Guidelines for Urinary Catheter Care
Guidelines for urinary catheter care
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Is there a urinary catheter in place?
NO
No action necessary. Avoid catheter placement.
Appropriate Uses of Catheters
• Acute urinary retention of bladder outlet obstruction
• Accurate urinary output measurement in critically ill patients
• Peri-operative for selected procedures
• To assist healing open sacral or perineal wounds in incontinent patient
• Comfort care at end of life if necessary
YES
Does patient meet criteria for a urinary catheter?
YES
NO
OR
Remove catheter
Alternatives to Catheterization
• Condom catheter (external male catheter
• Intermittent catheterization
- Spinal cord injuries
- Bladder emptying dysfunction
• Risk/benefit of urethral stent
• Risk/benefit of suprapubic catheter
600,000 patients develop urinary tract infections (UTIs) each year
80% of UTIs come from a catheter
50% of patients with a urinary catheter do not have valid indication for placement
Risk of urinary infection increases 5% each day the urinary catheter remains in place
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