Implementation
Toolkit for Reducing CAUTI in Hospitals
The Implementation module of the Toolkit for Reducing CAUTI in Hospitals discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care. It takes users step by step through execution of clinical and cultural interventions.
Guides
- Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
This guide describes how a hospital team can implement a CAUTI prevention project.- PDF, 367 KB
Tools
- Checklists for Assessing Executive and Physician Champion Potential (Word, 284 KB) (Appendix A of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
These checklists, developed by Andrea Silvey, Ph.D., M.S.N., chief quality improvement officer of Health Services Advisory Group, provide concrete examples of qualities to look for when considering executives or physicians to serve as project champions. - Urinary Catheterization - Sample Policy (Word, 283 KB) (Appendix B of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Use this sample policy to embed evidence-based practice in organizational policy. Adapt this policy to meet the needs of your facility. - Sample Bladder Scan Policy (Word, 277 KB) (Appendix C of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Bladder scanners can be used to assess and confirm urinary retention and confirm whether urinary catheterization is justified. Use this sample policy to embed evidence-based practice in organizational policy. - Poster on Indications for Urinary Catheters (PDF, 298 KB) (Appendix D of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate staff on the appropriate indications and nonindications for use of indwelling urinary catheters. - Poster on Urinary Catheter Risks and Indications (PDF, 570 KB) (Appendix E of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks, indications, and nonindications for use of indwelling urinary catheters. - Urinary Catheter Decision-Making Algorithm (Word, 154 KB) (Appendix F of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Use this tool to guide decision making on proper use and nonuse of indwelling urinary catheters. - Urinary Catheter Project Fact Sheet (PDF, 339 KB) (Appendix G of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate staff on the problem of CAUTI, project goals, indications for indwelling urinary catheter use, and catheter removal. - Urinary Catheter Pocket Card (Word, 242 KB) (Appendix H of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate staff in removal of indwelling urinary catheters, risks of catheter use, and indications and nonindications for catheter use. - Catheter Care Pocket Card (Word, 183 KB) (Appendix I of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate and encourage staff to follow evidence-based practice in care of urinary catheters. - Urinary Catheter Brochure (PDF, 306 KB) (Appendix J of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate staff on the problem of CAUTI, removal of indwelling urinary catheters, alternate solutions for incontinence, an algorithm for proper catheter use, and indications and nonindications for catheter use. - Infographic Poster on CAUTI Prevention (PDF, 20 MB) (Appendix K of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Use this educational tool to educate and motivate staff to follow evidence-based CAUTI prevention practices in three domains: appropriate catheter use, proper insertion and maintenance, and prompt catheter removal. - Intensive Care Unit Infographic Poster (PDF, 761 KB) (Appendix L of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Use this educational tool to help staff understand the risks associated with use of indwelling urinary catheters and educate and motivate staff to consider alternatives to using these catheters. Risks of overuse of urine culturing are also covered in this tool. - Example of a Nurse-Driven Protocol for Catheter Removal (Word, 288 KB) (Appendix M of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
An example of a protocol that empowers nurses to evaluate and discontinue unnecessary urinary catheters. - Skin Care in the Incontinent Patient (Word, 134 KB) (Appendix N of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate caregivers on how to prevent skin breakdown in incontinent patients without resorting to use of indwelling urinary catheters. - CAUTI Event Report Template (Word, 1.6 MB) (Appendix O of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
When a CAUTI occurs in a unit, teams can use this tool adapted from a report by the North Carolina Quality Center to identify root causes. - Interpreting CAUTI Data Trends Tool (Excel, 76 KB) (Appendix P of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
This tool presents suggested questions and action items in response to different trends in teams’ data submission rates and process and outcome data.
Archived Webinars
- Building a Team and Process to Reduce CAUTI Risk (April 8, 2014)
Accessible (Microsoft PowerPoint) (1.1 MB) / Transcript (Word) / mp3 audio (7.4 MB) - Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014)
Accessible (Microsoft PowerPoint, 2.4 MB) / Transcript (Word) / mp3 audio (6.9 MB) - Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013)
Accessible (Microsoft PowerPoint (3 MB) / Transcript (Word) / mp3 audio (7.3 MB) - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013)
Accessible (Microsoft PowerPoint) (487 KB) / Transcript (Word) / mp3 audio (6.4 MB) - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014)
Accessible (Microsoft PowerPoint (2.6 MB) / Transcript (Word) / mp3 audio (7.6 MB) - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014)
Accessible (Microsoft PowerPoint (2 MB) / Transcript (Word) / mp3 audio (6.7 MB) - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013)
Accessible (Microsoft PowerPoint (3.1 MB) / Transcript (Word) / mp3 audio (8.2 MB) - Engaging the Nurse, Physician, Patient/Family; CUSP – Learn From Defects (June 10, 2015)
Accessible (Microsoft PowerPoint) / Transcript (Word) / Streaming video (54 min., 7 sec.) - Patient and Family-Centered Care (April 9, 2013)
Accessible (Microsoft PowerPoint (1 MB) / Transcript (Word) / mp3 audio (8.6 MB) - Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013)
Accessible (Microsoft PowerPoint (9.1 MB) / Transcript (Word) / mp3 audio (6.3 MB) - The Emergency Department & Catheter Insertions (September 10, 2013)
Accessible (Microsoft PowerPoint) (1.5 MB) / Transcript (Word) / mp3 audio (6.2 MB) - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015)
Accessible (Microsoft PowerPoint (1 MB) / Transcript (Word) / mp3 audio (5.9 MB) - Preventing CAUTI in Specialized Patient Populations: The ICU (May 13, 2014)
Accessible (Microsoft PowerPoint (5.3 MB) / Transcript (Word) / mp3 audio (7.2 MB) - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014)
Accessible (Microsoft PowerPoint (1.2 MB) / Transcript (Word) / mp3 audio (7.0 MB) - Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014)
Accessible (Microsoft PowerPoint (1.5 MB) / Transcript (Word) / mp3 audio (6.3 MB) - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014)
Accessible (Microsoft PowerPoint) (6.4 MB) / Transcript (Word) / mp3 audio (6.4 MB)
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