TAP Catheter-Associated Urinary Tract Infection (CAUTI) Implementation Guide: Links to Example Resources
Disclaimer: The links in the domains below are not mutually exclusive nor do they represent an exhaustive list of all the possible resources available. Furthermore, the links presented do not constitute an endorsement of these organizations or their programs by the Centers for Disease Control and Prevention (CDC) or the federal government, and none should be inferred.
See also the CDC Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009 pdf icon[PDF – 407 KB]
Engagement of Leadership, Champions, and Staff
- Engage the Senior Executive Moduleexternal icon
Module with multiple tools focused on the roles and responsibilities of senior executives, including checklists for senior leaders and board members, from the Agency for Healthcare Research and Quality (AHRQ). - Toolkit for Reducing CAUTIs in Hospital Unitsexternal icon
Implementation guide with tools designed to support implementation of evidence-based practices and elimination of CAUTIs, from (AHRQ) - CAUTI Cost Calculatorexternal icon
Tool to engage leadership that estimates facility costs due to CAUTI, from catheterout.org - CDC Safe Healthcare Blog – Why So Many Foleys?
Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health - Strategies and Tips for Engaging Providersexternal icon
Resources to engage senior leaders, physicians, nurses as champions in CAUTI prevention located under the tab” Engaging Providers”, from catheterout.org - Presentation to Nurse Manager & Case Manager (or Unit Champion)external icon
Presentation addressing the role of the nurse manager, from AHRQ - Roles and Responsibilities Table pdf icon[PDF – 1 page]external icon
Example implementation team roles and responsibilities, from Catheterout.org - Infection Prevention Champion
Informational webpage and accompanying PDF to aid partners in the identification and guidance of infection prevention champions, from the CDC - CUT CAUTI Bundleexternal icon
Bundle of CAUTI resources on champions, training, appropriate catheter use, maintenance, removal, and evaluation of prevention interventions, from Minnesota Hospital Association - TeamSTEPPS 2.0external icon
Training course for healthcare professionals designed to improve collaboration and communication within the healthcare institution, from AHRQ.
Staff Training and Competency Assessments
- Competency Based Training, Audits and Feedback Modules
Training modules covering the design of competency-based training, use of audits, and giving effective feedback, from Health Research & Educational Trust (HRET) and CDC’s STRIVE Infection Control Training. - CAUTI Prevention Training pdf icon[PDF – 2 MB]external icon
Training module for CAUTI prevention, covering CAUTI risks and prevention, from Sharp HealthCare - Streamlined Evidence-Based RN Tool pdf icon[PDF – 2 pages]external icon
Nurse-driven indwelling urinary catheter tool, including insertion checklist and bladder scan protocol, from the American Nurses Association (ANA) - Bladder Scan Policy and Checklistexternal icon
Policy for use of bladder scanners, from the Agency for Healthcare Research and Quality (AHRQ) - Appropriate Urinary Catheter Use and Management Nursing Education pdf icon[PDF – 54 pages]external icon
PowerPoint slide set on appropriate urinary catheter use and management, from catheterout.org - Emergency Nurses Association (ENA) presents CAUTI pdf icon[PDF – 54 pages]external icon
Transcript of a presentation by the Emergency Nurses Association (ENA) on how to reduce CAUTIs, from AHRQ - Preventing Urinary Tract Infections With a Two-Person Catheter Insertion Procedureexternal icon
Article with description of a two-person insertion procedure and the resulting reduction of CAUTI, from Nursing - Female Urethral Catheterizationexternal icon
Instructional video discussing indications for catheterization, equipment, and methods for insertion on female patients, from the New England Journal of Medicine (NEJM) - Female Insertion Audit Checklist pdf icon[PDF – 2 pages]external icon
Checklist of critical behaviors for use in auditing insertion practices in FEMALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Male Urethral Catheterizationexternal icon
Instructional video discussing indications for catheterization, equipment, and methods for insertion on male patients, from NEJM - Male Insertion Audit Checklistexternal icon
Checklist of critical behaviors for use in auditing insertion practices in MALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Routine Audits
- Streamlined Evidence-Based RN Tool pdf icon[PDF – 2 pages]external icon
Nurse-driven indwelling urinary catheter tool, including insertion checklist, from the American Nurses Association - Female Insertion Audit Checklist pdf icon[PDF – 2 pages]external icon
Checklist of critical behaviors for use in auditing insertion practices in FEMALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Male Insertion Audit Checklistexternal icon
Checklist of critical behaviors for useexternal icon in auditing insertion practices in MALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Implementing a Nurse-Driven Protocol pdf icon[PDF – 8 pages]external icon
Foley Catheter Practice Survey Tool (Figure 1, p. 18), from MedSurg Nursing - Hospital Infection Control Worksheet pdf icon[PDF – 1.73 MB]external icon
Data collection tool (Section 4.A., pg. 28-30) for assessment of aseptic insertion and appropriate maintenance for surveyors, from the Centers for Medicare & Medicaid Services (CMS) - Indwelling Urinary Catheter Maintenance Practices Adherence Monitoring Tool pdf icon[PDF – 2 pages]external icon
Adherence monitoring tool for urinary catheter maintenance practices from the California Department of Public Health (CDPH) - QUOTS: Urinary Catheter Observation pdf icon[PDF – 2 pages]
Quick Observation Tools (QUOTS) Example Observation form for proper catheter maintenance, from the Association for Professionals in Infection Control and Epidemiology (APIC).
