Long Term Urinary Catheter Guidance

Transcription

1 CNT 049 Long Term Urinary Catheter Guidance You can get further advice and information by contacting: Your Doctor or Healthcare Professional The Infection Prevention and Control Team The Continence Team: Advisor Contact Details Long Term Urinary Catheter Guidance Andrea Davies Fiona Glover Nicola Head Claire Martin Val Proctor Tel: Fax: This booklet is provided for your information only. It must not be used as a substitute for professional medical care by a qualified doctor or other health care professional. Always check with your doctor if you have any concerns about your condition or treatment. Shropshire Community Health NHS Trust is not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in this leaflet or found on web pages linked to by this leaflet. Information Produced by: Continence Team Publication : 17 Mar 2015 Review 31 Mar 2018 Document ID: Shropshire Community Health NHS Trust, A Guide for Patients and Carers 1

2 Patient Information: Name: Address Telephone GP Name: GP Address: District Nurse: Contact Number Friend / Family Contact Number (in case of emergency) Was the district nurse informed of discharge? No Yes : 2

3 CNT 049 Long Term Urinary Catheter Guidance Why is the information about my catheter important? Many people need a catheter as part of their care or treatment. It may be for a short time or it may need to be in place for longer, depending on the reason why it was considered to be beneficial to your care. As with many types of treatment there are potential problems once a catheter has been inserted. One of these potential problems is an infection as unfortunately if not looked after properly a catheter can cause germs (bacteria) to enter your bladder and cause an infection. The risk of infection may increase depending on why the catheter was inserted and how long it has to remain in place. This information is very important to help both you and the staff involved in your care to prevent an infection. What happens if I lose my catheter passport? Don t worry if you lose or mislay your catheter passport; just inform your district nurse or professional carer. This passport is not intended to replace the notes/records made by your doctor or district nurse and they should be able to provide you with a new, updated passport. Remember this is important information that can help to ensure you and your catheter are cared for correctly to help reduce the risk of infection. 3

4 What is a Long Term Urinary Catheter Passport? It is a small book given to patients who have a urinary catheter inserted as part of their care. It belongs to you, the patient, and is not intended to replace nursing or medical notes. In this book the healthcare professional who inserts your catheter will make a note of important information such as: The date the catheter was inserted The type of catheter used Why your doctor/nurse decided you needed to have a catheter inserted When it is anticipated it will be removed This information will also be recorded in your medical notes/records. Why do I need to keep it? Your catheter passport will help to ensure information about your catheter is readily available to any healthcare professional involved in your care, such as your doctor, district nurse or trained carer. It also contains some valuable information to help and reassure you about caring for your catheter. What do I do with it? Keep it in a safe place and make sure it is available whenever you visit your GP or if you attend hospital for any reason. It is also important that anyone caring for you is aware you have a catheter passport. 4

5 CNT 049 Long Term Urinary Catheter Guidance Do s. Remember to drink plenty of fluids unless restricted for medical reasons The area around the catheter should be cleansed daily with soap and water. Men should be sure to wash under their foreskin Night urine drainage bags should be positioned below the level of the bladder and they should not be in contact with the floor. A catheter stand should be used to support this night bags Catheter tubing should be fixed to the leg or abdomen to avoid kinking of the tubing and pulling of the bladder neck Take regular exercise but avoid anything too vigorous, ensure your catheter is well supported before any exercise. 5

6 Don ts. DON T disconnect the leg bag unnecessarily or touch the end of the connector as this can lead to infection DON T use oil based creams or talcum powder around catheter area 6

7 CNT 049 Long Term Urinary Catheter Guidance Call a Healthcare Professional if: No urine or very little urine is flowing into the collection bag and you feel your bladder is full You have new pain in your abdomen, pelvis, legs or back Your urine has changed colour, it is very cloudy, looks bloody or has large blood clots in it The insertion site becomes very irritated, swollen, red or tender Your urine has a foul odour Urine is leaking from the insertion site You have a fever You develop nausea, vomiting or feel unwell 7

8 Hand Washing Guide Hands are used for all sorts of activates during the course of the day Hands become easily contaminated e.g: after we have been to the toilet Once on the hands it is easy for germs to get into the catheter Many infections are spread this way If hands are thoroughly washed after using the toilet the number of germs they carry will be greatly reduced Wash hands before and after any dealings with the catheter 8

9 CNT 049 Long Term Urinary Catheter Guidance Reason for Catheterisation: Catheter Inserted when catheter is 9

10 Reason for Catheterisation: Catheter Inserted when catheter is 10

11 CNT 049 Long Term Urinary Catheter Guidance Reason for Catheterisation: Catheter Inserted when catheter is 11

12 Reason for Catheterisation: Catheter Inserted when catheter is 12

13 CNT 049 Long Term Urinary Catheter Guidance Reason for Catheterisation: Reason for Catheterisation: Catheter Inserted Catheter Inserted when catheter is when catheter is 13

14 Reason for Catheterisation: Reason for Catheterisation: Catheter Inserted Catheter Inserted when catheter is when catheter is 14