Care for individuals with urethral catheters
1.1 When caring for an individual with a urethral catheter staff must follow the infection control policy ensuring all equipment is clean, fit for use, that they follow the correct procedures concerning the wearing of wearing PPE and that they follow ANTT (aseptic non touch technique). We have a duty to protect the health and safety of all our patients as directed in the Trust Health and Safety Policy by ensuring all equipment is fit for purpose and that we know how to use it appropriately. No -on should remove catheters or take part in catheter care if they have not be shown the correct procedures The urinary tract is the most common site of a hospital acquired infection particularly catherterisation.
Staff follow the Trust guideline for Catheterisation and Care of the catheterised patient which indicates reasons for catheterising, any risks involved, who this should be performed by, the procedure and care of the patient and catheter care. We also have information leaflets by the infection control team and prevention team with information for the patient about the catheter and how to care for it
Staff must ensure that they have all the equipment before they start the procedure, checking expiry date and any damage to packaging. They must also gain the patients consent before procedure.
As a Healthcare assistant I do not take part in catherterisation, but will look after the patient after the procedure and also remove the catheter when instructed
When the catheter is in place, staff must fill in a UCAM (urinary catheter assessment monitoring form) which gives all the patient details, whether a bladder scan was performed, the size of the catheter inserted, date and time and the sticker from the catheter pack in case of any problems with the catheter.
We also have a patient care plan that is filled with all the patients details and then information is added at each stage of care- on insertion, on catheter care...