Catheter
Care Plan for Catheter Management
Category / Primary Body System:
Urology
Problem:
I have a catheter and am at risk for catheter obstruction and urinary tract infection (UTI).
Goal:
I will have no signs or symptoms of catheter obstruction or UTI for the next 90 days.
Plan/Approach:
-
Assessment:
- Step-by-Step Approach: Assess the need for the catheter upon admission and every quarter thereafter.
- Monitoring Strategies: Regular evaluations to determine ongoing necessity.
-
Patient Education:
- Step-by-Step Approach: Educate the patient on the aspects and risks of catheter use.
- Educational Efforts: Provide comprehensive information about hygiene, signs of infection, and catheter care.
-
Catheter Positioning:
- Step-by-Step Approach: Keep the catheter bag below the level of the bladder to prevent backflow.
- Monitoring Strategies: Regular checks to ensure the bag is correctly positioned.
-
Tubing Management:
- Step-by-Step Approach: Anchor tubing securely to avoid drag and monitor for possible kinking. Use dignity cover when leaving the room.
- Technological Aids: Use appropriate tubing holders and clips.
-
Urine Monitoring:
- Step-by-Step Approach: Monitor urine for mucous, cloudiness, sediment, hematuria, odor, and color. Notify MD with any of these symptoms.
- Monitoring Strategies: Regular urine inspections.
-
Catheter Function:
- Step-by-Step Approach: Monitor the catheter for leaking, clogging, and poor flow.
- Monitoring Strategies: Ensure regular flow checks and troubleshooting.
-
Irrigation:
- Step-by-Step Approach: Irrigate the catheter as ordered.
- Technological Aids: Use sterile irrigation equipment.
-
Specimen Collection:
- Step-by-Step Approach: Obtain urine specimens as ordered, monitor results, and report to the attending physician.
- Technological Aids: Use proper specimen collection tools.
-
Hydration:
- Step-by-Step Approach: Encourage fluids as tolerated, if not contraindicated.
- Educational Efforts: Explain the importance of adequate fluid intake to prevent infections.
-
Intake and Output Monitoring:
- Step-by-Step Approach: Monitor intake and output as indicated.
- Technological Aids: Use accurate measuring devices.
-
Catheter Care:
- Step-by-Step Approach: Provide catheter care every shift and as needed (PRN).
- Monitoring Strategies: Regular hygiene practices and catheter maintenance.
-
Catheter and Bag Changes:
- Step-by-Step Approach: Change the catheter and drainage bag every shift and as needed (PRN).
- Technological Aids: Use sterile techniques for changing catheters and bags.
Rationale:
- Assessment: Regular evaluations ensure the necessity of the catheter and prevent unnecessary complications.
- Patient Education: Educating the patient helps in self-care and early detection of potential issues.
- Catheter Positioning: Proper positioning prevents backflow and infections.
- Tubing Management: Secure tubing reduces the risk of accidental dislodgement and kinking.
- Urine Monitoring: Regular monitoring helps in early detection of infections and complications.
- Catheter Function: Ensuring proper function prevents blockages and infections.
- Irrigation: Regular irrigation prevents clogging and maintains catheter patency.
- Specimen Collection: Accurate specimen collection ensures proper diagnosis and treatment.
- Hydration: Adequate fluid intake helps prevent urinary tract infections.
- Intake and Output Monitoring: Tracking intake and output helps in early detection of complications.
- Catheter Care: Regular care reduces the risk of infections and ensures hygiene.
- Catheter and Bag Changes: Regular changes prevent infections and ensure proper functioning.
Actions:
-
Assessment:
- Staff will assess the need for a catheter upon admission and every quarter thereafter.
-
Patient Education:
- Staff will educate me on aspects and risks of catheter use.
-
Catheter Positioning:
- Staff will keep the catheter bag below the level of the bladder.
-
Tubing Management:
- Staff will anchor tubing securely to avoid drag and monitor for possible kinking. Use dignity cover when leaving the room.
-
Urine Monitoring:
- Staff will monitor urine for mucous, cloudiness, sediment, hematuria, odor, and color. Notify MD with any of these symptoms.
-
Catheter Function:
- Staff will monitor the catheter for leaking, clogging, and poor flow.
-
Irrigation:
- Staff will irrigate the catheter as ordered.
-
Specimen Collection:
- Staff will obtain urine specimens as ordered, monitor results, and report to the attending physician.
-
Hydration:
- Staff will encourage fluids as tolerated, if not contraindicated.
-
Intake and Output Monitoring:
- Staff will monitor intake and output as indicated.
-
Catheter Care:
- Staff will provide catheter care every shift and as needed (PRN).
-
Catheter and Bag Changes:
- Staff will change the catheter and drainage bag every shift and as needed (PRN).
Feedback Form
