Urinary Catheterisation Guideline – practice change

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The Urinary Catheterisation Guideline has been developed to ensure an evidence based and standardised approach to urinary catheterisation across NHS Tayside.

The Urinary Catheterisation Guideline has been developed to ensure an evidence based and standardised approach to urinary catheterisation is used across NHS Tayside.  This is in line with national recommendations for the insertion of urinary catheters.

Guideline:

  • highlights specific implications for clinical practice to deliver safe and effective care
  • directs staff on the principles and safe practice of catheterisation
  • ensures training is available and provided as required for all employees

The guideline applies to all clinical staff involved in urinary catheterisation within NHS Tayside.

It contains specific information in relation to the Healthcare Improvement Scotland HAI Standards and the educational resources available.  It highlights the importance of accurate documentation in line with NHS Tayside Catheter Associated Urinary Tract Infection (CAUTI) Insertion and Maintenance Bundle and the National Urinary Catheter Care Passport.

The Urinary Catheterisation Guideline is available on Staffnet.

The following four actions have been endorsed by NHS Tayside and require all clinical staff involved in urinary catheterisation to comply:

Action one:

There is a change in practice during the catheter insertion process from double gloving to a single glove procedure.

Action two:

The following education modules must be undertaken in conjunction with local PDP. These are accessed within learnPro.

Line managers must monitor evidence of completion within learnPro.

The NES modules replace NHS Tayside clinical skills pack on urinary catheterisation.

Action three:

NHS Tayside clinical skills packs on urinary catheterisation will be removed from clinical areas.

Action four:

Evidence of reliable implementation to be measured and monitored locally through clinical governance forums and local measurement. Assurance measures in relation to documentation of urinary catheter care and management being progressed and will be reported initially through the Urinary Catheter Care Improvement Group.

If you require any additional support or information please contact:

Allison Robertson, Clinical Nurse Specialist, allisonrobertson@nhs.net

Pamela Davidson, Lead Infection Prevention and Control Nurse pamela.davidson@nhs.net

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