Insert Catheter
Use: Aseptic Technique with
Precautions to Minimize
Risk of Traumatic Injury
Avoid Catheter Use
Use: Appropriateness Guidelines to
Determine Initial Placement
Avoid: Recatheterization*
Optimize Maintenance Care
Use: Closed System
Hand Hygiene/No
contamination
Secured/
Positioned to
Reduce Risk of
Infection and
Trauma
Remove Catheter
Promptly and Safely
To Prevent Infection
and Trauma
Catheter Reminders
Stop Orders
Nurse-empowered
Removal
Standardized Early
Voiding Trials
Figure 1. Disrupting the Life Cycle of the Indwelling Urethral
Catheter to Reduce Catheter-associated Infection
and Trauma
* Appropriate as guided by criteria; eg, pre-op void to empty bladder as an alternative to
intraoperative catheter.
Avoid: Urine Testing or
Antibiotics for
Asymptomatic
Patients
STEP 0
Avoid Indwelling
Catheter Use
