Indwelling Urinary Catheter Insertion Checklist

Form Template

A licensed nursing staff member must be present during a urinary catheter insertion to ensure that correct procedural steps/aseptic technique are performed.

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Long- term care and health care facilities can use the Indwelling Urinary Catheter Insertion Checklist mobile app with a smartphone or tablet to assist clinicians inserting catheters in patients. The apps checklists covers prior to catheter insertion, during insertion and after insertion. The app captures the reviewer’s signature. The app assists health care facilities with ensuring proper hand hygiene and infection control procedures are followed before the health care employee inserts a urinary catheter in a patient.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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