Have a patient with a supra pubic catheter that the doctor wants flushed every shift in the nursing home. I always thought a catheter was a closed system and needed kept closed to prevent bacteria from the air entering it. Pt also spends a lot of time in the W/C so hard to follow the order. All the others with this type of catheter are flush only PRN. Pt has been known to use extremely foul language when told to get in bed for procedure. Catheter has been known to be unflushable in just 2-3 days after it was changed. It is used due to neurogenic bladder. All supervisors know of our problems with the pt and unable to do flush every shift. Pts cannot be forced to go to bed. Any ideas?