providers, hospital infection preventionists and nursing leaders to improve practices for placing, removing, and managing urinary catheters and to implement guidelines for urine testing stewardship.

Description:

Significance: In 2020, the NSICU had 12 CAUTIs, the highest number of CAUTIs in the entire …

Cauti: Are We Testing Appropriately?, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this evidence-based quality improvement project was to decrease catheter associated urinary tract infections in a 28 bed Surgical Trauma Intensive Care Unit in a Level One Trauma Academic Medical Center.

Background: Catheter Associated Urinary Tract Infections (CAUTI) are deemed never events by the Centers for Medicare & Medicaid Services. Centers for Disease Control and Prevention estimates 17-69% of CAUTIs are preventable. Current recommendations for CAUTI reduction include: Education strategies, chlorhexidine gluconate bathing and catheter care, catheter avoidance, policies for insertion, and urine culture testing stewardship. Our unit experienced an increase in CAUTI incidence in May and …

Cauti: What Are We Testing?, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this evidence-based practice (EBP) project was to identify and implement evidence-based practice to reduce Catheter-Associated Urinary Tract Infections (CAUTI).

Background: CAUTIs are deemed never events by Centers for Medicaid and Medicare and are tied to financial reimbursements. CDC states 17-69% of CAUTIs are preventable with recommended infection control measures. UTIs are the most common type of Hospital-acquired infection, with an estimated of occurrence of 9.5% reported by acute care hospitals. Every day a catheter is in place, the risk of CAUTI increases by 3-7%. Current recommendations for reduction in CAUTI rates include educational strategies, catheter avoidance, …