SDE: Clinical Guidelines Ch7F

Clinical Procedure Guidelines for Connecticut School NursesPrintable version | Back to Contents
7
Specialized Health Care Procedures

F. Catheter: Indwelling

Definition

An indwelling catheter is inserted into the bladder to provide urinary drainage over a period of time from hours to weeks. It is attached to a closed drainage system that must be emptied periodically (AUA Foundation, 2011).

Purpose

To empty the bladder of urine as it accumulates; to minimize residual urine; to decrease incidence of bladder infection; to control incontinence.

Equipment

Gloves, disposable washcloth and towel, soap and water, graduated drainage container

Procedure

In general, other than emptying the drainage bag into a container and measuring the output, the only care required for an indwelling catheter in school would be if the student were toileted for a bowel movement, the area around the urinary meatus would have to be cleansed if contaminated with feces.

Delegation Considerations

This procedure may be performed by a school nurse, RN, or LPN. With the appropriate training and supervision, monitoring may be performed by unlicensed assistive personnel or certified staff.

Select Nursing Considerations

Most students with an indwelling catheter will not require care of it during the school day, however the school nurse must be notified if there is any evidence of infection; pain; skin breakdown; displacement or obstruction of the catheter; bleeding; or a change in urine consistency, color, or odor.

References

AUA Foundation. (2011). Managing bladder dysfunction with products and devices. Retrieved January 3, 2012.

Centers for Disease Control and Prevention. (2010). Catheter-associated urinary tract infections. Retrieved January 14, 2012.

 




Content Last Modified on 7/23/2014 1:25:52 PM