Nursing Skills | Catheter Care and Maintenance

Catheter care and maintenance are essential to prevent catheter associated urinary tract infections (CAUTIs) and ensure patient comfort. Nurses begin by assessing the need for catheterization, as unnecessary catheters increase infection risk. Proper perineal hygiene is performed daily and after bowel movements to reduce bacterial contamination. The catheter tubing should remain unobstructed, with the drainage bag positioned below bladder level to prevent backflow. Nurses avoid disconnecting the closed drainage system unless absolutely necessary. Securement devices help prevent urethral trauma and accidental dislodgement. Monitoring includes assessing urine color, clarity, odor, and output, as changes may indicate infection or dehydration. Nurses also evaluate for signs of discomfort, leakage, or blockage. Catheters should be removed as soon as clinically appropriate to reduce complications. Documentation includes catheter size, insertion date, care provided, and patient response. Education helps patients understand the importance of hygiene and proper positioning.

Hints About Preventing CAUTIs

Proper hygiene and closed system maintenance reduce infection risk.

Tips About Monitoring Urine Output

Changes in urine characteristics may indicate complications.

Facts About Securement and Positioning

Correct placement prevents trauma and backflow.