Urinary catheters in the OR

Neurologie

Urinary catheters in the OR

Neurologie
Urinary catheters are placed regularly after pituitary and spondylodesis operations, without medical necessity. Urinary catheters, on the other hand, are stressful for the patient and present an increased risk of infections.

After neurosurgery, indwelling urinary catheters are routinely inserted during two types of surgery: for spinal spondylodesis operations and for the removal of pituitary tumors through the nose. The reasons for this are respectively: the expectation that patients will not be able to go to the bathroom themselves and the monitoring of urine production. However, both arguments are not sufficient reason for routine indwelling catheters to be placed, as this can be overcome in other ways. Catheters also increase the risk of urinary tract infections and complaints such as discomfort, blood in the urine, empty urge and reduced freedom of movement. The starting point of this project is therefore: “no catheter, unless… ..”

“The assumption of this project is therefore: “no catheter, unless… ..”

Approach

In this project a multicomponent strategy was chosen with: education for all healthcare professionals involved, reminders from the electronic patient file, patient information and monitoring and feedback information. In addition, attention is drawn to this project through various information channels (including emails, newsletters, intranet, LinkedIn and Twitter).

Progress

Start: September 2020
Planned duration: 2 years

Learn more

Send an email to info@doenoflaten.nl

Stakeholders:

Jeanne-Marie Nollen, MSc

Nurse expert, PhD student | LUMC