Foley Catheter Rounding Report

On each round, note how long the catheter has been in, why it was placed and what is stopping its removal, to support catheter-associated urinary infection prevention. Built for nursing and infection-prevention teams in hospitals.

Use this template

Already have an account? Log in

In the Claude connectors directory

Page 1

Date

Page 2

Hospital unit

Intensive care Medical-surgical Cardiac Orthopedics Other unit

Page 3

How long has the Foley been in place?

Less than 24 hours 24 to 48 hours 48 to 72 hours More than 72 hours

Page 4

What is the indication for the Foley catheter?

Page 5

Have you discussed the Foley with anyone today?

Page 6

What BARRIERS are keeping the Foley in today?

No removal order Limited patient mobility Incontinence Patient preference Staffing None

Page 7

Any comments to help our catheter-infection prevention work?

Page 8

Additional comments (free text)

Related templates

Medical Abstract Submission Form Healthcare Medical Alert Device Order Form Healthcare Medical Appointment Checklist Healthcare Medical Appointment Scheduling Form Healthcare

Browse all reports templates →

Powerful online forms — builder, logic, products, and teams — at a price that makes sense.

✓ In the Claude connectors directory

Product

Features
Pricing
Compare
Alternatives
Templates
Claude
MCP tools
API
GitHub

Company

Press room
Brand kit
Contact

Legal

Security
Service status
Terms of service
Privacy policy
Cookie policy

Rejoining the server...

Rejoin failed... trying again in seconds.

Failed to rejoin.
Please retry or reload the page.

The session has been paused by the server.

Failed to resume the session.
Please retry or reload the page.