Authors (including presenting author) :
Leung CYJ (1)
Affiliation :
(1)Department of Surgery, Princess Margaret Hospital
Introduction :
Trial without Catheter (TWOC) clinic had been set up since 2012 in PMH urology unit. All ambulatory patients with urinary catheter inserted for retention of urine were referred by Urologist for trial wean off catheter. It was noted that around 55% of patients having urinary catheter without any catheter securement. Proper securement of catheters helps in maintaining skin integrity, prevent dislodgment, minimize the risks of infection and can also prevent trauma caused by swinging or pulling of catheter. According to Nursing standards and Guidelines in Hong Kong and our hospital, urethral catheter is required to be secured in position. However, urinary catheter securement is not always concurring with current practice
Objectives :
To enhance urinary catheter care and prevent related skin trauma through this securing methods.
Methodology :
Method and the securing sites for the urinary catheter: Affix the tape above the bifurcation point with omega method by “Durapore” (1’ size) to the anterior medial aspect of thigh. (Photo 1) Then, apply another tape to the urine bag for further securement. (Photo 2)
Result & Outcome :
To prevents skin trauma from excess traction. To minimize the risks of urinary tract infection. Telephone follow-up for any dislodgement during one-day securement for those required insertion of urinary catheter
Co-location with:
