Catheter-Associated Urinary Tract Infection Care Bundle
Catheter-Associated Urinary Tract Infection Care Bundle
Catheter-Associated Urinary Tract Infection Care Bundle
This sample care bundle has been adapted from the CAUTI bundle produced by Health Protection
Scotland. We gratefully acknowledge their permission to use their document. Facilities should review and
adapt, if necessary for local use.
Bundle component
Sample standard operating procedure (SOP) to implement the urinary catheter bundle
Catheter-associated urinary tract infection care bundle example of an SOP to implement the bundle
Statement
Urinary catheters are used frequently in healthcare; however, their use can lead to serious lifethreatening complications.
Urinary catheters cause urinary tract infections and are a common cause of blood stream
infections.
Complications arise directly from their use and in particular if the care is sub-optimal.
The risk of infectious complications increases the longer they are in use.
We have a duty to our patients to optimise urinary catheter care. Monitoring our urinary catheter
care will assist in optimising procedures and reducing the risk of urinary tract infection.
Objectives
1. To optimise prevention of catheter-associated urinary tract infection (CAUTI) in OUR ward and
thereby minimise the risk of secondary bacteraemias.
2. To be able to demonstrate quality urinary catheter care in OUR ward.
Requirements
Procedure
urinary catheter has been reviewed. (i.e. daily for short-term and on a regular basis for
long-term catheters) If the continuing need for the catheter has not been documented,
check with the patients nurse/doctor whether the urinary catheter can be removed.
Ask the patient or a nurse whether the catheter has been discon
whether the disconnection was appropriate.
Ask the patient if they know what they can do to minimise the risk of infection if they
are not aware, inform the patient how to minimise the infection risks. If the patient
been performed.
separate
procedure, into a clean container. (The use of separately here implies that the
same container has not been used to empty more than one catheter bag - without
appropriate decontamination of the container, change of personal protective
equipment and performing hand hygiene. If the container is for single use it must not
be reused with or without decontamination.)
After care
Complete form.
Discuss results with nurse in charge.
Give completed form to: _____________________________________________________
Sample care bundle data collection form and summary table of results
Use a single column for each
catheterised patient. Put a tick if
achieved, or x if not achieved, in each
box.
Bundle Criteria
Sample
There is a documented assessment for the urinary catheter (UC) i.e.,
every day for short-term and on a regular basis for long-term.
Total
Hand hygiene performed before & after procedure and apron + gloves
worn during procedure.
Leave in
situ
* This bundle criteria aims at ensuring the daily hygiene is performed either by the patient, if able or by the nurse if the patient is
unable
Total
Tick if achieved