Example Resources
- The Ann Arbor Criteria for Appropriate Urinary Catheter Useexternal icon
Appropriate and inappropriate indications for catheter use in hospitalized medical patients (Table 2, pg. 8), and a daily checklist for appropriate indications in the ICU (Figure 4, pg. 14), from the Annals of Internal Medicine - Guideline for Prevention of CAUTI, 2009 pdf icon[PDF – 61 pages]
Appropriate indications provided in Table 2 (pg. 11), from the CDC and Healthcare Infection Control Practices Advisory Committee (HICPAC) - Appropriate Urinary Catheter Placement in the Emergency Departmentexternal icon
Online course for urinary catheter placement in the emergency department from the Emergency Nurses Association (ENA) - Bladder Scan Policy and Checklistexternal icon
Policy for use of bladder scanners, from the Agency for Healthcare Research and Quality (AHRQ) - Streamlined Evidence-Based RN Tool pdf icon[PDF – 2 pages]external icon
Nurse-driven indwelling urinary catheter tool, including CDC criteria, insertion algorithm, and bladder scanner protocol, from the American Nurses Association - Implementing a Nurse-Driven Protocol pdf icon[PDF – 8 pages]external icon
Evaluation of nurse-driven catheter removal protocols in the acute care setting, from MedSurg Nursing - Policy/Procedure for Perineal Care for the Incontinent Patient word icon[DOC – 52 KB]external icon
Perineal care procedures as alternatives to catheterization for incontinent patients, from the Virginia Department of Health - Catheterization Alternatives Flyer pdf icon[PDF – 1.44 MB]external icon
Flyer presenting best practices and alternatives to indwelling catheters (pg. 4), from the South Carolina Hospital Association - CDC Safe Healthcare Blog – Why So Many Foleys?
Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health - CAUTI Prevention Brochureexternal icon
Brochure for providers summarizing indications for catheter use, from AHRQ - Strategies to Prevent CAUTI in Acute Care Hospitals: 2014 Update pdf icon[PDF – 17 pages]external icon
Practical recommendations for CAUTI prevention for acute care hospitals, including a catheter reminder/removal checklist (pg. 8), from The Society for Healthcare Epidemiology of America (SHEA) - Pocket Cards for Providers pdf icon[PDF – 1 page]external icon
Catheter removal reminder tools for use by physicians and nurses, from catheterout.org - Urinary Catheter Project Fact Sheetexternal icon
Fact sheet for providers, from AHRQ - Preventing CAUTI: Emergency Nursing Educationexternal icon
CAUTI prevention training tool for emergency department nurses, from the Emergency Nurses Association - Script for Patient/Family Requests for Non-Medically Indicated Urinary Catheters pdf icon[PDF – 1 page]external icon
Information to educate patients on urinary catheter risks and alternatives, from catheterout.org - Patient Education Brochure – What to Expect: Urinary Catheter pdf icon[PDF – 738 KB]external icon
Patient education brochure focusing on catheter explanation and infection prevention, from the Alabama Department of Public Health - Patient Education: Quick Facts About CAUTI pdf icon[PDF – 112 KB]external icon
Fact sheet about CAUTI for patient education, from the Indiana State Department of Health
Example Resources
- Streamlined Evidence-Based RN Tool pdf icon[PDF – 2 pages]external icon
Nurse-driven indwelling urinary catheter tool, including insertion checklist, from the American Nurses Association (ANA) - Let’s start using ANA’s CAUTI Tool – Video Editorialexternal icon
Video editorial describing ANA’s streamlined evidence-based RN CAUTI tool, from ANA - Urinary Catheter Insertion Checklist pdf icon[PDF – 1 page]external icon
Checklist of best practices for Foley insertion, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Female Insertion Audit Checklist pdf icon[PDF – 1 page]external icon
Checklist of critical behaviors for use in auditing insertion practices in FEMALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Female Urethral Catheterizationexternal icon
Instructional video discussing indications for catheterization, equipment, and methods for insertion on female patients, from the New England Journal of Medicine (NEJM). - Male Insertion Audit Checklist external icon
Checklist of critical behaviors for use in auditing insertion practices in MALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital - Male Urethral Catheterizationexternal icon
Instructional video discussing indications for catheterization, equipment, and methods for insertion on male patients, from NEJM - CAUTI Prevention Training pdf icon[PDF – 45 pages]external icon
Training module for CAUTI prevention covering risks and infection prevention, from Sharp HealthCare - Hand Hygiene Poster pdf icon[PDF – 148 KB]external icon
Key moments for hand hygiene when caring for a patient with a urinary catheter, from World Health Organization (WHO)
Proper Indwelling Urinary Catheter Maintenance
Example Resources
- APIC Implementation Guide external icon
