1. Finances were a critical barrier to providing an innovative, evidence-based, bladder bundle A more pleasing and attractive poster could have been organized Inability to authorize a mandatory, unit-wide seminar or continuing education colloquium A subsequent evaluation of the knowledge acquired of each attendee would gage the ability of individuals to recall important information regarding the most current and established guidelines Short time restriction prevents a proper evaluation of the implementation Unable to execute a proper implementation and evaluation of new knowledge gained through required CAUTI sessions. Nursing Bladder Bundle Implementation for CAUTI Reduction Jennifer Cameron, SN Poster Components Clinical Issue Implications Background & Findings  Approx. 1 in 25 hospital patients has acquired at least one HAI per hospital stay  CAUTI can be contributed to 34% of all nosocomial infections in the United States  Urinary tract infections are currently one of the most prevalent HAIs, representing approximately 30%-40% of all infections  Studies show many catheters are put in place without sufficient clinical indication as to why it may be needed  Medicare & Medicaid will no longer reimburse for CAUTI  A literature review was performed to assess CAUTI practices & policies in a variety of hospitals  The majority of ICUs in the study did not have any CAUTI prevention policies  Guidelines supporting the use of portable bladder scanners were in place in 25.9% of ICUs  Encouraging the use of condom catheters for men were in place in just 20% of ICUs  Urinary catheter reminders or stop orders and nurse-initiated urinary catheter discontinuation were rarely in place with just 9.5%  A mere 31% of ICUs with urinary catheter reminders or stop orders in place tracked them  Less than half the ICUs in the study reported having at least one of the four CAUTI policies in place, 42.2% (Conway et at., 2012). CAUTI could potentially be eliminated or greatly minimized with simple and cost- effective preventive approaches via the implementation of multidimensional infection control programs aimed at a general reduction of HAI rates and wider acceptance of universal infection control programs. Implementation A recent increase of CAUTI rates has driven a nationwide initiative for research and implementation of new and improved evidence- based interventions aimed at raising awareness in all healthcare facilities There is a need for an implementation of a standardized “bladder bundle,” to allow nurses and other members of the healthcare team to follow a specific protocol each and every time a catheter is inserted or removed A dherence to general infection control policies such as Hand hygiene Aseptic catheter insertion Proper maintenance, education and care B ladder scanner protocol may avoid indwelling catheterization C atheter alternatives Intermittent catheterization (“in and out”) method External condom catheter for men Absorbent pads and other incontinence products D o not use the indwelling catheter unless medically appropriate! E arly removal using a reminder, stop-order, or nurse- initiated removal protocol is warranted Evaluation Tremendous knowledge and understanding has been gained by all individuals involved throughout the development of this project The basis for this project was formulated after some careful consideration and deliberation with corresponding group members and research got underway almost immediately A few essential strategies such as adherence to strict asepsis and well as proper hand hygiene that all healthcare professionals absolutely must follow independently in an effort to encourage reduction and subsequent cessation