Healthcare-associated pneumonia (HAP) is a significant challenge for healthcare providers. Mortality rates of 20% to 33% have been reported for hospital-associated pneumonia. Hospital-associated pneumonia has been shown to increase ICU stay by 4.3 to 6.1 days. Ventilator-associated pneumonia (VAP) increased the direct costs of a patient stay by $40,000 Although the etiology of HAP has many causes, the CDC has identified colonized devices as risk factors1: Pathogens causing HAP, such as gram-negative bacilli and Staphylococcus aureus are ubiquitous in healthcare settings. Procedures such as tracheal suctioning increase the opportunity for cross-colonization. Endotracheal suction catheters can introduce microorganisms into a patient’s lower respiratory tract.