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12/30/13

Intermittent Bladder/Catheter Irrigation

Intermittent Bladder/Catheter Irrigation

Equipment
Intermittent Irrigation Through a Three-Way Catheter
■ Bag of sterile irrigation solution.
■ Connecting tubing (to connect the bag to the irrigation port).
■ IV pole.
■ Antiseptic swabs.
■ Bath blanket.

Intermittent Irrigation via the Specimen Port Using a Syringe
■ Sterile container.
■ Sterile 60-mL syringe with large-gauge needleless access device.
■ 2 pairs of clean procedure gloves.

Assessment
■ Assess:
■ Characteristics of the urine (e.g., amount, color, odor, presence of clots or mucus).
■ Presence and degree of bladder distention.
■ Discomfort.
■ Cognitive status (to know whether the patient can follow directions and not disrupt the sterile field during the procedure).
■ Determine the amount and type of sterile solution to use.
■ Determine how long the irrigant is to remain in the bladder.

Post-Procedure Reassessment
■ Note:
■ Flow rate of irrigant and/or inability to instill irrigant into the catheter.
■ Characteristics of urine (e.g., presence of output, color, amount, clots, mucus).
■ Patient discomfort (e.g., pain, spasms).
■ Bladder distention accompanied by lack of urine outflow.

Key Points
■ Establish a sterile field under the specimen removal port or the irrigation port on a three-way catheter.
■ Be Safe! Because of the risk of infection, never disconnect the drainage tubing from the catheter.
■ Use a sterile irrigation solution, warmed to room temperature.
■ For intermittent irrigation using a three-way catheter, instill the irrigation solution slowly by gravity drain. The higher you hang the bag, the faster it will infuse in through the catheter.
■ Repeat the process as necessary.

Documentation
■ Chart:
■ Date and time of procedure, type of irrigant, and total volume infused.
■ Characteristics of the urine (e.g., color, odor, clarity, sediment, presence of clots or mucus).
■ Evidence of catheter patency (e.g., flow of urine, absence of distention).

Holding the port above the bladder for irrigation

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