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:

1. 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.

2. 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.

3. 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.

4. 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.

5. 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.

6. Catheter Function:

   • Step-by-Step Approach: Monitor the catheter for leaking, clogging, and poor flow.
   • Monitoring Strategies: Ensure regular flow checks and troubleshooting.

7. Irrigation:

   • Step-by-Step Approach: Irrigate the catheter as ordered.
   • Technological Aids: Use sterile irrigation equipment.

8. 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.

9. Hydration:

   • Step-by-Step Approach: Encourage fluids as tolerated, if not contraindicated.
   • Educational Efforts: Explain the importance of adequate fluid intake to prevent infections.

10. Intake and Output Monitoring:

    • Step-by-Step Approach: Monitor intake and output as indicated.
    • Technological Aids: Use accurate measuring devices.

11. Catheter Care:

    • Step-by-Step Approach: Provide catheter care every shift and as needed (PRN).
    • Monitoring Strategies: Regular hygiene practices and catheter maintenance.

12. 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:

1. Assessment:

   • Staff will assess the need for a catheter upon admission and every quarter thereafter.

2. Patient Education:

   • Staff will educate me on aspects and risks of catheter use.

3. Catheter Positioning:

   • Staff will keep the catheter bag below the level of the bladder.

4. Tubing Management:

   • Staff will anchor tubing securely to avoid drag and monitor for possible kinking. Use dignity cover when leaving the room.

5. Urine Monitoring:

   • Staff will monitor urine for mucous, cloudiness, sediment, hematuria, odor, and color. Notify MD with any of these symptoms.

6. Catheter Function:

   • Staff will monitor the catheter for leaking, clogging, and poor flow.

7. Irrigation:

   • Staff will irrigate the catheter as ordered.

8. Specimen Collection:

   • Staff will obtain urine specimens as ordered, monitor results, and report to the attending physician.

9. Hydration:

   • Staff will encourage fluids as tolerated, if not contraindicated.

10. Intake and Output Monitoring:

    • Staff will monitor intake and output as indicated.

11. Catheter Care:

    • Staff will provide catheter care every shift and as needed (PRN).

12. Catheter and Bag Changes:

    • Staff will change the catheter and drainage bag every shift and as needed (PRN).