Educational Module: Catheter-Associated Urinary Tract Infections (CAUTI)

Learn the importance of CAUTI prevention through these immersive activities on insertion with sterile technique and identifying possible sources of contamination. This presentation will train the eye to connect common errors to infection risks. Practice these simulated experiences to enrich you facility with knowledge to drive down CAUTI rates.

At the end of this module, participants will be able to:

  • Review elements of aseptic technique important in the prevention of transmission of uropathogens
  • Demonstrate opportunities to prevent pathogen transmission by appropriate aseptic technique
  • Describe circumstances appropriate for the use of indwelling urinary catheters
  • Describe alternatives to indwelling urinary catheters
  • Demonstrate indwelling catheter maintenance guidelines in order to prevent pathogen transmission

The Kentucky Infection Prevention (KyIP) Training Center, located in Louisville, Kentucky, has developed the following content. As a collaborator with the CDC’s Project Firstline, KyIP Training Center is committed to providing cutting-edge and high-quality training and information on infection prevention and control. Through a range of formats, KyIP Training Center delivers educational resources tailored to the diverse learning preferences and needs of the healthcare workforce. The materials are designed to empower healthcare professionals by promoting critical thinking in infection control, incorporating adult learning principles, educational best practices, and the evidence-based scientific principles that inform them. 

Melissa Forton, DNP, APRN

This series was developed by Melissa Forton, DNP, APRN
 
Do you have questions about these modules?

Click the button below to get in contact with a member of the KyIP Training Center team to get your questions answered! 

Module Documents

CAUTI: Catheter-Associated Urinary Tract Infections Presentation

This presentation guides you through the CAUTI module from background information to simulation, as well as debriefing. This guided presentation contains multiple media assets that can be used for CAUTI education.

View or download the presentation slide deck. 

On-demand version of this presentation, including presenter voiceover, is available for continuing education credit. 

Video Series

Catheter Insertion Using Sterile Technique

This video serves as the correct how-to for inserting a urinary catheter with sterile technique. With the risk of catheter-associated urinary tract infections (CAUTIs) being high with indwelling catheters, practicing this routine in a simulated environment is highly beneficial.

Catheter Insertion Using Sterile Technique

Watch as this nurse inserts a urinary catheter during this simulated experience. Can you spot the points where contamination occurred? Use this technique to highlight the moments that make a patient vulnerable a CAUTI.

Contaminated Urine Culture Still Image Series

Collecting urine cultures from indwelling catheters should only be done per your facility’s policy and procedures. The risk of contamination is high due to inadequate cleaning and biofilm. View these still photos to see the risks of contamination without appropriate cleaning.

Correct Urine Culture Still Image Series

This series highlights the correct steps to obtain a urine culture from an indwelling urinary catheter. It is important to disinfect the collection port thoroughly to remove any germs.

Spot the Errors Still Image Series

A patient with an indwelling Foley catheter is at risk for a CAUTI. There are practices that should be followed to decrease this risk. Use this still photo series to test your knowledge by spotting the errors. Hover over the picture to find the answer. 

Spot the Error

The collection bag is laying on the floor. The floor should always be considered dirty. The collection bag should be secured to the side of the bed. A bag that touches the floor should be considered contaminated.

Spot the Error

This photo shows a dependent loop in the tubing. Dependent loops prevent urine from draining to the collection bag. This may also lead to urinary retention despite the catheter being in place.

Spot the Error

The urinary catheter tubing is not secured to the patient. Lack of securement may lead to tugging on the internal portion of the catheter, causing trauma and pain, and potentially leading to a urinary tract infection.

Spot the Error

The tubing system has become disconnected. The system must remain closed. Any break in the system renders the entire catheter system contaminated, and it must be removed and replaced.

Spot the Error

This photo shows catheter tubing that has become kinked. When kinked or twisted, urine is prevented from flowing freely, and may lead to urinary retention, pain, and infection.

Spot the Error

It is important to refrain from allowing the drainage tube to touch the urinal or any other surface. Once the drainage tube has touched another surface, pathogens and other harmful germs have access to the bladder. A contaminated drainage tube renders the entire system contaminated, and should be removed and replaced.
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