IUC Bundle
Changing Behavior by Design
The Indwelling Urinary Catheter (IUC) Bundle features a patented one layer tray that helps staff habitually follow aseptic technique. Designed by nurses for nurses, the tray intuitively guides clinicians, left to right, through the insertion process. Components are organized in order of use, minimizing the risk of contamination.
Select a letter in the ERASE acronym to explore how our One Layer Foley Catheter Tray can help reduce the risk of CAUTIs.
Medline worked with nurses to develop an innovative one-layer indwelling urinary catheter (IUC) tray that helps remove several barriers to CAUTI prevention by intuitively guiding clinicians through evidence-based practices. The tray uses the simple acronym ERASE to trigger the next step in CAUTI prevention practices.
Innovative IUC Tray
The patented one layer tray uses the ERASE acronym to lead staff through evidence-based insertion practices.
The following courses and training material are available with the IUC Bundle of the ERASE CAUTI Comprehensive Care Solution. Contact your Medline representative about how to bring ERASE CAUTI into your organization.
Onsite Education
Advanced IUC Course
Helps create ERASE CAUTI champions within your organization. Taught onsite, this classroom-style course provides an in-depth discussion of nursing best practices surrounding IUCs.
Skills Validation Days
Allows staff to learn and master best practice techniques using anatomical models.
Training Videos
One Layer IUC Tray
Demonstrates correct insertion technique using the one-layer tray.
Support Materials
IUC Selection Tool
Provides guidance to help staff choose the catheter that best fits the needs of their patient.
One Layer Tray Poster
Explains the ERASE acronym.
IUC Best Practices Poster
Covers best practices for proper catheter insertion, such as not pre-inflating the balloon, with Medline's IUC tray.
Online Courses
Understanding Different Types of IUCs
Explains the various kinds of IUCs and how to choose which urinary catheter and drainage system best meets their patient’s needs.
Preparing the Patient for IUC Insertion
Details the requirements for IUC insertion: patient education and consent, choosing the right catheter and bag, and what to do if there is a break in sterile technique.
Sterile Insertion of an IUC
Describes gender-specific sterile technique for inserting IUCs.
Engaging Patients and Families in Reducing the Risk of CAUTIs Interactive Competency
Discusses how to teach patients and their families about the risks, benefits, maintenance needs, and alternatives to IUCs in order to obtain a truly informed consent before placement.
Best Practice Techniques and Aseptic Insertion of IUCs Using Medline’s Total One Layer Tray
Reviews best practices for proper catheter insertion using Medline's IUC tray
The core of the ERASE CAUTI solution is the IUC Bundle. Its patented one layer tray introduces a systematic approach to evaluating IUC appropriateness and ensuring proper insertion technique.
See BundleThe Bladder Bundle supports the IUC Bundle by providing the tools necessary to reduce IUC use.
See BundleThe Care and Maintenance Bundle supports the IUC Bundle by facilitating the proper management, continual assessment and timely removal of IUCs.
See Bundle- References
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1. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection (CAUTI) and Non-Catheter-Associated Urinary Tract Infection (UTI) and Other Urinary System Infection (USI) Events. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Accessed August 21, 3015.
2. Saint S, Olmsted RN, Fakih MG, et al. Translating Health Care-Associated Urinary Tract Infection Prevention Research Into Practice via the Bladder Bundle. The Joint Commission Journal on Quality and Patient Safety. 2009;35(9), September 2009:449-455. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791398/ Accessed August 24, 2015.
3. How-To Guide: Prevent Catheter-Associated Urinary Tract Infection. Institute for Healthcare Improvement; 2011. Available at: http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventCatheterAssociatedUrinaryTractInfection.aspx Accessed August 21,2015.
4. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. Infec Control Hosp Epidemiol 2010;31:319-26. Available at http://www.jstor.org/stable/10.1086/651091 Accessed August 21,2015.
5. 1 R3 Report: Catheter-Associated Urinary Tract Infections, Oakbrook Terrace, IL: The Joint Commission; 2011. Available at http://www.jointcommission.org/assets/1/18/R3_Report_Issue_2_9_22_11_final.pdf Accessed August 21, 2015.
6. Meddings J, Kreiin SL, Fakih MG, et al. Reducing Unnecessary Urinary Catheter Use and Other Strategies to Prevent Catheter-Associated Urinary Tract Infections: Brief Update Review. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 9. Available from: http://www.ncbi.nlm.nih.gov/books/NBK133354/ Accessed August 25, 2015.
7. Barlow K. 44% of Hospitals To Receive Multiple P4P Penalties—Will You? The Advisory Board Company. Available at: https://www.advisory.com/research/cardiovascular-roundtable/cardiovascular-rounds/2015/03/p4p-penalties Accessed October 3, 2015.
8. Association for Professionals in Infection Control and Epidemiology. On the CUSP: Stop CAUTI Supplement—Spring 2014. Available at: http://apic.org/Resource_/PublicationIssueForm/10510bd2-57f0-42f4-ace0-ccd0ddf23b65/File/On-CUSP-Stop-CAUTI-final-supplement.pdf Accessed August 21, 2015.
9. Hanchett M. Preventing CAUTI: A Patient-Centered Approach. Prevention Strategist 2012;9:42-50. Available at: http://apic.org/Resource_/TinyMceFileManager/epublications/CAUTI_feature_PS_fall_12.pdf Accessed September 16, 2015.
10. Krein SL, Kowalski CP, Harrod M, et al. Barriers to Reducing Urinary Catheter Use: A Qualitative Assessment of a Statewide Initiative. JAMA Internal Medicine. 2013;173(10):881-886. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665648/ Accessed September 21, 2015.
11. Green M. Standard Use Catheter May Be Linked to CAUTIs: 6 Things to Know. Becker’s Hospital Review. July 29, 2015. Available at: http://www.beckershospitalreview.com/quality/standard-use-catheter-may-be-linked-to-cautis-6-things-to-know.html?tmpl=component&print=1&layout=default&page= Accessed July 31, 2015.
12. Internal data. Report available upon request.
13. Streamline Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention. American Nurses Association. Available at: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/ANA-CAUTI-Prevention-Tool/ANACAUTI-Prevention-Tool.pdf Accessed August 24, 2015.
14. Greene L, Marx J, Oriola S. Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs). Association For Professionals in Infection Control and Epidemiology. Available at: http://www.apic.org/Resource_/EliminationGuideForm/c0790db8-2aca-4179-a7ae-676c27592de2/File/APIC-CAUTIGuide.pdf.
15. Saint S, Kowalski CP, Kaufman SR, et al. Preventing Hospital-Acquired Urinary Tract Infection in the United States: A National Study. Clin Infect Dis. 2008;46(2):243-250. Available at: http://cid.oxfordjournals.org/content/46/2/243.full Accessed August 21, 2015.
16. 2015 National Patient Safety Goals. The Joint Commission. Available at: http://www.jointcommission.org/assets/1/6/2015_NPSG_HAP.pdf Accessed November 4, 2015.
17. Transcript of catheter-associated UTI’s presentation by Dr. Sanjay Saint. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hicpac/uti_saint_video.html Accessed August 6, 2015.
18. Urinary Catheter Care: Cleaning and Personal Hygiene. Presented by ATI™ Nursing Education. Available at: http://www.atitesting.com/ati_next_gen/skillsmodules/content/urinary-catheter-care/equipment/cleaning-and-personal-hygiene.html Accessed October 2, 2015.
19. Data on file. Available upon request.
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