Difference between nursing in the UK vs nursing in the US? - page 6

Seems everyone's legging it from the UK to the US. What's the deal?... Read More

  1. by   Silverdragon102
    prior to me leaving acute setting and working primary care a lot of senior RN's were being trained to catheterise males. I think the change to junior doc hours are going to be a killer on the nursing staff especially with all the cut backs at the moment
  2. by   thistlegirl
    I went on 1hr course to learn male cath, been doing men so long now think I would struggle with womens bits!!!
  3. by   Fiona59
    Men are by far easier than women to cath. Only one hole and unless there is a prostate problem (then get a lidocane gel order) its very easy to hit "gold".
  4. by   english_nurse
    dont you use the gel anyway as standard practice??
    if not then all i can say is ouch

    in my trust they were doing courses for nurses to train to do male catheters, however the students are now learning it as part of their standard training.
  5. by   Noahm
    Quote from english_nurse
    dont you use the gel anyway as standard practice??
    if not then all i can say is ouch

    in my trust they were doing courses for nurses to train to do male catheters, however the students are now learning it as part of their standard training.
    I trained in the USA and we weren't taught to use the gel. We practiced both male and female caths in nursing school and were always told that men were so much easier. Just watch out in case they have prostate problems and make sure that the cath is well in far enough before you inflate the balloon. I never understood why it is such a big issue in the UK.
  6. by   english_nurse
    fair point but i still say it though
    no gel = ouch in my book
  7. by   Fiona59
    Of course we use normal lubricant. But Lidocaine gel has lidocaine in it and numbs on the way down the urethra, still slippery but not so sensitive. You need to get an order for it because Lidocaine is rx whereas lubricant is just there or included in the catheter trays.
  8. by   english_nurse
    Quote from Fiona59
    Of course we use normal lubricant. But Lidocaine gel has lidocaine in it and numbs on the way down the urethra, still slippery but not so sensitive. You need to get an order for it because Lidocaine is rx whereas lubricant is just there or included in the catheter trays.
    ah i see!!!
    to be honest here (as far as i know) we just use the lidocaine gel and not an ordinary lubricant.
    thanks for clearing that one up
  9. by   RGN1
    I always use lidocaine gel too -I agree with EN - OUCH!!! I'm a coward so I always treat my patients as if they are too! Don't need an order for it because it's in the same tray as the KY. JUst have to be aware of allergies that's all.

    I've also found that it helps define the female urethra better too = less misses!

    Interesting to see that they are finally allowing nurses to cath males in some hospitals now (as I thought) - but not where I work yet!
  10. by   english_nurse
    Quote from RGN1
    I always use lidocaine gel too -I agree with EN - OUCH!!! I'm a coward so I always treat my patients as if they are too! Don't need an order for it because it's in the same tray as the KY. JUst have to be aware of allergies that's all.

    I've also found that it helps define the female urethra better too = less misses!

    Interesting to see that they are finally allowing nurses to cath males in some hospitals now (as I thought) - but not where I work yet!
    i agree with the defining of the female urethra, this happened to me a couple of days ago at work, very useful,
    but then, some dont use the gel for a female at all, all i can say is that if i was having a catheter i would want it
  11. by   cariad
    back home i went on a course to catheterise males, but only a few females would do it,,,,,,,,,,,typical, i am sure that it was an archaic type of thinking that stopped them. we used lidocaine gel for all catheterisations, as we were taught that the catheter damaged the lining of the urethra without it. we also had a choice of sizes, male or female and what they were made of. over here they are all in complete packs and are made for elephants,,,,no lidocaine gel and all size 18's. although i am working at a hospital at the moment where there are protocols for straight cathing someone without calling the doctor, and all the patient care techs, do all the catheterisations.
    they come in as cna's and then go on a course to do all the ekg's etc as well.
  12. by   english_nurse
    Quote from cariad
    back home i went on a course to catheterise males, but only a few females would do it,,,,,,,,,,,typical, i am sure that it was an archaic type of thinking that stopped them. we used lidocaine gel for all catheterisations, as we were taught that the catheter damaged the lining of the urethra without it. we also had a choice of sizes, male or female and what they were made of. over here they are all in complete packs and are made for elephants,,,,no lidocaine gel and all size 18's. although i am working at a hospital at the moment where there are protocols for straight cathing someone without calling the doctor, and all the patient care techs, do all the catheterisations.
    they come in as cna's and then go on a course to do all the ekg's etc as well.
    omg size 18 are you kidding me???
  13. by   RGN1
    There aint NO WAY I'm sticking a size 18 cath in anyone!!!! Gel or no gel!!!! That size is for urologists to use in theatre with an anaesthetised patient in my book!!!!!

    OH & there's absolutely no way I'd EVER let anyone stick a cath that size anywhere near me or mine either!! I'd tell them I'd sue if they came within 10 feet of me or a member of my family with a cath that size!!!:chuckle

    I'd be bringing this up with management as a matter of urgency as it does not represent good patient care in my book & clinically makes no sense whatsoever!

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