Urology – Catheter Insertion and Management, Bladder Irrigation, Nephrectomy and Trans Urethral Prostatectomy (turp)
Section 13 – Management of patients admitted with Pre-Existing Continent Urinary Reservoirs/Neobladder during routine hospital admissions
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Section 13 – Management of patients admitted with Pre-Existing Continent Urinary Reservoirs/Neobladder during routine hospital admissionsPurpose To provide information on the clinical management of patients who are admitted into Canberra Hospital with a pre existing Continent Urinary Reservoir / Neobladder, to ensure care is consistent for each individual patient. A Continent Urinary Reservoir, also known as a Neobladder, is a procedure in which a false bladder has been developed from a section of the patients’ bowel. The bladder is continent due to the positioning of the opening in the abdominal wall. The patient is required to self catheterise several times each day in order to release the stored urine. Continent Urinary Reservoirs / Neobladder can also be known as Studor, Kock’s, Indianan or a Charleston Pouch. Procedures: Patients who are admitted to Canberra Hospital with a pre-existing Continent Urinary Reservoir require individualised management of the reservoir for the duration of the inpatient admission. On admission of the patient it will be necessary to:
Senior nursing staff from the Urology Ward are available 24 hours per day to provide further advice and guidance relating to Continent Urinary Reservoirs if required. Back to Table of Contents
All staff working in the Urology ward to read and sign Procedure Register. CNC and CDN to monitor Register to ensure all staff are aware of appropriate care for patients undergoing Urology procedures every 12 months. Staff will be told where to access this Procedure as part of their Ward Orientation Back to Table of Contents
Policies and Procedures Perineal/ Penile Care SOP Healthcare Associated Infections Procedure Health Waste Management Policy Health Nursing and Midwifery Continuing Competence Policy Patient Identification-Surgical Safety Checklist SOP Patient Identification and Procedure Matching procedure Health Consent and Treatment Policy Health Consent and Treatment Procedure Wound Management Procedure Post-operative Handover and Observations-Adult Patients (first 24 hours) SOP Epirubicin Chemotherapy use in Urological Surgery SOP Chemotherapy Care of the Adult Patient eviQ Legislation Health Practitioner Regulation National Law (ACT) Act 2010 Health Records (Privacy and Access) Act 1997 Health Regulation (Maternal Health Information) Act 1998 Human Rights Act 2004 Privacy Act 1988 Guardianship and Management of Property Act 1991 Medical Treatment (Health Directions) Act 2006 Powers of Attorney Act 2006 Back to Table of Contents
Urology, catheter, urine, urinary reservoirs, neo-bladder, Percutaneous nephrolithotomy, nephrectomy, indwelling catheter, suprapubic, catheterisation, void, Urinary drainage bag, TURP, transurethral prostatectomy, bladder irrigation, IDC, SPC, Back to Table of Contents
The Joanna Briggs Institute, 2008, Canberra Hospital Procedure Manual 2008, 27 July 2006, pp 207-208 GMCT Urology Network-Nursing, Catheters (Male and SPC), September 2008, p 20 Prevention of Indwelling Catheter Associated Urinary Tract Infections, Dailly, Sue, Nursing Older People 23.2, March 2011 Bard StatLock® Universal Plus Stabilization Device. https://www.bardaccess.com/statlock-other-universal-plus.php Accessed 13 November 2013. NSW Agency for Clinical Innovation. ACI Urology Network – Nursing. Nursing Management of Patients with Nephrostomy Tubes. Guidelines and Patient Information Templates. 2012. Siddiq M and Darouiche R. Infectious complications associated with percutaneous nephrostomy catheters: Do we know enough? International Journal of Artificial Organs. 2012;35(10):898-907.
Nursing Standard. 23, 29, 47-55. Date of acceptance: February 11 2009. Tucker, S.M., Canobbio, M.M., Paquette, E.V. and Wells M.J. (2000) Patient Care Standards: Collaborative Planning and Nursing Interventions, 7th Edition Monahan, Mosby (2010) Manual of Medical-Surgical Nursing, 7th Edition Le, V. The Joanna Briggs Institute (2011) Bladder Irrigation Post Transurethral Resection of the Prostate Mikel L. Gray, PhD, Securing the Indwelling Catheter- American Journal of Nursing, December 2008 Australian Infection Control Association-Position Statement, “Preventing Catheter Associated Infections Inpatients”, November 2010 Timby, B. Fundamentals of Nursing: Nursing Skills and Concepts. 9th ed Lippincott, Williams and Wilkins. 2008 Jones, S. et al Care of urinary catheters and drainage systems. Nursing Times; 103:42. 2007 Getliffe K & Dolman M, Promoting Continence, A Clinical Research Resource, Bailliere.2006 NHS Quality Improvement Scotland, Best Practice Statement June, Urinary Catheterisation & Catheter Care.2007 National Institute for Clinical Excellence June 2003, "Infectious Control: Prevention of healthcare-associated infection in primary and community care" Standard 1.2.5.1, 1.2.5.7, 1.2.5.3, Clinical guideline 2, Guidelines for prevention of Catheter –Associated Urinary Tract Infections. CAUTI Guidelines. 2009 Wasson, D., (1998-2002), Perspectives–Transurethral Resection of the Prostate, http: 11perspectivesinnursing.org/vin3/wasson.html Tucker, S.M., Canobbio, M., Paquette, E. V., & Wells, M. F., (2000), Patient Care Standards – Collaborative Planning and Nursing Interventions, pp633–635. Bladk, J., & Matassarin–Jacobs, E., (1997), Medical–Surgical Nursing – Clinical Management for Continuity of Care, 5th edition, pp 2350–2363. The Joanna Briggs Institute, Canberra Hospital – Acute Care Practice Manual 2008, supra-pubic catheter site dressing, 5.2.2007, p195-197 ‘World Health Organisation (WHO) Guidelines on Hand Hygiene in Healthcare. Farrell, M., Smeltzer, S & Bare, B., (2005) Smeltzer & Bare’s Textbook of Medical-Surgical Nursing, Lippincott Williams & Wilkins Pty. Ltd, Australian & New Zealand Edition, pp 1360-1361 Back to Table of Contents Yüklə 385,52 Kb. Dostları ilə paylaş:
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