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Catheter-Associated Urinary Tract Infection (CAUTI) Bundle Audit
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Audit of indwelling urinary catheter appropriateness, insertion technique, maintenance, and timely removal to reduce catheter-associated urinary tract infections.
CDC/HICPAC CAUTI Guideline 2009NHSN CAUTIAHRQ CUSP for CAUTI
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Appropriate Use
- Was the urinary catheter placed only for a documented, approved indication? *
- Were alternatives to indwelling catheterization (e.g., condom catheter, intermittent catheterization, bladder scan) considered? *
- Is the ongoing need for the catheter reviewed daily with a nurse-driven removal protocol? *
Insertion Technique
- Was the catheter inserted using aseptic technique and sterile equipment by trained personnel? *
- Was hand hygiene performed immediately before and after insertion or manipulation? *
- Was the smallest bore catheter possible selected and properly secured after insertion? *
Maintenance & Drainage
- Is a closed sterile drainage system maintained without breaks? *
- Is the drainage bag kept below the level of the bladder and off the floor at all times? *
- Is unobstructed urine flow maintained without dependent loops or kinks in the tubing? *
Surveillance
- Are CAUTI events identified using current NHSN surveillance definitions? *
- Are catheter utilization ratios and CAUTI SIR tracked by unit? *
- Is feedback on device days and infection rates provided to frontline staff?
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