Contents 1
Purpose 2
Alerts 2
Scope 2
Section 1 – Catheter Management for Adults (Inpatients and Community Based Patients) 2
Section 2 – Insertion of Female Indwelling Catheter (IDC) 6
Section 3 – Insertion of Male Indwelling Catheter (IDC) 8
Section 4 – Suprapubic Catheter (SPC) Procedures for Inpatients and Community Based Patients 10
4.1 Insertion of Suprapubic Catheter 11
4.2 Changing Suprapubic Catheter: Inpatient 15
4.3 Removal Suprapubic Catheter 17
4.4 Management of Supra Pubic Catheter: Community Based Patient 18
19
Section 5 – Catheterisation Intermittent in the adult Inpatient 20
Section 6 – Catheter Intermittent: Patient Education 22
Section 6 – Catheter Flushing for Adult Community based patient 26
Section 7 – Trial of Void: Community based patient 27
Section 8 – Indwelling Urinary Catheter Management: Inpatient and Community 29
8.1 Emptying a Urinary Drainage Bag: Inpatient specific 30
8.2 Urinary Drainage Bag Management: Community Specific 31
8.3 Removal of Indwelling Urinary Catheter 33
Section 9 – Trans Urethral Prostatectomy (TURP) 34
Section 10 – Bladder Irrigation 38
10.1 Continuous Bladder Irrigation 38
10.2 Manual Bladder Irrigation 40
Section 11 – Pre and Post Operative Management of patients undergoing a Nephrectomy 42
Section 12 – Management of patients undergoing a Percutaneous Nephrolithotomy 48
Section 13 – Management of patients admitted with Pre-Existing Continent Urinary Reservoirs/Neobladder during routine hospital admissions 53
Implementation 54
Related Policies, Procedures, Guidelines and Legislation 55
Search Terms 55
References 55
Attachments 57
Attachment A: Stat Lock – Foley Stabilisation Device 59
Attachment B: Insertion of Urinary Catheter Sticker 61
Attachment C: How to care for your Urinary Catheter 63
Attachment D: Troubleshooting guide for urinary catheters 67
Attachment E: Source of information and/or suppliers for urinary catheter equipment 79
Attachment F: Catheter selection 81
The Urology Assessment and Management Procedures describe practice which will be performed by registered nurses, medical staff and allied health. New nursing or medical staff, or students (within their defined scope of practice) will be required to perform these skills under the direct supervision of a competent practitioner.
Strict hand hygiene should be adhered to at all times when performing all clinical procedures as per Healthcare Associated Infections Procedure-Section 2 Infection Prevention & Control Strategies