Spigot Guard Evaluation – Nurse Feedback Form

Unit:*

Approx. # of catheterized patients during trial:*

1. How easy was the Spigot Guard to apply and remove? *

2. Did it fit securely with your drainage systems? *

3. Did it add time to routine catheter care? *

4. The bright orange color made the protected port visible and reminded me to maintain protection: *

5. Using the Spigot Guard reduces contamination risk at the drainage port compared to standard practice: *

6. The Spigot Guard is a valuable addition to our CAUTI prevention bundle: *

7. The device was MOST helpful during (check all that apply): *

8. On a scale of 1–5, how likely are you to recommend the Spigot Guard to a colleague? *

9. Would you support continued use on your unit? *

10. What would make this device even better? (Optional)

11. Describe any specific situation where the device proved especially valuable: (Optional)