INSERTION
The first step to urinary catheter insertion.
What is hand-washing?
True or False: If patient asks for an indwelling urinary catheter then it is indicated.
What is False?
Maintenance assessment will be completed and documented at least once per shift
What is Urinary Catheter Care Documentation
Stabilization Securement Device used on every patient to secure the urinary catheter
What is a STATLOCK?
Hand hygiene before donning gloves
What is the first step in obtaining specimens?
Place by competent nurse with a second staff member assisting with positioning, supplies and maintenance of sterility.
What is the best scenario for urinary catheter insertion?
ICU patient or physician requested accurate output
What is hourly I&O?
When the urinary catheter should be evaluated for removal post-op
What is post-op day two or 48 hours?
Technique used to maintain the drainage bag during transportation
What is below the level of the bladder?
If a there is a chance a culture will be performed on sample or if catheter has been in place for 5 days.
What is when to remove and replace a catheter?
Portable ultrasound devices to reduce unnecessary catheterizations.
What is a bladder scanner?
Open Sacral or Perineal Wound in an Incontinent Patient
What is stage III or IV pressure Ulcer?
Review of Urinary Catheter necessity
What is every shift?
Wiping of the urinary catheter from the urethral opening to the end of the catheter
What is an element of peri-care?
Protocol that lists exceptions to removal of a urinary catheter
What is protocol 106 (Urinary Catheter Discontinuation Protocol)?
A blockage at the base of the bladder that reduces or prevents the flow of urine into the urethra.
What is bladder obstruction?
Types of surgery that a post-op urinary catheter is indicated.
What is gynecology/open heart/urological related surgeries?
Timing of urinary catheter bag emptying
What is during I/O check, end of shift, or when the Foley bag is at 2/3 full?
Element of information noted on drainage bag
What is proper labeling/date?
Method for obtaining specimen when it is ordered within 48 hours of catheter removal
What is straight cath method?
Systems that are connected, sealed at catheter tubing junctions.
What is a closed system?
LIP's, APP's, and licensed nursing staff
Who can initiate the Urinary Catheter Discontinuation Protocol?
When to avoid dependent loops, kinks, and gross contamination of the tubing/bag.
What is Always?
Catheter and tubing free from kinks and dependent loops.
What is maintaining unobstructed urine flow?
True or False: Upcoming changes to the specimen collection policy include: changing urinary catheter if it has been in place greater than 2 days and/or if placed outside of the health system if there is a chance of culture being performed.
What is True!