Removing a catheter is a nursing procedure that can usually be undertaken on an outpatient basis. Nurses can therefore take direct medical referrals to undertake the procedure. It is best undertaken on a Monday, Tuesday or Wednesday so as to allow the patient time to receive bladder ultrasound if there is residual urine but insufficient to warrant catheterisation. When considering where the trial removal should take place - in the patient’s home, in an outpatient clinic or in hospital - the nurse should assess the patient’s ability, catheterisation history and heed his/her choice. Carrying out the procedure in an outpatient clinic is often the most suitable place and is cost-effective.
VOL: 97, ISSUE: 04, PAGE NO: 45
RAY ADDISON, NURSE CONSULTANT IN BOWEL AND BLADDER DYSFUNCTION, MAYDAY HEALTHCARE
It is considered best practice to use ultrasound to assess residual volume.