Suprapubic Catheter

Care Plan for Suprapubic Catheter

Category / Primary Body System

• Genitourinary System

Problem

• Patient is at risk for complications due to suprapubic catheter use.

Goal

• Patient will not have complications (i.e., UTI, obstruction) for 90 days.

Plan/Approach

1. Patient Education

   • Educate the patient on aspects and risks of catheter use to ensure understanding and compliance with care protocols.

2. Catheter and Bag Positioning

   • Keep the catheter bag below the level of the bladder to prevent backflow and reduce the risk of infection.

3. Securement and Monitoring

   • Anchor tubing securely to avoid drag and monitor for any tension that could cause dislodgment.

4. Dignity and Privacy

   • Use a dignity cover when the patient is leaving the room to maintain privacy and dignity.

5. Urine Monitoring

   • Monitor urine for mucus, cloudiness, sediment, hematuria, odor, and color. Notify MD with any of these symptoms to catch potential infections early.

6. Catheter Function Monitoring

   • Monitor the catheter for leaking, clogging, and poor flow to ensure proper functioning and early detection of issues.

7. Irrigation and Specimen Collection

   • Irrigate the catheter as ordered to maintain patency and prevent blockages.
   • Obtain specimens as ordered, monitor results, and report to the attending physician for any abnormalities.

8. Hydration and Fluid Monitoring

   • Encourage fluids as tolerated, if not contraindicated, to help flush the urinary system and reduce the risk of infection.
   • Monitor intake and output as indicated to ensure proper fluid balance.

9. Catheter Care

   • Provide catheter care every shift and PRN to maintain hygiene and prevent infection.

Rationale

1. Patient Education

   • Educating the patient helps them understand the importance of catheter care, reducing the risk of complications through proper handling and maintenance.

2. Catheter and Bag Positioning

   • Keeping the bag below bladder level prevents backflow, a significant cause of urinary tract infections.

3. Securement and Monitoring

   • Securely anchoring the tubing prevents accidental dislodgment, which can cause trauma and increase infection risk.

4. Dignity and Privacy

   • Using dignity covers maintains the patient's privacy, which is important for their psychological well-being.

5. Urine Monitoring

   • Regular monitoring of urine helps in the early detection of infections and other complications.

6. Catheter Function Monitoring

   • Monitoring for leaks, clogs, and poor flow ensures the catheter is functioning correctly and helps to prevent complications.

7. Irrigation and Specimen Collection

   • Regular irrigation helps to maintain catheter patency. Specimen collection is crucial for monitoring the patient's health status.

8. Hydration and Fluid Monitoring

   • Adequate hydration helps maintain urinary health. Monitoring intake and output ensures the patient is not dehydrated or retaining excess fluid.

9. Catheter Care

   • Regular catheter care reduces the risk of infection and other complications.

Actions

1. Patient Education

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

2. Catheter and Bag Positioning

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

3. Securement and Monitoring

   • Staff will anchor tubing securely to avoid drag and monitor for possible tension.

4. Dignity and Privacy

   • Staff will use a dignity cover when the patient is leaving the room.

5. Urine Monitoring

   • Staff will monitor urine for mucus, cloudiness, sediment, hematuria, odor, and color, and notify MD if any symptoms arise.

6. Catheter Function Monitoring

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

7. Irrigation and Specimen Collection

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

8. Hydration and Fluid Monitoring

   • Staff will encourage fluids as tolerated, if not contraindicated.
   • Staff will monitor intake and output as indicated.

9. Catheter Care

   • Staff will provide catheter care every shift and PRN.