Careplan for service user with indwelling catheter

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Infection Prevention and Control

Care plan for service user with indwelling catheter

Infection Prevention and Control Care plan for service user with indwelling catheter

Service Users Name

Sa m

Reason catheter required:

Client Name Start Date: 00/00/0000 End Date: 11/011/1111 1 of 6 - Care plan for service user with indwelling catheter

NHS number

pl e

Date of Birth

Actions

Date

Sign

Date

Is the catheter still required for the stated reason Consent gained from service user Procedure to be carried out using Aseptic Non Touch Technique Personal protective equipment required for each intervention

pl e

Cleaning solutions required: Type of Catheter: Balloon size:

mls

Charrière (Ch.) of catheter: Details of drainage system: Details of securing device: Planned frequency of change:

cm

Sa m

Length of catheter:

Reasons for catheterisation/continued catheter use discussed with service user/family: Date of next catheter change:

Client Name Start Date: 00/00/0000 End Date: 11/011/1111 2 of 6 - Care plan for service user with indwelling catheter

Sign

Date

Sign

Sa m

pl e

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Client Name Start Date: 00/00/0000 End Date: 11/011/1111 6 of 6 - Care plan for service user with indwelling catheter