Compilation of guidance on topics including CAUTI surveillance and prevention initiatives, as well as information on managing urinary catheters in spinal cord injury patients, from the Association for Professionals in Infection Control and Epidemiology (APIC). To access tool, click ‘download’ and enter email, no account or membership required. - Streamlined Evidence-Based RN Tool pdf icon[PDF – 2 pages]external icon
Nurse-driven indwelling urinary catheter tool, including CDC-recommended maintenance procedures (Box 2), from the American Nurses Association - Implementing a Nurse-Driven Protocol pdf icon[PDF – 8 pages]external icon
Foley catheter practice survey tool (Figure 1, pg. 18), from MedSurg Nursing - Urinary Catheterization – Sample Policy word icon[DOCX – 4 pages]external icon
Policy emphasizing appropriate insertion and maintenance practices for urinary catheters, from APIC - Catheter Care Pocket Card word icon[DOCX – 1 page]external icon
Tool for healthcare providers summarizing best practices for CAUTI prevention, from the Agency for Healthcare Research and Quality (AHRQ) - CAUTI Prevention Training pdf icon[PDF – 45 pages]external icon
Training module for CAUTI prevention covering risks and infection prevention, from Sharp HealthCare - Hospital Infection Control Worksheet pdf icon[PDF – 1.73 KB]external icon
Data collection tool (Section 4.A., pg. 28-30) for assessment of aseptic insertion and appropriate maintenance for surveyors, from the Centers for Medicare & Medicaid Services (CMS) - Hand Hygiene Poster pdf icon[PDF – 148 KB]external icon
Key moments for hand hygiene when caring for a patient with a urinary catheter, from World Health Organization (WHO) - Indwelling Urinary Catheter Maintenance Practices Adherence Monitoring Tool pdf icon[PDF – 2 pages]external icon
Adherence monitoring tool for urinary catheter maintenance practices from the California Department of Public Health (CDPH)
QUOTS: Urinary Catheter Observation pdf icon[PDF – 2 pages]
Quick Observation Tools (QUOTS) Example Observation form for proper catheter maintenance, from APIC
Example Resources
Nurse-Driven Removal
- Nurse-Driven Protocol for Catheter Removalexternal icon
Protocol for nurses to evaluate and discontinue urinary catheter use, from the Agency for Healthcare Research and Quality (AHRQ) - Implementing a Nurse-Driven Protocol pdf icon[PDF – 8 pages]external icon
Indwelling Urinary catheter removal protocol (Figure 2, p.19), from MedSurg Nursing - Ex-Foley-Ate Slide Set ppt icon[PPT – 6 MB]external icon
PowerPoint to promote urinary catheter best practices, from the Laurens County Healthcare System - CDC Safe Healthcare Blog – Why So Many Foleys?
Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health - Urinary Catheter Paper-based Removal Reminder pdf icon[PDF – 162 KB]external icon
Worksheet to verify indication and remind providers to remove unnecessary indwelling urinary catheters, from the Virginia Department of Health - Electronic Removal Reminder pdf icon[PDF – 6 pages]external icon
Removal reminder for an electronic medical record, from catheterout.org - Nurse Driven Foley Catheter Protocol pdf icon[PDF – 17 pages]external icon
Presentation on the implementation of a nurse driven protocol, from Jefferson University Hospitals
Foley Catheter Daily Tracking Sheet pdf icon[PDF – 1 page]external icon
Daily review of Foley necessity, from Atlantic Quality Innovation Network
Appropriate Urine Culturing Practices
Example Resources
- Urine Culture Stewardship in Hospitalized Patients
Background and guidance for designing and implementing a urine culture stewardship program for hospitalized patients with indwelling urinary catheters, including detailed content on the 4 elements of designing a program: survey, structure, strategize and sustain (click individual links under contents for more information), from the CDC - Antibiotic Stewardship Driver Diagram and Change Package pdf icon[PDF – 12 pages]
A framework to reduce inappropriate antibiotic use in hospitals, including ideas for creating guidance on appropriate culturing (pg. 5), from the CDC and the Institute for Healthcare Improvement (IHI) - Clinician Guide to Collecting Cultures
Guidance for collecting various culture types from patients in preparation for testing, from the CDC and Hospital Corporation of America (HCA) Clinical Services Group - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures ppt icon[PPT – 254 KB]external iconEducational presentation that describes when to order urine cultures in the long-term care setting, from Health Research and Educational Trust (HRET)
- Stop and Watch Early Warning Tool pdf icon[PDF – 1 page]external icon
Early detection warning tool for non-medical personnel to report patient changes, can be used to identify patients exhibiting symptoms of a wide-range of conditions including infection, from Florida Atlantic University’s Interventions to Reduce Acute Care Transfers (INTERACT) Program
Page last reviewed: May 9, 2019