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CAUTI Bundle
CAUTI Bundle
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Created by Qualaris Staff
Infection Prevention
Critical Access Hospital
Table of Contents
Audit Form
Audit Form
CAUTI Bundle
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
CAUTI Bundle Checklist
Mark all as...
Order present?
Yes
No
N/A
Indications?
Yes
No
N/A
Secured?
Yes
No
Bag dated?
Yes
No
N/A
Documentation present? size of catheter balloon amt color and clarity of urine
Yes
No
N/A
Reorder Q 72 hours?
Yes
No
N/A
