Audit of Intermittent Catheterisation Patients

1
Audit of Intermittent Catheterisation Patients

• By
• Wendy Naish
• Nurse Consultant-Urology/Continence

2
Why audit?

• Review reasons for ISC
• Frequency of ISC
• Did they stop doing ISC
• Why did they stop
• Support from the nurse
• Compliance
• Changes to service

3
Selection of patients

• Randomly selected from September 2000-December
  2002
• Age range 20-98 years (mean 59 years)
• Most between 63-83 years
• No. of males 51 in total
• No. of females 12 in total

4
Percentage of patients
5
Reasons why ISC was introduced

• Residual volumes (RV)
• Detrusor failure (DetFail)
• Chronic retention (ChrRet)
• Failed trial without catheter (TWOC)
• Intermittent dilatation (ISD)
• Other (include PRN for occasional retention 2
  pts, post UTI never voided)

6
(No Transcript)
7
How often is ISC being done?

• PRN
• Twice a week (2x wk)
• Once a week (1x wk)
• Alternate days (alt days)
• QDS
• TDS
• BD
• OD

8
(No Transcript)
9
(No Transcript)
10
Why did they stop?

• IDC- clot retention, bladder stone, could not
  cope, was not happy, S/P cath for radiotherapy
• Other- 2 died, 2 lost to f/u, 1 moved to Spain, 1
  refer to neurologist PRN, 1 ISD recurrent UTI

11
(No Transcript)
12
(No Transcript)
13
Tempted to give up

• Yes- uncomfortable (2), painful (1), forget to do
  (5), did not like (1), could not cope (1), when
  operation is over (1), when passing urine better
  (1), no reason (5)
• No- cant void, infection, always had problems

14
Offered alternatives

• TWOC- all offered IDC
• Chronic retentions- all wanted to get rid of IDC
• ISD- did not want more surgery
• Detrusor failures- wanted freedom ISC gives them

15
(No Transcript)
16
Support from the nurse

• 92 said yes
• 2 said no
• 6 no reply
• No comments for how the nurse could offer more
  support

17
Changes to service

• Telephone follow up
• Newsletters
• Continue with review as current practice