Urinary Catheterisation of Male and Female Patients in Secondary care - LTHT ONLY - ( Adults only )
|Next review: 08/09/2023|
|Approved By: Trust Clinical Guidelines Group|
|Copyright© Leeds Teaching Hospitals NHS Trust 2020|
This Clinical Guideline is intended for use by healthcare professionals within Leeds unless otherwise stated.
Adult Urinary Catheterisation
- Background and indications for standard operating procedure/protocol
- Procedure method (step by step)
- This SOP applies only to the acute insertion of a permanent urinary catheter and does not include the use of intermittent self catheterisation
- If a patient has ever had a positive MRSA urine, they should be treated as positive for future catheterisation attempts
- A careful clinical assessment is required in all patients prior to catheterisation.
- The main indications for urethral catheterisation are as below:
- Acute (painful) retention of urine: All cases require discussion with a urologist
- Chronic (painless) retention of urine: All cases require discussion with a urologist
- Monitoring of urinary output, where it is essential to the care of the patient (e.g. peri-operatively, critical care, polytrauma)
- Severe urinary incontinence, where other methods of urinary control have failed.
- To improve comfort in the end of life care as needed
All cases require multidisciplinary assessment prior to catheterisation.
- Urethral catheterisation should be undertaken by either practitioners who are competent to undertake this procedure or “trainee” practitioners under the direct supervision of a competent practitioner.
- Urethral catheterisation should not be undertaken by non-urologists when there has been recent prostatic or urethral surgery. Referral to the Urology department is appropriate.
- In cases of possible or definite urethral trauma (e.g. in association with a pelvic fracture) the role of urethral catheterisation should be discussed with the on-call urologist before any catheterisation attempt.
- For most patients a 12-14 Fr 2-way Foley catheter should be used. Ideally the catheter should be a silicone catheter.
- In patients with significant haematuria, a 18-22 Fr 3-way irrigating catheter should be inserted. All cases require discussion with a urologist.
Failed attempt at catheterisation
If two attempts by a competent practitioner are unsuccessful, there should be a discussion with the Urology team
- A Catheter Insertion Record should be completed for all patients who have a catheter inserted and kept in their medical records.
- A copy should be faxed to the district nurses if the patient is discharged with a catheter insitu (Doc.WUN1004).
- A catheter passport is available and should be completed for all patients discharged from LTHT with an indwelling catheter regardless of length of time catheter is intended to be insitu (Doc. WNA1328)
To standardise and optimise the procedure urethral catheterisation
|Target patient group:||All patients who require urinary catheterisation|
|Target professional group(s):||Secondary Care Doctors
Secondary Care Nurses
Allied Health Professionals
V. Geng, H. Cobussen-Boekhorst, J. Farrell, M. Gea-Sánchez, I. Pearce, T.Schwennesen, S. Vahr, C. Vandewinkel; (2012) Evidence-based Guidelines for Best Practice in Urological Health Care Catheterisation, Indwelling catheters in adults, Urethral and Suprapubic; European Association of Urology Nurses. The Netherlands
R. Addison, S. Foxley, C. Mould, W. Naish, H. Oliver, J Sullivan, S Thomas, J Reid, K Logan OBE, S Jones, A Phillimore, and A Vaughan;(2012)Royal College of Nursing Catheter care RCN guidance for nurses. Royal College of Nursing, London
Trust Clinical Guidelines Group
LHP version 1.0
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