Transcription of Urinary Catheter Core Care Plan - Royal Berkshire …
1 RBFT Urinary Catheter core care plan V2 September 2015 Review September 2017 Urinary Catheter core care plan Name NHS no. Date care plan no: Patient need / problem Patient has a risk of infection due to indwelling Urinary Catheter . Before their illness how did the patient usually manage this? Aim / outcome o For Catheter to remain patent and free from Infection o For Catheter to be cared for according to trust guidelines o To be removed as soon as clinical need is resolved o For patient to feel dignity is maintained and embarrassment is kept to a minimum o For patient to have adequate knowledge and skill to care for Catheter as required Date aim / outcome reached Interventions required to meet aim / outcome (Delete and personalise as appropriate) Date Nursing Interventions Review interval Sign Commence on Urinary Catheter care bundle Maintain privacy and dignity.
2 Give information to patient/carer. Ensure adequate and appropriate hydration according to condition of the patient, and document appropriately. Decontaminate hands before and after each patient contact; examination gloves should be worn to manipulate Catheter . Ensure Catheter is cleaned by washing around the urethral meatus with soapy water and drying thoroughly at least once daily and as required. Maintain closed system; empty Catheter bag when full. Catheter must be kept lower than bladder, off the floor and free from kinks to allow free drainage. If long term Catheter , renewal is due Remove as soon as clinical need is resolved Must have daily review of clinical need by doctor TWOC Yes /No (if no, state reason in patient s case notes) Patient label here RBFT Urinary Catheter core care plan V2 September 2015 Review September 2017 Interventions required to meet aim / outcome (Delete and personalise as appropriate) Date Nursing Interventions Review interval Sign Removal: Date: Time: Patient passed urine: Yes: Volume: Time.
3 If patient uncomfortable or not passed urine within 6 hours of removal report to doctor. Name and time: If required take specimen from access point using aseptic technique and send for culture and sensitivity. Discuss the selection of an appropriate drainage system with the patient. Encourage the use of leg bags to promote mobility. Ensure leg bag is secured to alternate legs to prevent pressure occurring on limb. If patient is immobile, select a free drainage system and attach a night bag for night time use. Patient discharged with indwelling Catheter : Give written & verbal information. Patient information leaflet available on intranet: Ensure DN aware of discharge & patient has adequate supplies of suitable equipment.
4 Patient/family/carer agrees to manage the following aspects of care : Reference: The Royal Marsden Manual of Clinical Nursing Procedures, 9th Professional Edition, (2015 Royal College of Nursing (RCN) (2012) Catheter care : RCN guidance for nurses. Available at: (Accessed 27/8/2015))
