suprapubic catheter reinsertion

  1. 0
    Need help deciding if I was wrong or not. In my LTC facility where I work we have a resident who has a s/p cath. I was pulling a double last night and in the treatment book it was (s/p cath) designated to be changed with an 18FR. I being a fairly recent grad, & never have done a s/p cath change went to the policy and procedure book to look up s/p cath's. In the book it states under responsiblity as licensed nurse but in parathensis (reinsertion requires physician). I did not change the cath out, my reasoning was the p & p book, and since state is ready to come in on us, how would that look if I did it? I notified the next shift which they were kinda crappy about it and said that the normal night nurse changes it every month. I told them fine if that nurse wants to change it let her, but I am not risking my license. Was I wrong?
    Last edit by bubbacat on Apr 4, '04
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  4. 4 Comments so far...

  5. 0
    as long as you follow P and P you are correct.
  6. 0
    I agree, as long as you follow P&P you won't go wrong. We used to change ours at the LTC facility i worked at, but we were covered by our policies. Good luck!
  7. 0
    Quote from bubbacat
    Need help deciding if I was wrong or not. In my LTC facility where I work we have a resident who has a s/p cath. I was pulling a double last night and in the treatment book it was (s/p cath) designated to be changed with an 18FR. I being a fairly recent grad, & never have done a s/p cath change went to the policy and procedure book to look up s/p cath's. In the book it states under responsiblity as licensed nurse but in parathensis (reinsertion requires physician). I did not change the cath out, my reasoning was the p & p book, and since state is ready to come in on us, how would that look if I did it? I notified the next shift which they were kinda crappy about it and said that the normal night nurse changes it every month. I told them fine if that nurse wants to change it let her, but I am not risking my license. Was I wrong?
    I think you can never go wrong by following policy, the only policy I have seen on this however stated that the 1st reinsertion must be done by a physician, after that the nurse or properly trained UCP may change.
  8. 0
    you followed policy, and even if u felt uncomfortable doing something you shouldnt do it. simple as that. i wouldnt sweat it


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