A suprapubic catheter is a tube that is inserted through the abdomen and into the bladder in order to drain urine. It is often used as an alternative to a urethral catheter, which is inserted through the urethra, and may be preferred in certain situations such as when there is an obstruction in the urethra or if a person has had previous urethral surgery. Suprapubic catheters are commonly used in hospitals and long-term care facilities, and they may also be used at home with the proper training and equipment.
The process for changing a suprapubic catheter is similar to the process for changing a urethral catheter, but there are some important differences that need to be taken into consideration. It is important to follow a strict protocol when changing a suprapubic catheter in order to ensure the safety and comfort of the patient and to prevent infection.
The first step in the suprapubic catheter change protocol is to gather all necessary supplies and equipment. This may include a new catheter, sterile gloves, a sterile drape, an antiseptic solution, and a sterile container for the old catheter. It is important to ensure that all supplies are within reach and ready to use before beginning the procedure.
Next, the patient should be prepared for the procedure. This may include helping the patient to wash their hands and providing a clean area to change the catheter. The patient should be positioned comfortably, either lying on their back or sitting upright, depending on their preference and the location of the catheter.
Before beginning the procedure, it is important to wash your hands thoroughly with soap and water or use an alcohol-based hand sanitizer. You should then put on sterile gloves and prepare a sterile field by placing a sterile drape over the area where the catheter will be changed.
To begin the catheter change, you will need to gently remove the old catheter from the patient's abdomen. This may be done by gently pulling on the catheter while applying gentle pressure to the abdomen. Once the old catheter is removed, it should be placed in a sterile container and disposed of according to proper protocols.
Next, you will need to clean the area where the new catheter will be inserted. This may be done using an antiseptic solution, such as chlorhexidine or povidone-iodine, applied to a sterile swab. It is important to clean the area thoroughly in order to reduce the risk of infection.
Once the area has been cleaned, you can begin inserting the new catheter. The new catheter should be uncoiled and prepared according to the manufacturer's instructions. It is important to ensure that the catheter is properly lubricated before inserting it into the patient's bladder. The catheter should be inserted through the abdomen, into the bladder, until the desired length is reached. The catheter should be secured in place using a retention suture or a securement device.
Finally, it is important to check for any complications or problems after the catheter has been changed. This may include checking for proper drainage, checking for any leaks or kinks in the catheter, and monitoring the patient for any signs of discomfort or infection. If any problems are identified, they should be addressed immediately.
In summary, the suprapubic catheter change protocol involves gathering necessary supplies, preparing the patient and the area, cleaning the insertion site, inserting the new catheter, and monitoring for complications. By following this protocol carefully, you can ensure the safety and comfort of the patient and reduce the risk of infection.