Catheterising from behind...?

MikeyJ, RN · Jun 18, 2008

I would check with your hospital and school to see what professional literature databases you can access (CINAHL, Conchrane, etc.). I would also check with www.guideline.gov to see what the latest guidelines are for inserting catheters.

CoffeeRTC, BSN, RN · Jun 18, 2008

Not literature or info to back it up, but sometimes you have to do what you have to do. As long as you are using sterile technique it can be done and is often easier to visualize and perform proper insertion.

MassED, BSN, RN · Jun 18, 2008

Hello!
Just wondering if anybody knows any literature that I can use for an essay im wrting at the moment, im discussing catheterising a patient from behind while they are lying on their side due to either obesity or hip and joint problems. Does anybody know where I can get information to back up my information with?
Thanks!
x

it can be done in many different positions, based on size, individual anatomy, injury and your own personal preference as well.

Nursebarebari · Jun 19, 2008

I catherized a patient I had three days in a role. Yes, I did it from her behind b'cos she was so contracted that there was no any other way to it except to break her legs. I did it every mornning at 6AM and it was very easy for me.

For the literature, I can't find any at all, but I know it works well for sure.

good luck to you.

leslie :-D · Jun 19, 2008

it can be done in many different positions, based on size, individual anatomy, injury and your own personal preference as well.

now you've peaked my curiousity.

other than supine and side-lying, what other positions are you referring to?

leslie

MassED, BSN, RN · Jun 19, 2008

now you've peaked my curiousity.
other than supine and side-lying, what other positions are you referring to?
leslie

on back with leg down, one leg up works when a person has a broken hip or any ortho injury to one leg and can't move, side lying in fetal position (both knees to chest), really whichever way they are lying could work, even prone. Even having a patient on their back and having help pulling the knees up, as if in stir-ups (yep, used those too if they're available). If you have to be creative to obtain that urine sample, you find a way. The larger the patient, the harder it is to find any position where the anatomy is "easy" to find. When a person is contracted that is tricky also. :eek:

TazziRN, RN · Jun 19, 2008

I've never seen any literature about it, just learned it at the School of Hard Knocks. As long as sterility is maintained, doesn't much matter what position the pt is in.

CHATSDALE · Jun 19, 2008

i had a patient that was contracted in a stiff as a board sometimes it was very difficult and sometimes it was as easy as falling off a log, don't know to this day why there was a difference, same pt, same nurse same size cath

never saw any literture, hope you find what you need

bagladyrn, RN · Jun 19, 2008

now you've peaked my curiousity.
other than supine and side-lying, what other positions are you referring to?
leslie

I've even managed to get one in with the patient in knee chest while another nurse had her hand inserted lady partslly holding a fetal head up off a prolapsed cord with OR on their way in. Amazing the ways you can do things when you have to.