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Infection Prevention and Control
Insertion of a Male Urethral Catheter
Infection Prevention and Control Insertion of a Male Urethral Catheter Purpose To ensure all relevant staff are aware of the principles of insertion of a male urethral catheter and understand the rationale that informs the principle, to prevent cross infection between service users, staff and visitors and prevent Health Care Associated Infections. Target Group This procedure is relevant to healthcare or care staff that have received specific training in the insertion of male urethral catheters. Introduction
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Urinary tract infection (UTI) is the most common infection acquired as a result of healthcare, accounting for 19% of Health Care Associated Infections, with between 43% and 56%of UTI’s associated with a urethral catheter. This guidance has been formulated to give healthcare and care staff a step by step approach to the insertion of a urethral catheter with a rationale for each stage, based on the current national research and guidance.
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This guidance should be used in conjunction with other associated infection prevention and control policies and procedures such as Hand Hygiene, Waste Management, Use of Personal Protective Equipment (PPE), Aseptic Non-Touch Technique (ANTT) Only appropriately trained and competent healthcare or care staff should carry out male
Equipment:
2 pairs of sterile single use gloves Hand sanitiser Disposable plastic apron Alcohol wipes or hard surface disinfectant wipes 10mls sterile water for catheter balloon Sterile syringe and needle or sterile filler Sterile dressing/catheterisation pack containing sterile receiver Sodium Chloride 0.9% Single use sterile lubricant/anaesthetic gel Catheter of appropriate size/length and type of material Appropriate drainage bag Leg bag straps or means of holding catheter Urine specimen container for specimen if required Clinical waste bag
Client Name Start Date: 00/00/0000 End Date: 11/11/1111 1 of 6 - Infection Prevention and Control Insertion of a Male Urethral Catheter
Action
Rationale
when service user mobilises or when penis becomes erect
Stopping the procedure if it cannot be advanced will prevent further trauma and injury
If catheter cannot be advanced – stop procedure and seek further medical advice Retraction or constriction of the foreskin behind the glans penis (paraphimosis) can occur if this is not done
Make the service user comfortable and ensure the area is dry
If the area is left wet or moist, particularly with bodily fluids, secondary infection and skin irritation may occur
Observe and measure how much residual urine drains and document after procedure
To ensure volume of urine in bladder at time of catheterisation is recorded especially when service user has presented with urinary retention or impaired renal function
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Ensure that the glans penis is clean, reduce or reposition the foreskin
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(During routine re–catheterisation there should be a minimal amount of urine in the bladder)
If not using a pre-connect system, connect an appropriate drainage bag, ensuring this is below the level of the bladder
Affix urinary catheter fixation device; attach the drainage bag if using a leg bag to the calf, using straps, night bag or a catheter valve.
To ensure unrestricted flow of urine into a closed system
To prevent catheter “drag” which can results in trauma to urethra and bladder
If required collect and send a urine sample for investigation
To detect presence of bacteria
Dispose of used equipment into correct waste stream and clean trolley or tray Remove gloves and decontaminate hands with either soap and water or hand sanitiser
To prevent environmental contamination and ensure appropriate disposal To reduce the risk of cross infection
Explain to the service user the importance of maintaining cleanliness around the penis, by washing with soap and water daily and of avoiding touching or pulling the catheter
To reduce the risk of infection and trauma
Assist the service user to dress and
To enable the service user to continue
Client Name Start Date: 00/00/0000 End Date: 11/11/1111 4 of 6 - Infection Prevention and Control Insertion of a Male Urethral Catheter
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