Run Catheter-Associated UTI Prevention Audit — Free

Patient Indication and Order Review

Documented indication for catheter is present critical (required)

Confirm the chart includes a valid clinical indication for Foley catheter use.

Yes No N/A

Insertion order is present and current critical (required)

Verify there is an active provider order for catheter insertion or continuation.

Yes No N/A

Daily necessity assessment documented critical (required)

Check whether catheter necessity is reviewed and documented each day.

Yes No N/A

Alternative urine management options considered

Assess whether non-indwelling alternatives were considered when appropriate.

Yes No N/A

Insertion Technique and Aseptic Practice

Hand hygiene performed before insertion critical (required)

Verify hand hygiene was completed immediately before the procedure.

Yes No N/A

Sterile insertion technique used critical (required)

Confirm sterile gloves, sterile field, and aseptic technique were maintained throughout insertion.

Yes No N/A

Appropriate catheter size selected

Verify the smallest appropriate catheter size was used to reduce urethral trauma.

Yes No N/A

Sterile supplies and lubricant used

Confirm all required sterile supplies were available and used during insertion.

Yes No N/A

Insertion documentation completed

Check that date, time, inserter, catheter type/size, and patient tolerance were documented.

Yes No N/A

Catheter Maintenance Bundle

Closed drainage system maintained critical (required)

Confirm the drainage system remained closed and intact without unnecessary disconnections.

Yes No N/A

Drainage bag positioned below bladder critical (required)

Verify the collection bag is kept below bladder level and off the floor.

Yes No N/A

Catheter secured to prevent traction

Check that the catheter is properly secured to reduce urethral injury and accidental removal.

Yes No N/A

Perineal and catheter care performed per protocol

Assess whether routine hygiene care was completed according to facility policy.

Yes No N/A

Unobstructed urine flow maintained critical (required)

Confirm tubing is unkinked, unobstructed, and urine is draining appropriately.

Yes No N/A

Removal and Ongoing Necessity

Removal criteria assessed daily critical (required)

Verify daily review for ongoing need and removal readiness is documented.

Yes No N/A

Catheter removed when no longer indicated critical (required)

Confirm the catheter was discontinued promptly once clinical need ended.

Yes No N/A

Removal order or protocol followed

Check that removal was performed according to provider order or approved nurse-driven protocol.

Yes No N/A

Post-removal monitoring documented

Verify documentation of voiding status, retention concerns, or follow-up after removal.

Yes No N/A

Audit Notes and Corrective Actions

Overall audit findings summary

Provide a brief summary of compliance, gaps, and notable observations.

Corrective actions identified

Document any immediate actions, education needs, or escalation required.

Inspector signature critical (required)

Signature of the auditor completing the CAUTI prevention review.

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Run: Catheter-Associated UTI Prevention Audit

Patient Indication and Order Review

Insertion Technique and Aseptic Practice

Catheter Maintenance Bundle

Removal and Ongoing Necessity

Audit Notes and Corrective Actions

Get your results