Nurse Catheter
⚡ ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻
Nurse Catheter
Secondary Menu
AHA Member Center
About
Press Center
Contact Us
Nurse-driven Protocol for Urinary Catheter Removal
Breadcrumb
Home
Data & Insights
Case Studies
A nurse-driven protocol was implemented to increase the staff's awareness on the appropriate indications of an indwelling urinary catheter to reduce the use of indwelling urinary catheters and catheter-associated urinary tract infections (CAUTI).
© 2022 by the American Hospital Association. All rights reserved.
Privacy Policy
Terms of Use
Facebook
Twitter
Youtube
Instagram
A nurse-driven protocol was implemented to increase the staff's awareness on the appropriate indications of an indwelling urinary catheter to reduce the use of indwelling urinary catheters and catheter-associated urinary tract infections (CAUTI).
After receiving education, nursing staff was charged with completing the review of need forms daily for each patient with a urinary catheter. According to the protocol, if the patient does not meet the requirement for a urinary catheter, it is discontinued without a physician order.
Although the hospital did not decrease the prevalence rate for urinary catheter days, the use of urinary catheters was appropriate and the rate of CAUTI had decreased.
This case study is part of the Illinois Hospital Association's annual quality awards . Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim --improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.
Award recipients achieve measurable and meaningful progress in providing care that is:
Noncommercial use of original content on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. To request permission to reproduce AHA content, please click here .
This website provides entertainment value only, not medical advice or nursing protocols. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. See our full disclosure and privacy policy .
Copyright Notice: Do not copy this site, articles, images, or its contents without permission.
Important Links
Advertise
Contact Us
Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Join the nursing revolution.
An important nursing skill nursing students learn in nursing school is how to insert a Foley catheter . The process of inserting a catheter is known as catheterization. Nurses must know how to indwell a foley catheter as one of the many duties of nursing . Inserting a Foley catheter is not an easy process and it involves a great deal of precision to perform correctly.
Inserting catheters is a skill that is often used in the medical profession by nurses. Nurses are able to gain access to patients’ bladders and the contents using Foley catheters. Since the catheter can be placed inside the bladder for an extended period of time, it is known as an indwelling catheter. The patient’s urine drains into a bag that is later taken from an outlet device and subsequently drained. Nurses can send the urine samples to the laboratory for further testing for crystals, infections, blood, kidney function, muscle breakdown, and electrolytes. Catheters are also used to treat bladder outlet obstruction and urinary retention in patients.
Using an indwelling Foley catheter tray, collect all needed supplies.
You can also watch the following video for tips on preparing to insert your Foley:
Complications may include infection or tissue trauma. Other complications include pyelonephritis, renal inflammation, and nephro-cysto-lithiasis when catheters are left in for extended periods of time. One of the short-term complications includes the inability to insert the Foley catheter.
It is imperative that nurse learn the proper manner in which to insert a Foley catheter so that their patients do not run the risk of infection and trauma. So many patients suffer from conditions that create the need for catheterization so nurses should make their experiences with Foley catheters as comfortable and painless as possible.
Enter your email address below and hit "Submit" to receive free email updates and nursing tips.
Copyright © 2022 RegisteredNurseRN.com. All Rights Reserved.
Sign up to receive the latest nursing news and exclusive offers.
Subscribe
License/Degree
CNA
LPN
RN (Diploma)
RN (ADN)
RN (BSN)
MSN
DNP
None
Other
By: Brittany Hamstra
BSN, RN, CPN
Medically reviewed by:
Kathleen Gaines
News and Education Editor, MSN, RN, BA, CBC
Current Degree
Current Degree
No Degree/License
ADN (RN)
BSN (RN)
MSN (RN)
LPN/LVN
Medical Assistant
CNA
Paramedic
Other
Become a Part of the Nurse.org Community!
License/Degree
CNA
LPN
RN (Diploma)
RN (ADN)
RN (BSN)
MSN
DNP
None
Other
Current Degree
Current Degree
No Degree/License
ADN (RN)
BSN (RN)
MSN (RN)
LPN/LVN
Medical Assistant
CNA
Paramedic
Other
About Nurse.org
Contact Us
Press
Advertise
Join our network
Terms of Use
Privacy Policy
Cookie Settings
Do Not Sell My Personal Information
Get All The Nursing Information You Need In Your Inbox
License/Degree
CNA
LPN
RN (Diploma)
RN (ADN)
RN (BSN)
MSN
DNP
None
Other
Sign up to receive the latest nursing news and exclusive offers.
A port-a-cath, also referred to as a port, is an implanted device which allows easy access to a patient’s veins. A port-a-cath is surgically inserted completely beneath the skin and consists of two parts – the portal and the catheter.
The portal is typically made from a silicone bubble and appears as a small bump under the skin. The portal, made of special self-sealing silicone, can be punctured by a needle repeatedly before the strength of the material is compromised. Its design contributes to a very low risk of infection. The slender, plastic catheter attached to the portal is threaded into a central vein (usually the jugular vein, subclavian vein, or the superior vena cava).
Ports are indicated for patients requiring frequent and long-term intravenous therapy, such as the oncology population. Having a port allows healthcare professionals easy access to a major vein with low risk of infection.
This benefit is extremely important for the immunocompromised population of oncology patients. Additionally, it reduces the pain that would otherwise be experienced with countless needle pokes for IVs, since the skin over a port hub becomes thicker and desensitized.
