CDC -TAP Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit Implementation Guide: Links to Example Resources - HAI

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The Targeted Assessment for Prevention (TAP) strategy is a method developed by the CDC to use data for action to prevent healthcare-associated infections (HAIs). The TAP strategy is a way to identify facilities or units within a facility with the highest excess numbers of infections, so that prevention efforts may be directed towards facilities or units in greatest need of improvement.

The TAP Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit Implementation Guide: Links to Example Resourcesis now available. The guide is a compilation of links to existing CAUTI prevention tools and resources that can be used as part of the TAP strategy. CDC would like to acknowledge a multitude of organizations for the resources that are featured in this guide.

As a reminder, the TAP report function is available in the National Healthcare Safety Network (NHSN) application. TheTAP report function allows NHSN users to identify facilities (within a conferred rights group [PDF - 1.27 MB]) or units with excess numbers of infections compared to a predicted number based on the HHS Standardized Infection Ratio (SIR) targets for CAUTI, Clostridium difficile infection (CDI), and central line-associated bloodstream infection (CLABSI). This information can help staff know where assistance with prevention of HAIs is needed most.

View the TAP CAUTI guide: TAP Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit Implementation Guide

Learn more: Targeted Assessment for Prevention (TAP) Strategy

TAP Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit Implementation Guide: Links to Example Resources

Disclaimer: The links in the domains below are not mutually exclusive nor do they represent an exhaustive list of all the possible resources available. Furthermore, the links presented do not constitute an endorsement of these organizations or their programs by the Centers for Disease Control and Prevention (CDC) or the federal government, and none should be inferred.

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General Infrastructure, Capacity, and Processes

Engagement of Leadership, Champions, and Staff

Engage the Senior Executive Module - Comprehensive Unit-based Safety Program (CUSP) ToolkitCurriculum focused on the role and responsibilities of senior executives, from the Agency for Healthcare Research and Quality (AHRQ)
Urinary Catheter Initiative Results Letter [DOC - 29 KB]Form letter to present unit results of urinary catheter initiatives to senior staff, from the On the CUSP: Stop CAUTI Implementation Guide
CAUTI Cost CalculatorTool to engage leadership that estimates facility costs due to CAUTI, from catheterout.org
Implementation Team Roles and Responsibilities [PDF - 281 KB]Summary of recommended personnel to engage for CAUTI reduction efforts, from catheterout.org
CUSP Board Checklist [DOC - 29 KB]Checklist of CUSP and CAUTI reduction activities for senior leadership, from the On the CUSP: Stop CAUTI Implementation Guide
CDC Safe Healthcare Blog – Why So Many Foleys?Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health
Strategies and Tips for Nurse EngagementStrategies to engage nurses as champions in CAUTI prevention, from catheterout.org
Strategies and Tips for Physician EngagementStrategies to engage physicians as champions in CAUTI prevention, from catheterout.org
Presentation to Nurse Manager & Case Manager (or Unit Champion) [DOC - 37 KB]Agenda for presentation to unit champion, from the On the CUSP: Stop CAUTI Implementation Guide

Staff Training and Competency Assessments

CAUTI Prevention Training [PDF - 2 MB]Training module for CAUTI prevention, covering CAUTI risks and prevention, from Sharp HealthCare
Overcoming Challenges to CAUTI Prevention [PDF - 192 KB]Training for caregivers emphasizing adherence to aseptic insertion, from Safe-Practices.org
Streamlined Evidence-Based RN Tool [PDF - 80 KB]Nurse-driven indwelling urinary catheter tool, including insertion checklist and bladder scan protocol, from the American Nurses Association
Insertion Guides and Staff Training Tools – Coming Soon from the University of Pennsylvania
Bladder Scan Policy and Checklist [PDF - 59 KB]Policy for use of bladder scanners, from the On the CUSP: Stop CAUTI Implementation Guide
Appropriate Urinary Catheter Use and Management Nursing Education [PPT - 1.74 MB]PowerPoint slide set on appropriate urinary catheter use and management, from catheterout.org

Routine Audits

CAUTI Process Data Collection Tool [XLS - 22 KB]Data collection spreadsheet for indications for urinary catheter use, from the On the CUSP: Stop CAUTI Implementation Guide
Emergency Department (ED) Intervention Urinary Catheter Data Collection Form [DOC - 56 KB]Checklist of appropriate indications for ED patients, from On the CUSP: Stop CAUTI Implementation Guide
Metrics for ED Catheter Placement and Catheterization Rates [DOC - 56 KB]Calculations for inappropriately placed catheter rates in the ED, from the On the CUSP: Stop CAUTI Implementation Guide
Guide to Preventing Catheter-Associated Urinary Tract Infections [PDF - 1.76 MB]Data collection tools for catheter appropriateness and insertion found on pg. 23 (Figure 2.2) and pg. 45 (Table 5.1), from the Association for Professionals in Infection Control and Epidemiology (APIC)
Streamlined Evidence-Based RN Tool [PDF - 80 KB]Nurse-driven indwelling urinary catheter tool, including insertion checklist, from the American Nurses Association
Urinary Catheter Insertion Checklist [PDF - 104 KB]Checklist of best practices for Foley insertion, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Female Insertion Audit Checklist [PDF - 155 KB]Checklist of critical behaviors for use in auditing insertion practices in FEMALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Male Insertion Audit Checklist [PDF - 163 KB]Checklist of critical behaviors for use in auditing insertion practices in MALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Implementing a Nurse-Driven Protocol [PDF - 751 KB]Foley Catheter Practice Survey Tool (Figure 1, p. 18), from MedSurg Nursing
Hospital Infection Control Worksheet [PDF - 1.73 MB]Data collection tool (Section 4.A., pg. 28-30) for assessment of aseptic insertion and appropriate maintenance for surveyors, from the Centers for Medicare & Medicaid Services (CMS)
Urinary Catheter Audit Form [PDF - 178 KB]Checklist (pg. 1) to collect data on appropriate catheter maintenance during facility/unit audits, from VHA, Inc.

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Appropriate Indications for Indwelling Urinary Catheter Insertion

Guideline for Prevention of CAUTI, 2009 [PDF - 407 KB]Appropriate indications provided in Table 2 (pg. 11), from the CDC and Healthcare Infection Control Practices Advisory Committee (HICPAC)
Bladder Scan Policy and Checklist [DOC - 59 KB]Policy for use of bladder scanners, from the On the CUSP: Stop CAUTI Implementation Guide
Streamlined Evidence-Based RN Tool [PDF - 80 KB]Nurse-driven indwelling urinary catheter tool, including CDC criteria, insertion algorithm, and bladder scanner protocol, from the American Nurses Association
Implementing a Nurse-Driven Protocol [PDF - 751 KB]Evaluation of nurse-driven catheter removal protocols in the acute care setting, from MedSurg Nursing
Policy/Procedure for Perineal Care for the Incontinent PatientPerineal care procedures as alternatives to catheterization for incontinent patients, from the Virginia Department of Health
Catheterization Alternatives Flyer [PDF - 1.44 MB]Flyer presenting best practices and alternatives to indwelling catheters (pg. 4), from the South Carolina Hospital Association
CDC Safe Healthcare Blog – Why So Many Foleys?Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health
CAUTI Prevention Brochure [DOC - 109 KB]Brochure for providers summarizing indications for catheter use, from the On the CUSP: Stop CAUTI Implementation Guide
Strategies to Prevent CAUTI in Acute Care Hospitals: 2014 UpdatePractical recommendations for CAUTI prevention for acute care hospitals, including a catheter reminder/removal checklist (pg. 8), from The Society for Healthcare Epidemiology of America (SHEA)
Pocket Cards for Providers [PDF - 114 KB]Catheter removal reminder tools for use by physicians and nurses, from catheterout.org
Sample Pocket Cards – Coming Soon from the University of Pennsylvania
Frequently Asked Questions (FAQs) About Catheter Care [DOC - 39 KB]Fact sheet for providers, from the On the CUSP: Stop CAUTI Implementation Guide
CAUTI Process Data Collection Tool [XLS - 22 KB]Data collection spreadsheet for indications for urinary catheter use, from the On the CUSP: Stop CAUTI Implementation Guide
Emergency Department (ED) Intervention Urinary Catheter Data Collection Form [DOC - 56 KB]Checklist of appropriate indications for ED patients, from the On the CUSP: Stop CAUTI Implementation Guide
Metrics for ED Catheter Placement and Catheterization Rates [DOC - 56 KB]Calculations for inappropriately placed catheter rates in the ED, from the On the CUSP: Stop CAUTI Implementation Guide
Preventing CAUTI: Emergency Nursing Education [PPT - 1 MB]CAUTI prevention training tool for emergency department nurses, from the On the CUSP: Stop CAUTI Implementation Guide
Script for Patient/Family Requests for Non-Medically Indicated Urinary Catheters [PDF - 358 KB]Information to educate patients on urinary catheter risks and alternatives, from catheterout.org
Patient Education Brochure – What to Expect: Urinary Catheter [PDF - 738 KB]Patient education brochure focusing on catheter explanation and infection prevention, from the Alabama Department of Public Health
Patient Education: Quick Facts About CAUTI [PDF - 112 KB]Fact sheet about CAUTI for patient education, from the Indiana State Department of Health

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Aseptic Insertion of Indwelling Urinary Catheter

