Catheterisation Policy

C

TM

i

Infection Prevention and Control

Adult Urinary Catheterisation Policy

Infection Prevention and Control Adult Urinary Catheterisation Policy Contents

Page 3

Definition

3

Responsibilities

4

Related policies and protocols

4

Education of staff, carers and service users

5

Assessing the need for a catheter

5

Clinical indications for catheterisation

6

Choosing a catheter Length of catheter

Sa m

Size of catheter

pl e

Introduction

6 7 7

Balloon size of catheter

7

Type of catheter

7

Insertion

7

Use of lubrication gels

7

Drainage systems

7

Documentation

9

Catheter care and maintenance

9

Catheter bag emptying

9

Urine sampling

9

Quality improvement systems

9

Bibliography

10

Client Name Start Date: 00/00/0000 End Date: 11/11/1111 1 of 10 - Infection Prevention and Control Adult Urinary Catheterisation Policy

     

Maintain a closed urinary drainage system by avoiding breaking the connection between catheter and drainage bag unless clinical indicated A link system should be used to facilitate overnight drainage Washing the urethral meatus with un-perfumed soap and water daily. Vigorous cleansing may increase the risk of infection Catheters and drainage bags must be positioned below the level of the bladder and not touching the floor to prevent backflow of the urine into the bladder and reduce the risk of infection A strap or adhesive anchor should be used to anchor the catheter to the leg to prevent urethral and bladder neck trauma Urine samples must be obtained from a sampling port using an aseptic non touch technique

Catheter Bag Emptying This procedure carries a risk of healthcare associated infection therefore a non-touch clean technique is required



Where possible educate and encourage the service user to empty their own drainage bag Effective hand hygiene technique is necessary before and after each intervention Staff should wear a disposable plastic apron and non-sterile single use gloves The drainage bag should be emptied when ¾ full The outlet port should be swabbed with a 70% isopropyl alcohol swab before and after opening Use a separate, clean container for each service user (ideally disposable) and avoid contact between the urinary drainage tap and the container when emptying the drainage bag

   

Sa m



pl e



Urine Sampling – see separate protocol 

  



Always use drainage bags with an integral sampling port to facilitate collection of urine samples for analysis Urine samples must only be taken from the sampling port using an aseptic technique Do not disconnect the bag from the catheter to obtain urine samples Samples should never be taken direct from the catheter or catheter bag even if the bag has just been changed Before obtaining a catheter sample of urine the port should be cleaned with an isopropyl alcohol 70% impregnated swab and allowed to dry.

Quality Improvement Systems Use quality improvement systems to support the appropriate use and management of short term urethral catheters and ensure their timely removal including:      

Protocols for catheter insertion Use of bladder ultrasound scanners to assess and manage urinary retention Reminders to review the continuing use or prompt the removal of catheters Audit and feedback of compliance with practice guidelines Continuing professional education.

Use of Urinary Catheter Passports held by service users

Client Name Start Date: 00/00/0000 End Date: 11/11/1111 9 of 10 - Infection Prevention and Control Adult Urinary Catheterisation Policy

Sa

m pl

e

This Page has been left intentionally blank