Catheter Care Leicester City Council - PowerPoint Presentation

1. Catheter CareLeicester City CouncilInfection Prevention Control

2. Key Messages

3. Symptoms of UTIs

4. Signs of UTIsSigns are things that can be seen or measured in peopleSigns of UTIs include:Blood in the urineShivering or chillsTemperature raised above 38 degrees CelsiusNew or worsening confusion New or worsening agitationNew or worsening drowsiness.If anyone with a catheter has any of these symptoms or signs then medical advise should be sought.Please note that offensive smelling or cloudy urine is not a sign of catheter associated UTI.

5. Catheter careUse a catheter anchoring device and two leg straps to prevent pulling and damage to the urethra. Do not attach too tightly to avoid pressure sores.Move the catheter anchoring device daily, from leg to leg, to avoid pressure damage to the skin and bladder opening. Inspect the urethral opening daily for signs of pressure damage and if any damage noted record it and inform the individual’s GP or nurse. If the catheter is blocked or bypassing, try flushing with 10mls of normal saline if available, or contact the individual’s GP or nurse.

6. Catheter hygieneStaff should always wear appropriate PPE, e.g. disposable apron and gloves when providing catheter care.When assisting bathing, showering or washing, ensure the genital area is washed with soap and warm water and the external catheter tube is cleaned away from the body. Rinse to remove any soap and dry.It is important to wash the genital area from front to back to prevent contamination of poo.The genital area and external catheter tube should be washed, rinsed and dried following any incontinent bowel movement.

7. Catheter bagsFor individuals who can walk around, a leg bag should be put in place with an anchoring device and two leg straps. The urine drainage bag should be below the level of the bladder to allow good drainage (if this doesn’t occur then there is increased risk of infection because urine might flow backwards.Single use 2 litre night bags should be added for overnight drainageIf an individual does not have a leg bag then their catheter bags must be kept off the floor and attached to a stand. Catheter bags should be emptied when between 2/3rds and 3/4ths full. (Emptying too soon increases the risk of introducing infection, and too late increases the risk of backflow).

8. Changing bagsBag changes should be made according to manufacturer instructions, usually weekly. Empty the contents of the old bag before changing to the new one.After emptying the old bag, be sure to changes gloves and re-wash hands.When removing the old bag, keep one hand on the catheter to ensure it doesn’t move, and gently remove the bag with your other hand. Do not touch the catheter end to reduce the risk of infection. Insert the new catheter securely and again, avoid touching the catheter end. Ensure the new bag is secure and below the level of the bladder.Uptake records.

9. Taking a catheter urine sampleSometimes known as a CSU (Catheter specimen of urine), this should be taken if there are suspected symptoms of a UTI or if you are asked by a medical professional. Samples should be obtained from the self sealing sampling port of the drainage tubing. Samples should not be taken from the drainage bag. (If samples are taken from here it will likely lead to false positive results).Clean the sampling port with a chlorhexidine, alcohol wipe, and use a sterile syringe to take the specimen. If 5mls or less of urine is taken use a white top universal container. If more than 5mls are taken then use a red top contained (which contains boric acid preservative).Wipe the sampling port again and allow to dry.Label to pot.

10. Suprapubic catheters

11. Key questions to ask

12. References