Another consideration is that oncology patients may receive chemotherapy often, which can be toxic and erosive to tissues in the body. By infusing chemotherapy through a strong vein via port, the medication has a lower chance of leaking into tissues and causing extravasation or irritation.
The implantation of a port is considered a minor procedure performed under local or general anesthesia by an interventional radiologist or surgeon. With one or two small incisions, the catheter is threaded into the vein and attached to the portal chamber. The procedure is typically completed within one hour. A simple x-ray is used for post-operative imaging to confirm appropriate placement of the port. For a few days after the procedure, the patient may experience discomfort at the insertion site, which can be managed by NSAIDs.
Once a port is cleared for use, a patient may receive intravenous therapy through it for the course of his/her treatment. An adult portal chamber can take about 2,000 punctures on average, which may last a patient several years .
A port can be single or double lumen. Single lumen ports are most common and typically sufficient for patients requiring scheduled intravenous therapy.
However, having a double lumen port is advantageous for patients who often receive multiple intravenous therapies at once. If two intravenous agents aren’t compatible in the same line, you can infuse both simultaneously in different port lumens without complication. The double lumen port also allows concurrent infusion of medication, chemotherapy, blood products, or parenteral nutrition. It is also beneficial for drawing labs without interruption of an infusion.
Ports can be referred to by brand name, like Port-a-cath or Mediport. Regardless of the terminology, all ports function the same way, with the exception of the PowerPort.
A PowerPort is a special type of port, available in single or double lumen, which can withstand higher injection pressures. This is an important consideration for receiving intravenous CT contrast dye. A PowerPort must be accessed with a particular type of needle, a PowerLoc needle, in order to inject contrast.
The portal chamber is always characterized by a triangular shaped body, which can be palpated under the skin. In addition, a patient with a PowerPort will receive a wallet-sized identification, keyring card, and bracelet. It is helpful for patients to carry one or all of these identifiers to help healthcare professionals in the future appropriately access and utilize the PowerPort.
The surgeon determines the location of the port on the body based on a patient’s internal anatomy or personal preference. It is most often placed under the subcutaneous tissue of the chest, upper arm, or lower rib cage.
A port provides direct access to a major vein, so if the line becomes infected, it could be detrimental to a patient’s wellbeing. In order to avoid line infections potentially leading to sepsis, healthcare professionals need to take great care when handling ports. Ports should be accessed using sterile procedure. When being handled for treatment, the end of the line outside of the body needs to be cleaned according to hospital policy with each use. Additionally, always wash hands before touching the catheter tip.
Some signs of port-related infection may include,
Systemic symptoms may include fever or chills with or without hypotension. If infection is suspected, contact the MD immediately. Blood cultures will likely be drawn BEFORE administering antibiotics, and if the infection cannot be treated with medication, the line may be pulled completely.
Get the latest on all things nursing by joining our email newsletter. You’ll be the first to know about nursing news, trending topics and educational resources.
If your patient is receiving intravenous therapy through a port, especially chemotherapy, check the site every hour for signs of infiltration or phlebitis. Assessing the port is especially important for patients receiving chemotherapy agents that are vesicants. For these particular chemotherapies, you will often check for blood return every couple of hours during infusion to confirm appropriate placement.
Port catheters do have the potential to crack or rupture with excessive injection pressure. It is important to pay attention to syringe size to avoid creating too much intraluminal pressure. The smaller the syringe, the greater the force on injection. For this reason, many hospital policies do not allow you to use smaller than 10cc syringes to inject and aspirate from the port line.
The catheter tip in the vein may “swim” or float to another area in the body. The tip may also be pushing against the wall of the vein. If you are unable to flush or get return, DO NOT use force to flush the tubing. Have the patient try to change position, lift his/her arms above the head, or breathe deeply and cough.
If the port still does not function appropriately, the patient may need to get an x-ray to confirm placement of the catheter. If a thrombosis is suspected, gently pulse a flush of normal saline to dislodge the clot. If the clot does not flush, the MD may order tPA (tissue plasminogen activator) to help break up the clot . To prevent clotting, a port must be flushed with normal saline daily and locked with heparin when not in use.
This YouTube video shows the proper steps to access a port.
If you are caring for a patient with a port and have any further questions, please refer to hospital policy or contact your nurse educator.
*This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease.
Looking for a change beyond the bedside? Check out our list of the top non-bedside nursing careers
You know all nursing jobs aren’t created (or paid!) equally, but do you know which nurses are making the most money in 2020?
We've looked at programs nationwide and determined these are our top schools
120,000+ nurses voted on their favorite scrub brands, find out their top picks.
Subscribe for the latest nursing news, offers, education resources and so much more!
Careers
Contact Us
Español
FAQs
Email Updates
Main navigation
Topics
Programs
Research
Data
Tools
Funding & Grants
News
About
Careers
Contact Us
Español
FAQs
Email Updates
Home
Healthcare-Associated Infections Program
Tools
Reduce CAUTI in LTC Facilities
Toolkit Sections
Catheter Care and Maintenance
Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety Program (CUSP)
National Scorecard Reports
Reducing Hospital-Acquired Conditions
Tools
Ambulatory Surgery Centers Toolkit
C difficile Toolkit
Central Line Insertion Checklist
CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
CRE Toolkit
Improving Surgical Care and Recovery
Improving Your Laboratory Testing Process
Mechanically Ventilated Patients Toolkit
MRSA Prevention
Non-ICU Patients With D
Peta Jensen New Porno
Hairy Lesbo
Jeans Compilation Porn