Hi, I decided to go ahead and ask this question since everyone gives such good advice here. My Dad resides in New Orleans and has numerous medical problems. His neuro status has been declining rapidly over the years. He had a MI and a couple TIA's years back. He also has Crohn's and enlarged prostate. Due to the urinary frequency and such, he was given an indwelling urinary catheter. It took him some getting used to. I think the home health RN had orders to change the catheter q month. He seems to be doing well so far.
The reason I'm writing this is because a new home health nurse (an LPN like myself) came out today to change his catheter. My Mother related to me that the nurse had some difficulty getting past his prostate at first. Then the nurse realized that she wasn't IN the urinary meatus, but pushing under the foreskin!! He's in his late 60's and was never circumcised, but how can you miss the urinary meatus on a male? I asked my Mother if she obtained a sterile catheter after pushing under the foreskin and she didn't know. God, I hope so!
Anyway, if the nurse admits to using a contaminated catheter, what is the usual course of action or protocol. Would they put in a new cath and give him po antibiotics or what? I'm worried about him. I'm 12hrs away and I'm upset about her possibly giving my Dad a serious infection. These are supposed specialists in this field and yet she admits to having very little experience doing male pts, especially uncircumcised! What do you think? I'm upset that an she was allowed to do this. Why wasn't she ever oriented or followed by her RN supervisor on her team to make sure she knows proper technique? This is exactly the kind of thing that gives LPN's a bad name.....ugh.