PURPOSE
To prevent blood clot formation, allow free flow of urine and maintain IDC patency, by continuously irrigating the bladder with Normal Saline
EXPECTED OUTCOMES
EQUIPMENT FOR WARD BASED CONTINUOUS BLADDER IRRIGATION (CBI)
PROCEDURE FOR CBI
1. Explain procedure to the patient and ensure patient privacy
2. Position the patient for easy access to the catheter whilst maintaining patient comfort
3. Ensure that the patient has a three-way urinary catheter.
4. Hang irrigation flasks on IV pole and prime irrigation set maintaining asepsis of irrigation set.
Note: Only one of the irrigation flask clamps should be open when priming the irrigation set otherwise the fluid can run from one flask to another. After priming the irrigation set ensure that all clamps on the irrigation set are closed
5. Don goggles and impervious gown , place underpad underneath catheter connection
6. Attend hand wash and don non-sterile gloves
7. Swab IDC irrigation and catheter ports with alcohol swabs and allow to dry
8. Open the irrigation lumen of the catheter
9. Connect the irrigation set to the irrigation lumen of the catheter, maintaining clean procedure
10. Ensure urine is draining freely before commencing continuous irrigation.
11. Unclamp the irrigation flask that was used to prime the irrigation set and set the rate of administration by adjusting the roller clamp.
Note: The aim of the bladder irrigation is to keep the urine rose’ coloured and free from clots. The rate is determined and varied as required, not run at a set rate.
ONGOING MANAGEMENT
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Troubleshooting:
2. Increased bloody drainage or presence of clots.
3. Patient complains of pain: (Complete pain assessment using the 0-10 or visual analogue scale)
4. The patient is confused/agitated
5. Solution Leaks around the foley catheter
Documentation:
Documentation includes:
CLICK HERE for more resources on Fundamentals of Nursing
CLICK HERE for more resources on Laboratory & Diagnostic Test
References:
Black et al (2001) Medical-Surgical Nursing, 6th edition, Toronto: W.B.Saunders
Perry, A. & Potter, P. (2002) Clinical Nursing Skills and Techniques 5th edition, St. Louis: Mosby
ACI UROLOGY NETWORK – Nursing Guidelines for bladder irrigation
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