Level 2 Award in Catheter Care

1. 1
Catheter Care
Level 2 Award
Advantage Accreditation / Version No R.9.1.B

2. Aim
To ensure learners have an
understanding of how to
support a person with a
catheter

3. 01 Understand relevant
legislation and guidance
Understand the male and
female anatomy
Explain what catheterisation
is and why it might be needed
Learning
Objectives
02
03
Know the importance of
good hydration
04
05
Be able to undertake daily
catheter care, including how to
empty and change catheter bags
Know how to complete the
correct documentation
Understand correct procedures
for handling and positioning
06
07

4. Mental Capacity Act 2005 including DoLS 2005
Legislation and Guidance
Safeguarding Vulnerable Groups Act 2006
The Health and Social Care Act 2008
Care Act 2014
The Care Quality Commission Fundamental
Standards of Quality and Safety
Policies and procedures

5. Regulation 12: prevents people from receiving unsafe care
and treatment and avoidable harm or risk of harm
Regulation 10: makes sure that people using the service
are treated with respect and dignity at all times
Regulation 9: ensures that individuals have care or treatment
that is person centred
Health and Social Care Act 2008
Regulations 2014
Regulation 13: safeguards individuals from suffering any
form of abuse or improper treatment
Regulation 14: ensure adequate nutrition and hydration to
sustain life and good health and reduce the risks of
malnutrition and dehydration

6. This standard focuses on the importance of good
nutrition and hydration in maintaining health and
wellbeing for people using services
Care Certificate:
Standard 8
It also covers food hygiene and safety
It states that when people receive any type of care
or support (particularly long term care) an assessment
should be made about their nutrition and hydration
It emphasises the importance of working in person
centred ways and supporting individuals to have
access to fluids, food and nutrition in accordance
with their care plan

7. c
It is essential for all staff to have high personal hygiene standards themselves
in order to be able to support individuals with theirs:
Standards of Support Staff
Having a clean and respectable appearance is important and promotes self-esteem
A clean environment is essential as good practice
Hygiene and cleanliness is seen as a key indicator of standards within any care/support
setting

8. What is a Catheter?
A catheter is a thin tube which is inserted into
the bladder to drain urine from the body
Once in situ – a small balloon is inflated
to keep it in place
The catheter tube is then attached to a bag
to collect the urine

9. c
Intermittent – the insertion and removal of a catheter
several times a day
Catheters
Indwelling – drains urine from the bladder into a bag
outside the body e.g. Foley catheter
There are two types of urinary catheters:

10. Long term – can stay in place for up to
12 weeks
Catheters
Short term – should be changed after
28 days
Supra Pubic – through hole in abdomen
straight into bladder
There are also different sorts of catheters:
Conveen – external sheath

11. c
Acute retention of urine
Why Might Catheterisation Be Needed?
Obstruction e.g. enlarged prostate
Before/during/after selective surgery
Bladder weakness or nerve damage
To deliver medication directly into the bladder
Assist healing of perineal and sacral wounds
End of life care to promote comfort
Urinary incontinence – when all other treatments have failed

12. Urine is liquid waste product that passes
through the urinary tract and is expelled
from the body via the urethra
What is Urine?
As well as excreting excess water, it is
how the body excretes chemicals,
dead blood cells etc.

13. Anatomy of Urinary System

14. c
Headaches
Effects of Dehydration
Tiredness
Loss of concentration
Confusion – lowered mental performance
Prone to falls
Prone to urinary infection
Poor liver function
Poor kidney function – increased risk of stones
Constipation

15. Aids the digestive system
Hydration
Vital component of our diet, even though
it does not contain any nutrients
Promotes good health and well-being
Offer selection of fluids and regular
top-ups
Drink at least 6-8 medium glasses of
fluid a day (be aware of restrictions e.g.
kidney failure where fluid intake may be
restricted)

16. Once inserted and attached to the leg
bag, the catheter will need regular care to
prevent infection and ensure the person’s
comfort
Catheter Care
It is important to remember this may
be embarrassing for the individual
Cultural and religious needs must be
taken into consideration

17. c
Catheter Care – Getting Ready
Explain to the person what you are going to do
Get all equipment ready
Wash hands……………….

18. Hand Washing

19. c
Catheter Care - Female
Clean around catheter, using clean surface of wash cloth each time
Wipe the outer area from front to back in a downward motion, using clean surface
of wash cloth each time
Repeat for inner area
Wipe down the centre of area from front to bank
Wash inner thighs
Pat dry using clean towel in same order as wash
Rinse with warm water

20. c
Catheter Care - Male
Clean around catheter, using clean surface of wash cloth each time
Retract foreskin of penis if uncircumcised
Wash around the area where the urine exits, using clean surface of
washcloth each time and around the top of penis
Wash the penis downwards towards the thighs, changing washcloth position
each time
Rinse with clean wash cloth using warm water in same sequence
as the wash
Wash scrotum – front to back and then inner thighs
Dry with clean towel in same sequence
Consideration of foreskin to be made as appropriate

21. Inform individual of intended actions and without touching
the tip of the drainage spout, open the valve
Wash hands and apply gloves
Emptying the Catheter Bag
Should only be emptied when ¾ full to reduce the risk of infection from opening valve too frequently
Let the urine drain into a clean container (record amount if
required) or the toilet – DO NOT let the tube touch anything
Clean the end of the spout with water and a tissue
Close the valve
Remove gloves and wash hands
Dispose of the urine
Record how much urine emptied

22. Wash hands and apply gloves
Changing the Catheter Bag
Have new catheter bag ready
Empty bag into suitable receptacle
Remove the old bag, taking care not to allow the
catheter to touch anything, clean the end of the
catheter and the end of the tube to the bag and attach,
ensuring the valve is in the closed position
Remove gloves and wash hands
Be aware to hold connecting tube to avoid
pulling catheter from position
Document

23. Avoid disconnecting the bag to minimise the risk of infection
Attach the bag to the person’s leg with the straps provided,
ensuring the tubing is not being pulled
Positioning
Straps should be flat to the skin and not twisted
Bag must be placed BELOW the bladder
Ensure straps do not restrict flow of urine
Night bag on stand – beware of tugging the catheter and causing
pain/accidental removal
A larger bag can be connected to the leg bag at night

24. c
Urinary Tract Infections – UTI
Urinary Tract Infections – UTI can be common particularly for those with an
indwelling catheter
The longer the catheter is in place, the higher the risk
The use of a catheter must be reviewed regularly and removed as soon as possible
Effective infection control is a key factor

25. c
Observations
Is urine draining?
Are the bed clothes wet?
Does the urine look cloudy/blood stained?
Does the urine smell offensive?
Is the individual constipated?
Do they have a temperature?
Does the person have any pain in urethra/bladder/abdomen/lower back?

26. Privacy, dignity and respect
Effective communication
Person centred care
Other Considerations
Individual’s feelings
Consent

27. Any soreness or redness around
catheter
Documentation
When catheter care was given
Pain / temperature
Any changes in urine:
- colour
- amount
- odour
All observations must be documented:

28. 01 Understand relevant
legislation and guidance
Understand the male and
female anatomy
Explain what catheterisation
is and why it might be needed
Learning
Outcomes
02
03
Know the importance of
good hydration
04
05
Be able to undertake daily
catheter care, including how to
empty and change catheter bags
Know how to complete the
correct documentation
Understand correct procedures
for handling and positioning
06
07