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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