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
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Patient Education
- Educate the patient on aspects and risks of catheter use to ensure understanding and compliance with care protocols.
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Catheter and Bag Positioning
- Keep the catheter bag below the level of the bladder to prevent backflow and reduce the risk of infection.
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Securement and Monitoring
- Anchor tubing securely to avoid drag and monitor for any tension that could cause dislodgment.
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Dignity and Privacy
- Use a dignity cover when the patient is leaving the room to maintain privacy and dignity.
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Urine Monitoring
- Monitor urine for mucus, cloudiness, sediment, hematuria, odor, and color. Notify MD with any of these symptoms to catch potential infections early.
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Catheter Function Monitoring
- Monitor the catheter for leaking, clogging, and poor flow to ensure proper functioning and early detection of issues.
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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.
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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.
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Catheter Care
- Provide catheter care every shift and PRN to maintain hygiene and prevent infection.
Rationale
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Patient Education
- Educating the patient helps them understand the importance of catheter care, reducing the risk of complications through proper handling and maintenance.
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Catheter and Bag Positioning
- Keeping the bag below bladder level prevents backflow, a significant cause of urinary tract infections.
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Securement and Monitoring
- Securely anchoring the tubing prevents accidental dislodgment, which can cause trauma and increase infection risk.
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Dignity and Privacy
- Using dignity covers maintains the patient's privacy, which is important for their psychological well-being.
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Urine Monitoring
- Regular monitoring of urine helps in the early detection of infections and other complications.
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Catheter Function Monitoring
- Monitoring for leaks, clogs, and poor flow ensures the catheter is functioning correctly and helps to prevent complications.
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Irrigation and Specimen Collection
- Regular irrigation helps to maintain catheter patency. Specimen collection is crucial for monitoring the patient's health status.
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Hydration and Fluid Monitoring
- Adequate hydration helps maintain urinary health. Monitoring intake and output ensures the patient is not dehydrated or retaining excess fluid.
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Catheter Care
- Regular catheter care reduces the risk of infection and other complications.
Actions
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Patient Education
- Staff will educate the patient on aspects and risks of catheter use.
-
Catheter and Bag Positioning
- Staff will keep the catheter bag below the level of the bladder.
-
Securement and Monitoring
- Staff will anchor tubing securely to avoid drag and monitor for possible tension.
-
Dignity and Privacy
- Staff will use a dignity cover when the patient is leaving the room.
-
Urine Monitoring
- Staff will monitor urine for mucus, cloudiness, sediment, hematuria, odor, and color, and notify MD if any symptoms arise.
-
Catheter Function Monitoring
- Staff will monitor the catheter for leaking, clogging, and poor flow.
-
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.
-
Hydration and Fluid Monitoring
- Staff will encourage fluids as tolerated, if not contraindicated.
- Staff will monitor intake and output as indicated.
-
Catheter Care
- Staff will provide catheter care every shift and PRN.
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