CAUTI Prevention Bundle Checklist

Implement evidence-based catheter-associated urinary tract infection prevention bundle including appropriate use, aseptic insertion, and daily review for removal.

  • Industry: Healthcare
  • Frequency: Daily / Each catheter
  • Estimated Time: 5-10 minutes
  • Role: Nurse/Physician
  • Total Items: 32
  • Compliance: CDC CAUTI Prevention, Joint Commission NPSG.07.06.01, CMS HAI Reduction

Catheter Indication Review

Appropriate use criteria

  • Acute urinary retention or obstruction?
  • Need for accurate output in critical illness?
  • Perioperative use for selected surgeries?
  • Open sacral or perineal wound (incontinent)?
  • Prolonged immobilization?
  • Hospice/comfort care?
  • Indication documented in medical record?

Insertion Technique (if new)

Aseptic insertion

  • Hand hygiene performed?
  • Sterile technique used?
  • Sterile equipment and drapes used?
  • Smallest appropriate catheter size used?
  • Securement device applied?

Catheter Maintenance

Daily care requirements

  • Closed drainage system maintained?
  • Bag below bladder level?
  • Bag off floor?
  • Tubing unkinked and unobstructed?
  • Meatal care performed?
  • Bag emptied regularly using clean technique?

Daily Necessity Assessment

Daily removal consideration

  • Continued indication present?
  • Removal actively considered?
  • Physician notified if no indication?
  • Alternatives considered (external, intermittent)?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

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