Undertake care for individuals with urinary catheters
Overview
This standard covers undertaking care of individuals' with urinary catheters. It is applicable in any care setting where an individual has a urinary catheter in position. This standard involves emptying catheter bags, providing catheter hygiene and removing urinary catheters, as and when directed by a competent practitioner.
This standard does not cover insertion of urinary catheters.
All of these activities must be undertaken using an aseptic technique and following relevant guidelines and procedures.
Performance criteria
You must be able to:
- access and accurately interpret all relevant work instructions and information
- work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
- deal promptly and effectively with any problems within your control and report those which cannot be solved
- identify and minimise hazards and risk in the workplace
- communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
- respect the individual's rights and wishes relating to their privacy, beliefs, and dignity
- provide support to the individual and ensure health and safety measures are implemented at all times
- gain valid, informed consent from the individual in accordance with specific procedures
- confirm all equipment and materials for urethral catheter activity is appropriate to the procedure and fit for purpose
ensure the individual is positioned in a way that will:
- ensure their safety and comfort
- facilitate urinary catheter hygiene
- facilitate removal of the urinary catheter
carry out the urethral catheter activity:
- at an appropriate time according to the individual's plan of care
- using appropriate techniques
- using equipment in line with manufacturer's instructions
- in a manner which optimises the individual's comfort and dignity and minimises pain and trauma
observe the individual throughout the activity, recognise and report any condition or behaviour which may signify adverse reactions to the activity and take the appropriate action
ensure the urinary catheter and drainage system are:
- functioning correctly
- securely attached
- securely positioned in a way that prevent discomfort and promotes dignity of the individual
ensure the individual is made comfortable following urethral catheter activity and dispose of waste according to organisational procedures
- empty drainage bags in accordance with procedures
- measure and record urinary output whenever necessary at agreed intervals, or as directed
- observe urinary output for any change in appearance and promptly inform the appropriate member of the care team
- complete and store all relevant documentation in accordance with organisational requirements
Knowledge and Understanding
You need to know and understand:
- the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
- the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
- how to access and interpret all relevant work instructions and information
- specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
- the duty to report any acts or omissions that could be unsafe/detrimental to you or others
- the hazards and risks which may arise during the execution of your work role and how you can minimise these
- how to adapt communication styles in ways which are appropriate to the needs of the individual
- the correct use of any equipment and PPE to protect the health and safety of you and others
- the principles, practice and procedures associated with informed consent
- the needs of individuals including issues relating to dignity, confidentiality, and privacy
- organisational management structures, roles, and responsibilities
- why individuals should be supported and informed about the nature of the urinary catheter activity
- the concerns and worries which individuals may have in relation to urinary catheterisation
- the contra-indications which suggest that you need to stop and seek help and advice and how these may differ for different individuals, conditions and those from different ethnic groups
- the adverse effects which may occur during and following procedures and how to identify and deal with these
- the effects of having a urinary catheter in position on the individual's comfort and dignity, and ways of minimising any adverse effects
- the anatomy and physiology of the bladder and urethra related to urinary catheter activities
- the normal appearance and content of urine
- potential abnormal appearance and content of urine depending on the individual's presenting medical condition
- how aseptic technique contributes to the control of infection
- the potential sources of contamination when undertaking urinary catheter activity and appropriate measures to reduce or deal with them
- the types of pathogens specific to the urinary system
- the potential consequences of contamination of urinary catheters and drainage systems
- the equipment and materials required for urinary catheter activity
- why resources should be prepared before you start the activity
- the importance of maintaining the correct level of cleanliness for urinary catheter
- the importance of following procedures for urinary catheter activity exactly as specified, and the potential effects of not doing so
- the importance of packing up used equipment and materials and covering receptacles containing urine prior to leaving the immediate care area
how and where to dispose of:
- used equipment and materials
- urine
the importance of ensuring catheter drainage systems are:
- safely positioned to prevent ascending infection and accidental damage
- carefully positioned to maintain the dignity of the individual
how to complete and safely store all relevant documentation in accordance with organisational requirements