Streamlined Evidence-Based RN Tool [PDF - 80 KB]Nurse-driven indwelling urinary catheter tool, including insertion checklist, from the American Nurses Association
Foley Insertion Checklist [PDF - 104 KB]Checklist of best practices for Foley insertion, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Female Insertion Audit Checklist [PDF - 155 KB]Checklist of critical behaviors for use in auditing insertion practices in FEMALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Male Insertion Audit Checklist [PDF - 162 KB]Checklist of critical behaviors for use in auditing insertion practices in MALE urinary catheterization, reprinted by the Pennsylvania Patient Safety Authority with permission from Doylestown Hospital
Male and Female Insertion Guides – Coming Soon from the University of Pennsylvania
CAUTI Prevention Training [PDF - 2 MB]Training module for CAUTI prevention covering risks and infection prevention, from Sharp HealthCare
Overcoming Challenges to CAUTI PreventionTraining for caregivers emphasizing adherence to evidence-based practices, from Safe-Practices.org
CAUTI Prevention: Cracking the CaseSummary of CAUTI prevention guidelines, including a review of recommended urinary catheterization supplies on pg. 69, “The OR Connection” magazine from Medline Industries, Inc.
Hand Hygiene Poster [PDF - 148 KB]Key moments for hand hygiene when caring for a patient with a urinary catheter, World Health Organization

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Proper Indwelling Urinary Catheter Maintenance

Streamlined Evidence-Based RN Tool [PDF - 80 KB]Nurse-driven indwelling urinary catheter tool, including CDC-recommended maintenance procedures (Box 2), from the American Nurses Association
Implementing a Nurse-Driven Protocol [PDF - 751 KB]Care practices assessment tool (Figure 1, p.18), from MedSurg Nursing
Urinary Catheterization - Sample Policy [DOC - 53 KB]Policy emphasizing appropriate insertion and maintenance practices for urinary catheters, from the On the CUSP: Stop CAUTI Implementation Guide
Catheter Care Pocket Card [DOC- 29 KB]Tool for healthcare providers summarizing best practices for CAUTI prevention, from the On the CUSP: Stop CAUTI Implementation Guide
CAUTI Prevention Training [PDF - 2 MB]Training module for CAUTI prevention covering risks and infection prevention, from Sharp HealthCare
Training tools for Transport and Nursing Staff – Coming Soon from the University of Pennsylvania
Hospital Infection Control Worksheet [PDF - 1.73 KB]Data collection tool (Section 4.A., pg. 28-30) for assessment of aseptic insertion and appropriate maintenance for surveyors, from the Centers for Medicare & Medicaid Services (CMS)
Urinary Catheter Audit Form [PDF - 178 KB]Checklist (pg. 1) to collect data on appropriate catheter maintenance during facility/unit audits, from VHA, Inc.
Hand Hygiene Poster [PDF - 148 KB]Key moments for hand hygiene when caring for a patient with a urinary catheter, World Health Organization

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Timely Removal of Indwelling Urinary Catheter

Nurse-Driven Removal

Nurse-Driven Protocol for Catheter Removal [PDF - 152 KB]Protocol for nurses to evaluate and discontinue urinary catheter use, from the On the CUSP: Stop CAUTI Implementation Guide
Implementing a Nurse-Driven Protocol [PDF - 751 KB]Indwelling Urinary catheter removal protocol (Figure 2, p.19), from MedSurg Nursing
Self-Learning Module Nurse-Driven Removal Protocol – Coming Soon from the University of Pennsylvania
Ex-Foley-Ate Slide Set [PPT - 6 MB]PowerPoint to promote urinary catheter best practices, from the Laurens County Healthcare System
CDC Safe Healthcare Blog – Why So Many Foleys?Discussion of best practices for managing urinary catheters and reducing risk of CAUTI, guest author Wendy Kaler, MPH, CIC, Dignity Health
Urinary Catheter Paper-based Removal Reminder [PDF - 162 KB]Worksheet to verify indication and remind providers to remove unnecessary indwelling urinary catheters, from the Virginia Department of Health
Electronic Removal Reminder [PDF - 338 KB]Removal reminder for an electronic medical record, from catheterout.org

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Preventing Candiduria and Detecting Asymptomatic Bacteruria

Antibiotic Stewardship Driver Diagram and Change Package [PDF - 217 KB]A framework to reduce inappropriate antibiotic use in hospitals, including ideas for creating guidance on appropriate culturing (pg. 5), from the CDC and the Institute for Healthcare Improvement (IHI)
Urinalysis Reflex TestingPolicy modification to reduce unnecessary urine cultures (pg. 2), from the University of Maryland Medical Center Nursing Newsletter
Urinary Tract Infections - Patient Management Guide [PDF - 82 KB]Guidance on diagnosis and treatment of urinary tract infections, with emphasis on asymptomatic bacteriuria, from the University of California, Los Angeles
Appropriate Catheter Use and Management Presentation [PDF - 1.74 MB]Nursing education material, including information on asymptomatic bacteriuria (slide 18), from catheterout.org