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Infection Prevention and Control
Care plan for service user with indwelling catheter
Infection Prevention and Control Care plan for service user with indwelling catheter
Service Users Name
Sa m
Reason catheter required:
Client Name Start Date: 00/00/0000 End Date: 11/011/1111 1 of 6 - Care plan for service user with indwelling catheter
NHS number
pl e
Date of Birth
Actions
Date
Sign
Date
Is the catheter still required for the stated reason Consent gained from service user Procedure to be carried out using Aseptic Non Touch Technique Personal protective equipment required for each intervention
pl e
Cleaning solutions required: Type of Catheter: Balloon size:
mls
Charrière (Ch.) of catheter: Details of drainage system: Details of securing device: Planned frequency of change:
cm
Sa m
Length of catheter:
Reasons for catheterisation/continued catheter use discussed with service user/family: Date of next catheter change:
Client Name Start Date: 00/00/0000 End Date: 11/011/1111 2 of 6 - Care plan for service user with indwelling catheter
Sign
Date
Sign
Sa m
pl e
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Client Name Start Date: 00/00/0000 End Date: 11/011/1111 6 of 6 - Care plan for service user with indwelling catheter