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Run: Catheter-Associated UTI Prevention Audit

Audit indwelling urinary catheter care for CAUTI prevention, from indication and insertion to daily maintenance and timely removal. Use it to catch avoidable...

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Patient Indication and Order Review

Confirm the chart includes a valid clinical indication for catheter placement, such as urinary retention, accurate hourly output in a critically ill patient, perioperative use, or another facility-approved indication.
Verify there is an active order, protocol, or documented authorization for catheter placement and continued use.
Confirm the record shows a daily review of whether the catheter is still needed.
Check whether non-indwelling options were considered when the catheter is no longer clearly indicated.

Insertion Technique and Aseptic Practice

Observe documentation or direct practice showing hand hygiene occurred immediately before insertion.
Confirm sterile catheter kit, sterile gloves, and aseptic insertion technique were used throughout the procedure.
Verify appropriate antiseptic preparation of the insertion site was performed according to facility protocol.
Confirm the smallest appropriate catheter size was used to reduce urethral trauma and infection risk.

Catheter Maintenance Bundle

Check that the catheter and drainage tubing remain a closed system with no unnecessary disconnections.
Verify the drainage bag is secured below the level of the bladder and not resting on the floor.
Confirm tubing is not kinked, compressed, or looped in a way that impedes urine flow.
Verify routine hygiene is performed using facility-approved frequency and method.
Confirm output is measured and charted, and abnormal findings are escalated per protocol.

Removal and Ongoing Necessity

Confirm removal occurred promptly after the clinical need ended or the order was discontinued.
Verify the chart includes the date and time of catheter removal.
Check for a documented plan to monitor voiding, retention, or other follow-up needs after removal.
If the catheter remained in place beyond the expected timeframe, verify escalation to the responsible clinician occurred.

Audit Notes and Corrective Actions

Summarize any non-conformances and the immediate or planned corrective action.
Capture the inspector's sign-off for the completed audit.

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