Catheter-Associated UTI Prevention Audit
Track CAUTI prevention practices across insertion, maintenance, and removal to spot gaps early and support safer catheter use. This audit template helps teams document compliance and corrective actions in one place.
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What's inside this template
Patient Indication and Order Review
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Documented indication for catheter is present
Confirm the chart includes a valid clinical indication for Foley catheter use.
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Insertion order is present and current
Verify there is an active provider order for catheter insertion or continuation.
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Daily necessity assessment documented
Check whether catheter necessity is reviewed and documented each day.
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Alternative urine management options considered
Assess whether non-indwelling alternatives were considered when appropriate.
Insertion Technique and Aseptic Practice
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Hand hygiene performed before insertion
Verify hand hygiene was completed immediately before the procedure.
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Sterile insertion technique used
Confirm sterile gloves, sterile field, and aseptic technique were maintained throughout insertion.
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Appropriate catheter size selected
Verify the smallest appropriate catheter size was used to reduce urethral trauma.
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Sterile supplies and lubricant used
Confirm all required sterile supplies were available and used during insertion.
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Insertion documentation completed
Check that date, time, inserter, catheter type/size, and patient tolerance were documented.
Catheter Maintenance Bundle
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Closed drainage system maintained
Confirm the drainage system remained closed and intact without unnecessary disconnections.
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Drainage bag positioned below bladder
Verify the collection bag is kept below bladder level and off the floor.
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Catheter secured to prevent traction
Check that the catheter is properly secured to reduce urethral injury and accidental removal.
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Perineal and catheter care performed per protocol
Assess whether routine hygiene care was completed according to facility policy.
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Unobstructed urine flow maintained
Confirm tubing is unkinked, unobstructed, and urine is draining appropriately.
Removal and Ongoing Necessity
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Removal criteria assessed daily
Verify daily review for ongoing need and removal readiness is documented.
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Catheter removed when no longer indicated
Confirm the catheter was discontinued promptly once clinical need ended.
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Removal order or protocol followed
Check that removal was performed according to provider order or approved nurse-driven protocol.
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Post-removal monitoring documented
Verify documentation of voiding status, retention concerns, or follow-up after removal.
Audit Notes and Corrective Actions
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Overall audit findings summary
Provide a brief summary of compliance, gaps, and notable observations.
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Corrective actions identified
Document any immediate actions, education needs, or escalation required.
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Inspector signature
Signature of the auditor completing the CAUTI prevention review.
Common use cases
Frequently asked questions
Who should use this CAUTI prevention audit template?
This template is useful for infection prevention teams, nursing leaders, quality departments, and unit managers who oversee urinary catheter care. It helps standardize audits across inpatient units, long-term care, and other clinical settings.
What does this audit help verify?
It checks whether a catheter has a valid indication, whether insertion followed aseptic technique, and whether maintenance practices support infection prevention. It also confirms that daily necessity is reviewed and catheters are removed when no longer needed.
Can this template support corrective action tracking?
Yes. The audit includes a section for overall findings, corrective actions, and inspector sign-off so issues can be assigned and followed up. That makes it easier to close the loop after noncompliance is found.
Is this suitable for routine unit audits?
Yes, it is designed for repeat use during spot checks, monthly quality reviews, or targeted audits after an increase in CAUTI rates. The structure makes it easy to compare results over time.
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