Abstract
Around 40% elderly patients need urinary catheters during hospital stay.
Most common indications are acute urinary retention(due to constipation), AKI and sepsis. According to NHS and trust guidelines, the review should be performed by the medical team to establish whether catheter is still required,when to remove and plan following TWOC of the catheter during every ward round. For example if catheter was inserted due to acute retention due to constipation,catheter should be removed after adequate bowel movement.The aim of audit was to gauge whether elderly patients with catheter are managed with standard guidelines or not.
Retrospective data was collected using quisionnaire(5 questions? documented indication of the catheter,?plan when to TWOC during every ward round,?documented plan after failed TWOC,? Patient is medicaly stable with catheter,?medically stable patient had catheter-associated UTI) , looking into 80 patient records admitted on geriatric wards from 15/4/23 to 16/5/23.
The result after data collection from 80 admitted patient with catheter revealed that 78% patients had documented indication of catheterization,24% patients had review of catheter and TWOC plan everyday.3%patients had documented management plan following failed TWOC,33% medically stable platients had catheter with no documented plan when to remove catheter,14% medically stable patients were treated for catheter associated UTI.In summery,the initial stage of audit revealed that the catheter management standard was not met as there is discrepancies beetween guidelines and clinical practise.The audit has shown the need for standardization of urinary catheter management in admitted elderly patients.Therefore,audit report was presented during geatric doctors meeting ,education and teaching was provided to improve standard of care.The audit will be repeated after 3 months following implimentation of requested changes(catheter management guideline flowchart printed on doctors room, including catheter management guideline flowchart during doctors induction,regular teaching and re audit).