C
TM
i
Infection Prevention and Control
Care plan for administra0on of catheter maintenance solu0ons
1 of 4 - Infection Prevention and Control Care plan for administration of catheter maintenance solutions
Infection Prevention and Control Care plan for administra0on of catheter maintenance solu0ons
Service user name
Date of birth
NHS number
Reason catheter maintenance solu0ons required:
Type and make of prescribed solu0on:
Frequency of interven0on:
Aims: • To prolong the life of the catheter by dissolving encrusta6ons, alter bladder pH or suppress bacterial growth
Plan: • Bladder ins6lla6ons or washouts must not be used to prevent catheter associated infec6ons • Gain informed consent from service user and document in service users notes • Give prescribed solu6on as per catheter maintenance solu6ons procedure and manufacturer’s instruc6ons • Monitor service user throughout to ensure no adverse effects • Document procedure has been carried out in service users record • Assess the need for further washouts at each administra6on Date Commenced : Signature: Print Name:
C
i
2 of 4 - Infection Prevention and Control Care plan for administration of catheter maintenance solutions
Service user’s name Date
Evalua0on
Date Of Birth Signature
C
i
3 of 4 - Infection Prevention and Control Care plan for administration of catheter maintenance solutions
C
i
Infection Prevention and Control Gordon House, Station Road
 Mill Hill, London NW2 2JU Telephone 020 8906 2777 Fax: 020 8906 2233
 www.infectionpreventionsolutions.co.uk
4 of 4 - Infection Prevention and Control Care plan for administration of catheter maintenance solutions