C onsider Is there a clear clinical indication for why your patient needs to have a urinary catheter What are the individuals preferences Consider the need for an Indwelling Urinary Catheter If there is no indication make that Catheter disappear ID: 1048226
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1. CHECK!QuestionActionExisting ResourcesConsiderIs there a clear clinical indication for why your patient needs to have a urinary catheter? What are the individuals preferences?Consider the need for an Indwelling Urinary Catheter. If there is no indication make that Catheter disappear! Stop_cauti_pocket_card.pdf (england.nhs.uk)HOUDINIConsider validated tool HOUDINI Protocol. If no longer a rationale for an indwelling urinary catheter consider a Trial Without Catheter (TWOC) Remove the catheter, follow TWOC as per your local guidelines. If your patient fails a TWOC, consider teaching them or a carer Intermittent Self –Catheterisation (ISC). An example Urinary Catheter Care Plan, includes HOUDINI. Hospitals use pages 1-3, Community uses page’s 1 & 3 only Care_plan.pdf (england.nhs.uk)EscalationDoes the Urinary Catheter needs to remain? If Yes:Does your patient have a personalised Urinary Catheter Care Plan and Escalation plan? Consider using the Catheter Passport Does the Urinary Catheter Care Plan need reviewing? Is the patient and/or their carer aware where this is located?Use your local catheter passport or local organisation’s tools. An example of the catheter passport can be found here:Catheter_passport_clinical_v3.pdf (england.nhs.uk)CommunicationAre there clear communication pathways for the patients to contact District/Community Nursing Services? What other specialist services can you liaise with? For example: Specialist Urology Nurses or Specialist Continence team where you can discuss any concerns or complications to enable the patient to stay at home and avoid hospital admission? Keep ReviewingHave you scheduled a date to continually review your patient and their Urinary Catheter? Think Catheter, CHECK! Remember to ask your patient “What matters to me?”What matters to you: f1e7b9_2268ff0feb244c2e95e8a74491089ad8.pdf (whatmattersconversations.org)
2. NHS England website Urinary Catheter tools - NHS England » Urinary catheter toolsNational Catheter tools Reference list - Document Title (england.nhs.uk)Example IPC policy document - Urinary catheter care (infectionpreventioncontrol.co.uk)RCN published guidance - Catheter Care Guidance for Health Care Professionals| Royal College of Nursing (rcn.org.uk)Study from USA - A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters | Infectious Diseases | JAMA Internal Medicine | JAMA NetworkCcaMa study - A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study - Jacqui Prieto, Jennie Wilson, Aggie Bak, Andrea Denton, Ashley Flores, Gail Lusardi, Matthew Reid, Lesley Shepherd, Niamh Whittome, Heather Loveday, 2020 (sagepub.com)Uni of Southampton - Preventing catheter infections | Global Network for Anti-Microbial Resistance and Infection Prevention | University of SouthamptonPoint of prevalence publication - Healthcare associated infections (HAI): point prevalence survey, England - GOV.UK (www.gov.uk)NHS England » The ‘No catheter – No catheter associated urinary tract infection’ programmeTransforming trial without catheter service provision - https://www.ucc-today.com/journals/issue/launch-edition/article/transforming-trial-without-catheter-service-provision-ucct?s=03 Urinary catheter tools: Catheter Passport, Catheter Card, Inpatient Care Plan, No catheter-associated urinary tract infections (CAUTI) card and poster and references –https://www.england.nhs.uk/patient-safety/urinary-catheter-tools/ Join NHS Futures: Community Nursing Practitioners Network (CNPN) for all resources: https://future.nhs.uk/NationalCommunityNursing