In order to implement a program to eliminate Catheter-associated Urinary Tract Infections (CAUTI) an implementation plan with the following actionable steps will need to be completed. The following checklist was adapted from the core prevention strategies recommended by the CDC.1
- Healthcare leadership should support the design and implementation of standards and training programs on catheter insertion and manipulation:
- Insert catheters only for appropriate indications.
- Remove catheters as soon as possible.
- Ensure that only properly trained persons insert and maintain catheters.
- Insert catheters using aseptic technique and sterile equipment.
- Maintain unobstructed urine flow.
- Following aseptic insertion, maintain a closed drainage system.
- Hospital governance and senior administrative leadership must champion efforts in raising awareness around the high incidence of CAUTIs and prevention measures.
- Senior leadership will need to address barriers, provide resources (budget/personnel), and assign accountability throughout the organization.
- Develop an education plan for attendings, residents and nurses to cover key curriculum pertaining to the prevention, insertion and maintenance of urinary catheters.
- All CAUTIs should have a root cause analysis (RCA) completed by the unit where the infection occurred with multidisciplinary participation including nursing, physicians and infection prevention specialists. All learnings from the RCA should be implemented.
- Select technology that has been shown to prevent CAUTI infections and/or positively enhance outcomes of patients who acquire CAUTI:
- Implement an anti-infective Foley catheter kit, with enhanced components to prepare, insert and maintain a safe urinary catheter.
Between the 2017 World Patient Safety, Science & Technology Summit and the 2017 Midyear Planning Meeting a workgroup comprised of experts representing administrators, clinicians, technologists and patient advocates will meet to update this APSS. If you are interested in joining this workgroup, please email us.