Catheter care male urethral

Transcription

1 Catheter care male urethral Morning catheter care Equipment required Gloves Disposable apron Basin with clean water Do not add body wash to the water. Do not apply talcum powder. Only apply creams as prescribed. Clean flannel or wipes Clean towel Disposal bag Specific nursing actions and observations Action Ensure privacy. Explain and discuss the procedure with the patient. Obtain and document informed consent in nursing notes. Allow time for questions. Wash and dry your hands. Put on a disposable apron and gloves. Empty the leg bag but leave a small amount of urine (5-10mls) in the leg bag. Close the drainage valve on the leg bag and remove the night bag. Leave the connector between the leg bag and the night bag in place. To promote privacy and maintain dignity. To obtain informed consent and co-operation. As a legal requirement. To alleviate anxiety. To minimise cross infection. Leaving a small amount of urine in the leg bag will prevent a vacuum forming which could stop the flow of urine. To ensure there is no leakage. To allow the night bag to be attached at night. Continence Care Service Page 1 of 6 October 2014

2 Action Tear/cut the relevant corner of the night bag. Empty urine from the night bag into the toilet or suitable receptacle. Dispose of equipment according to local policy (refer to NHS Lothian Infection Prevention and Control Manual). Make sure the leg bag and straps or leg bag sleeve is in the correct position and not too tight. Ensure the catheter retainer strap is in place on thigh (if appropriate). Place the towel over thighs of patient. Gently slide back the foreskin and cleanse the penis with a clean flannel or wipes. Rinse, dry and slide the foreskin back to its original position. If the catheter tube is soiled, thoroughly cleanse the catheter from the insertion site towards the end of the catheter. Observe for any signs of redness, infection or discharge at the catheter site and report any concerns to registered nurse. Ensure catheter care is completed and leg bag tubing is not kinked. On completion of catheter care, remove all equipment. Take off gloves and apron. Dispose of them according to local policy then wash your hands (refer to NHS Lothian Infection Prevention and Control Manual). Record catheter care given and safety checks performed in the nursing notes along with any additional observations. To dispose of urine in a safe manner. To dispose overnight bag in a safe manner. If not correctly fitted, this may cause discomfort for the patient and cause the catheter to leak. To prevent pulling on the catheter. To maintain dignity and reduce the risk of contamination. Failure to do this will cause the head of the penis to swell and become painful which may require medical intervention. However if the foreskin is tight do not force back, wash what can be washed safely. This reduces the risk of contamination. To minimise the risk of complications. To allow urine to drain freely. To adhere to infection control guidelines. To ensure accurate documentation and communication. Note in the patient s notes if the foreskin is tight so other carers do not force the foreskin back. Continence Care Service Page 2 of 6 October 2014

3 Catheter care during the day emptying the leg bag or belly bag Equipment required Clean jug or suitable receptacle to collect urine with patient s name on it (adhere to infection control guidelines) Gloves Disposable apron Paper towel/kitchen roll (if available) Specific nursing actions and observations Action Ensure privacy. Explain and discuss the procedure with the patient. Obtain and document informed consent in nursing notes. Allow time for questions. Wash and dry your hands. Put on a disposable apron and gloves. Open the drainage valve on the leg bag. Empty the leg bag when about two thirds full into a clean jug or suitable receptacle, but leave a small amount of urine (5-10mls) in the leg bag. Close the drainage valve on the leg bag. Wipe the drainage valve with clean paper towel/kitchen roll. Make sure the leg bag and straps or leg bag sleeve is in the correct position and not too tight. Ensure the catheter retainer strap is in place on thigh (if appropriate). To promote privacy and maintain dignity. To obtain informed consent and co-operation. As a legal requirement. To alleviate anxiety. To minimise cross infection. To drain the urine from the leg bag. Leaving a small amount of urine in the leg bag will prevent a vacuum forming which could stop the flow of urine. To ensure there is no leakage. To ensure drainage valve is dry. If not correctly fitted, this may cause discomfort for the patient and cause the catheter leak. To prevent pulling on the catheter. Continence Care Service Page 3 of 6 October 2014

4 Action Ensure leg bag tubing is not kinked. On completion of catheter care, remove all equipment. Take off gloves and apron. Dispose of them according to local policy then wash your hands (refer to NHS Lothian Infection Prevention and Control Manual). Record catheter care given and safety checks performed in the nursing notes along with any additional observations. To allow urine to drain freely. To adhere to infection control guidelines. To ensure accurate documentation and communication. Note in the patient s notes if the foreskin is tight so other carers do not force the foreskin back. Changing a leg bag or Belly bag The registered nurse will demonstrate how to change a leg bag or belly bag. Leg bags should be changed weekly. Belly bags are changed every three to four weeks. Belly bags can hold up to 1000mls and do not need to be emptied as frequently. Write the date of the next change on the bag before attaching. Continence Care Service Page 4 of 6 October 2014

5 Bed time catheter care Equipment required Clean jug or suitable receptacle to collect urine with patient s name on it (adhere to infection control guidelines) Gloves Disposable apron Do not add body wash to the water. Do not apply talcum powder. Only apply creams as prescribed. Basin with clean water Clean flannel or wipes Clean towel Night drainage bag and stand Specific nursing actions and observations Action Ensure privacy. Explain and discuss the procedure with the patient. Obtain and document informed consent in nursing notes. Allow time for questions. Wash and dry your hands. Put on a disposable apron and gloves. Attach the night drainage bag to the connector on the leg bag and open the valve. Slightly loosen the catheter retainer strap (if used) and leg straps for comfort. Attach the night bag to the overnight stand which should be positioned on the floor. To promote privacy and maintain dignity. To obtain informed consent and co-operation. As a legal requirement. To alleviate anxiety. To minimise cross infection. To allow urine to drain from the leg bag into the night bag. If not correctly fitted, this may cause discomfort for the patient and cause the catheter to leak. Continence Care Service Page 5 of 6 October 2014

6 Action Ensure that none of the tubes are kinked and that the patient is not lying or sitting on any of the tubing. Place the towel over thighs of patient. Gently slide back the foreskin and cleanse the penis with a clean flannel or wipes. Rinse, dry and slide the foreskin back to its original position. If the catheter tube is soiled, thoroughly cleanse the catheter from the insertion site towards the end of the catheter. Observe for any signs of redness, infection or discharge at the catheter site and report any concerns to registered nurse. Out of hours emergency advice can be obtained from the evening and night district nurses. On completion of catheter care, remove all equipment. Take off gloves and apron. Dispose of them according to local policy then wash your hands (refer to NHS Lothian Infection Prevention and Control Manual). Record catheter care given and safety checks performed in the nursing notes along with any additional observations. To ensure there is no leakage. To allow the urine to drain freely. To maintain dignity and reduce the risk of contamination. Failure to do this will cause the head of the penis to swell and become painful which may require medical intervention. However if the foreskin is tight do not force back, wash what can be washed safely. This reduces the risk of contamination. To minimise the risk of complications. To adhere to infection control guidelines. To ensure accurate documentation and communication. Continence Care Service Page 6 of 6 October 2014