Inappropriate Maintenance Practices
P & P
Supplies/ Equipment
Documentation
Staff
No policy for maintenance care
Inappropriate female perineal care
Lack of education
RN needs assistance with bariatric pts
CAUTI Fishbone Diagram –
Maintenance Practices
Non-secured catheter
No supply kit with securement device
Catheter removal delayed
No documentation of daily necessity
Not removed prior to leaving OR No reminders or stop orders
MD unaware of Foley
Inappropriate insertion in ER prior to transfer to floor
Info on Foley absent during handover communication between staff and depts
No standardized handover process
Staff non-
engaged
Frontline staff not on CAUTI team
Staff unaware of CAUTI data including compliance audits
Inappropriate placement of collection bag
Lack of education with patient transport
No routine emptying of urine
System contaminated
Break in closed system
Drainage tube contaminated
Multipatient use of measuring device
No daily reassessment of necessity
Staff unaware of Foley
Policy & Procedure
