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Changing of supra-pubic catheters – ACUTENURSING

Changing of supra-pubic catheters

What is changing of supra-pubic catheters?

A suprapubic catheter is a urinary catheter that is inserted into the bladder through the abdominal wall, just above the pubic bone. Changing a suprapubic catheter involves the replacement of the existing catheter with a new one to maintain proper urinary drainage.

Here are the general steps involved in changing a suprapubic catheter:

  1. Gather supplies: Ensure you have a new catheter, sterile gloves, antiseptic solution, sterile drapes, and a catheter securement device.
  2. Prepare the patient: Explain the procedure to the patient and ensure they are in a comfortable position.
  3. Wash hands: Practice proper hand hygiene by washing your hands thoroughly.
  4. Glove up: Put on sterile gloves to maintain aseptic conditions.
  5. Remove the old catheter: Carefully remove the old catheter while ensuring that the site is clean and avoiding any contamination.
  6. Prepare the new catheter: Lubricate the tip of the new catheter with a water-soluble lubricant.
  7. Insert the new catheter: Gently insert the new catheter through the existing tract into the bladder.
  8. Secure the catheter: Use a catheter securement device to keep the catheter in place and prevent accidental removal.
  9. Ensure proper drainage: Verify that urine is draining properly through the new catheter.
  10. Clean the site: Clean the area around the catheter entry site with an antiseptic solution.
  11. Dispose of materials: Dispose of used materials properly and wash hands again.

It’s important to note that changing a suprapubic catheter should ideally be done by a healthcare professional, as it requires aseptic technique to prevent infections. If you have any concerns or need assistance, consult a healthcare provider.

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