CATHETER CARE.pptx.......................

CATHETER CARE.pptx.......................

• 1.
  Catheter Care Including CAUTI
• 2.
  Definition  Urinary catheter:A flexible tube inserted into the bladder to drain urine.  Catheter care: Routine cleaning, monitoring, and maintenance of catheter to ensure function and prevent infection.
• 3.
  Types of Catheters Indwelling (Foley) catheter  Intermittent catheter  Suprapubic catheter  External (condom) catheter
• 4.
  Indications for CatheterUse  Urinary retention or obstruction  Accurate urine output monitoring in critically ill patients  During or after surgery  Incontinence with stage III/IV pressure ulcers  Comfort care in end-of-life situations
• 5.
  Catheter Insertion Guidelines Use aseptic technique  Choose smallest appropriate catheter size  Use sterile lubricant  Secure catheter to thigh or abdomen to prevent movement  Document date, time, size, and reason
• 7.
  Daily Catheter Care (NursingResponsibilities)  Perform hand hygiene before and after any contact  Inspect insertion site daily for signs of:  Redness  Swelling  Discharge  Clean the perineal area and catheter with:  Warm water  Mild soap (no antiseptic unless prescribed)  Ensure tubing is not kinked or under patient’s leg  Keep urine drainage bag below bladder level  Empty urine bag when 2/3 full or every 8 hours using clean technique  Avoid touching drainage spout to any surface  Check for urine flow, color, and consistency  Change catheter and bag as per hospital protocol or when contaminated
• 9.
  CAUTI: Catheter-Associated Urinary TractInfection  A urinary tract infection occurring in a person with a urinary catheter in place for more than 2 days.  Diagnosed based on symptoms and urine culture.
• 10.
  Risk Factors forCAUTI  Prolonged catheter use  Poor hand hygiene  Breaks in closed drainage system  Improper perineal care  Diabetes mellitus  Female gender  Elderly age
• 11.
  Signs & Symptomsof CAUTI  Fever or chills  Burning sensation or discomfort in lower abdomen  Cloudy, foul-smelling urine  Hematuria (blood in urine)  Increased confusion in elderly  Increased WBC count in lab
• 12.
  Prevention of CAUTI Insert catheter only when absolutely necessary  Use sterile technique  Ensure secure fixation to prevent movement  Maintain unobstructed urine flow  Avoid unnecessary disconnection of catheter  Do not irrigate catheter routinely  Use bladder scanner before insertion to confirm retention  Educate patient to:  Avoid pulling catheter  Maintain hygiene  Report early signs of infection
• 13.
  CAUTI Surveillance &Reporting  Maintain CAUTI rate records  Follow infection control policies  Report cases to HIC team  Perform urine culture & sensitivity testing
• 14.
  Nurse’s Role inCatheter Care  Strict hand hygiene  Follow catheter insertion protocol  Monitor I&O (Intake and Output)  Maintain aseptic environment  Provide patient education  Timely removal of catheter  Report any signs of infection  Documentation of care given
• 15.
  Documentation  Date/time ofinsertion and removal  Type and size of catheter  Reason for catheterization  Urine output (amount, color, clarity)  Perineal care provided  Signs of discomfort or infection
• 16.
  Complications of PoorCatheter Care  CAUTI  Urethral trauma  Bladder stones  Blockage or leakage  Hematuria  Sepsis (if infection spreads)