On the CUSP: Stop CAUTI Implementation Guide

This step-by-step resource is designed to guide hospital unit teams through the process of implementing the On the CUSP: Stop CAUTI initiative at the unit level. The guide describes the collaborative model, presents teamwork and project management tools, delineates roles and responsibilities of unit-level project leaders and defines measures of success for the program.

On the CUSP: Stop CAUTI Implementation Guide (.doc)

CUSP Implementation Tools (Section II of Implementation Guide)

• The CUSP Toolkit (AHRQ Resource)
• Appendix A – Status of Safety Issues Form (.doc)
• Appendix B – Science of Safety Training Attendance Sheet (.doc)
• Appendix C – Case Summary Form (.doc)
• Appendix D – Culture Debriefing Tool (.doc)

CAUTI Prevention Policies and Educational Materials (Section III of Implementation Guide)

• Appendix E – Urinary Catheterization Policy (.doc)
• Appendix F – Bladder Scan Policy (.doc)
• Appendix G – Urinary Catheter Poster (Option 1) (.doc)
• Appendix H – Urinary Catheter Poster (Option 2) (.doc)
• Appendix I – Urinary Catheter Decision-Making Algorithm (.doc)
• Appendix J – Emergency Department Decision-Making Algorithm – COMING SOON
• Appendix K – Urinary Catheter Project Fact Sheet (.doc)
• Appendix L – Urinary Catheter Pocket Card (.doc)
• Appendix M – Catheter Care Pocket Card (.doc)
• Appendix N – Urinary Catheter Brochure (.doc)
• Appendix O – Nurse-Driven Protocol for Catheter Removal (.doc) | (.pdf)
• Appendix P – Frequently Asked Questions (.doc)
• Appendix Q – Skin Care in the Incontinent Patient (.doc)
• Appendix R – Helpful Hints (.doc)

CAUTI Prevention Presentations and Templates (Section III of Implementation Guide)

• Appendix S – Presentation to Manager (.doc)
• Appendix T – Presentation to Nursing Staff (.doc)
• Appendix U – Presentation of Data (.doc)
• Appendix V – Implementation of Urinary Catheter Initiative Letter (.doc)
• Appendix W – Completion of Staff Education Letter (.doc)
• Appendix X – Unit Rounds to Begin Letter (.doc)
• Appendix Y – Unit Results Letter (.doc)

Data Collection Tools (Section IV of Implementation Guide)

• Appendix Z – CAUTI Process Data Collection Tool (.xls)
• Appendix AA – NHSN Definition for Symptomatic CAUTI (.pdf)
• Appendix BB – HICPAC Guidelines for Appropriate Indications (.html)
• Appendix CC – Team Checkup Tool Questions (.pdf)