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

Appendix J. Urinary Catheter Brochure

Note: This brochure is a fold-out brochure, and should be folded as shown in the accompanying .pdf file.

Cover of brochure: Promptly Remove Urinary Catheters. Focus on Patient Safety

Back of brochure:

Left column:

Patient Management for Incontinence

  • Turn patient every 2 hours to cleanse area and change linens.
  • Use quilted pad under patient.
  • Use skin barrier creams.
  • Start toilet training program: Offer bedpan or commode with assist every 2 hours.

Middle column:

Urinary Catheter Initiative Champions

Right column of brochure in very large type:

Promptly Remove Urinary Catheters

Image: Drawing of a urinary catheter.

Focus on Patient Safety

Inside of brochure:

On left column of page:

Image: Drawing of a urinary catheter with a circle and line through it.

Urinary Catheter Facts

  • 600,000 patients develop hospital-acquired urinary tract infections (UTI) every year.
  • Of these infections, 80 percent are from a urinary catheter.
  • About half of patients with a urinary catheter do not have a valid indication for placement.
  • Each day the urinary catheter remains in place the risk of a UTI increases 5 percent.

In middle column of page:

Evaluation of Urinary Catheter Need

The flowchart is titled Evaluation of Urinary Catheter Need and has a flow chart that asks, is a urinary catheter in place? If no, avoid urinary catheter placement. If yes, does the patient meet criteria for a urinary catheter? If no, contact physician to obtain order to remove urinary catheter. If yes, the criteria are listed in a box: Acute urinary retention or obstruction, perioperative use in selected surgeries, assistance in healing of severe perineal and sacral wounds in incontinent patients, hospice/comfort care/palliative care, required immobilization for trauma or surgery, accurate measurement of urinary output in critically ill patients (intensive care). The next box states to continue to monitor urinary catheter need on a daily basis.

In right column of page:

Indications for Urinary Catheters

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

Urinary Catheters Are NOT Indicated for...

  • Urine output monitoring outside the ICU
  • Incontinence
  • Patients transferred from intensive care to general units
  • Prolonged postoperative use
  • Morbid obesity
  • Immobility without a sacral or perineal pressure sore
  • Confusion or dementia
  • Patient request
Page last reviewed October 2015
Page originally created October 2015
Internet Citation: Appendix J. Urinary Catheter Brochure. Content last reviewed October 2015. Agency for Healthcare Research and Quality, Rockville, MD.
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