Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide

Appendix H. Urinary Catheter Pocket Card

Front Back

Remove that Urinary Catheter!

Foley catheters can cause:

  • ↑ Infections
  • ↑ Length of Stay
  • ↑ Cost
  • ↑ Patient Discomfort
  • ↑ Antibiotic Use

Urinary catheters confine patients to bed, making them more immobile and thus increasing their risk for skin breakdown.

PREVENTION IS KEY.

OBTAIN ORDERS TO
DISCONTINUE UNNECESSARY
URINARY CATHETERS!

Remove that Urinary Catheter!

Foley Catheters are indicated for:

  • Acute urinary retention or obstruction
  • Perioperative use in selected surgeries
  • Assistance in healing of severe perineal and sacral wounds in incontinent patients
  • Hospice/comfort/palliative care
  • Required strict immobilization for trauma or surgery
  • Chronic indwelling urinary catheter on admission
  • Accurate measurement of urinary output in critically ill patients (intensive care)

Foley Catheters are not indicated for:

  • Routine urine output monitoring OUTSIDE intensive care
  • Incontinence
  • Prolonged postoperative use
  • Morbid obesity
  • Immobility
  • Confusion or dementia
  • Patient request

 

Page last reviewed October 2015
Page originally created October 2015
Internet Citation: Appendix H. Urinary Catheter Pocket Card. Content last reviewed October 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.html