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| Urinary Catheterizations Are Often Unnecessary Many people feel that urinary catheterizations are an invasion of their privacy even if they are done by a nurse of the same gender especially when they are not really necessary. It is not just about your modesty, but you can easily get infections from urinary catheterizations. More patients need to speak up and refuse urinary catheterizations and it would help to reduce so many unnecessary urinary catheterizations. One lady who had gallbladder surgery spoke up and requested to not be catheterized for the surgery at all and her wishes were respected. She also got to keep her underpants on for the surgery. Some medical professionals are concerned that surgery patients may urinate during surgery and contaminate the operating table. There is a wonderful solution to this. Patients could wear disposable underwear or shorts that are waterproof. You can purchase disposable underwear or shorts from the below stores. OneDerWear - sells disposable underwear and briefs Medical Supplies & Equipment Co. Cardinal Health:Disposable Multiphasic Shorts Drymid Boxer - Reusable Underwear Boxer Short
Neurogenic bladder, urinary retention, close I&O monitoring of a hemodynamically unstable patient, end of life comfort care of a terminal patient, prolonged surgical procedure (not a few hours) with general or spinal anesthesia, and when a patient has severe skin breakdown & is incontinent are reasons why catheters are medically necessary. "Staff Convenience" is a very common reason for the use of indwelling catheters, and one which is recommended against by many universities and government organization. Another reason is that a catheter gets inserted for unclear reasons in an emergency room, where no order is evidenced authorizing it, and since there is no order, it is "forgotten" in place. 50% of patients with an indwelling catheter for more than 5 days develop a bacterial urinary tract infection. Other adverse events may occur with a catheter, including trauma of the urethra or bladder, breakage of the catheter tubing or the "balloon" holding it in place, "looping" of tubing. Some of these can lead to a need for bladder surgery in addition to the original cause of the hospitalization. Some of these can lead to medium-term, long-term, or permanent adverse consequences including difficulty voiding, painful urination, incontinence, inability to void (leading to further intermittent catheterization with associated risks), and sexual dysfunction. Hospital Acquired Infections are in the top 10 leading causes of death in the United States. 36% of these infections are catheter-associated urinary tract infections! Catheters and their associated complications add $400 to the average hospital stay. When you add that all up, that is a LOT of money for a questionable procedure that is seldom necessary. Sources: Catheter patrols:
a unique way to reduce the use of convenience urinary catheters. http://www.ncbi.nlm.nih.gov/pubmed/10182561 http://www.journals.uchicago.edu/doi/pdf/10.1086/650482 http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijfp/vol3n2/urinary.xml#h2-1
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