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5PSQ-025 Audit on the correct use of medical devices for urinary catheterisation
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  1. C Malat1,
  2. E Dollois1,
  3. A Fillatre2,
  4. M Longueville1,
  5. M Lefebvre1,
  6. Y Mahboub2
  1. 1Saint-Quentin Hospital, Medical Device, Saint-Quentin, France
  2. 2Saint-Quentin Hospital, Pharmacy, Saint-Quentin, France

Abstract

Background and Importance Urinary catheterisation is a common practice, but complex because of a large number of medical devices, each with its own particularities (materials, insertion time, indications).

Aim and Objectives The aim of the audit was to assess nurses’s theoretical knowledge of our hospital about this procedure and medical devices referenced. Depending on the results, assistance and information tools on the correct use will be proposed.

Material and Methods An audit was carried out among nurses between June and July 2023. The audit included 15 questions concerning general items of urinary catheterisation, such as traceability and legislation. Aspects relating to urinary catheter’s choice and installation methods (closed system fitting’s criteria, hourly diuresis system’s criteria catheter’s material according to the installation duration) were also discussed.

Results The audit included 81 nurses from 19 different units.

Obligatory trackability information in the patient’s file was known by 35% of nurses questioned.

Catheter insertion times depending on the material (PVC, latex, silicone) were unknown by nurses.

For closed systems (with latex hydrogel), 8% of nurses gave the right indication for these systems and 16% the correct use duration.

For closed Foley catheters with hourly diuresis, the majority (65%) of nurses knew the use indication but not the duration of installation.

In accidental disconnection of a closed system bag, 49% put a new collection bag on the catheter already in place rather than changing the entire system. Finally, 52% of nurses thought they were not sufficiently informed about urinary catheterisation devices.

Conclusion and Relevance This audit highlights a good level on urinary catheterisation generalities. However, the use of closed systems and the correlation between catheter material and insertion time are often unknown.

Nurses’s knowledge of our hospital policies is therefore heterogeneous, as noted in literature. (1)

Action to raise awareness of the correct use of urinary devices have been proposed and a review of available medical devices was carried out.

References and/or Acknowledgements 1. Luyckx F, Vallée Maxime. Sondage sur les sondages: us et coutumes des infirmiers en France. Progrès en Urologie. 2016;26:739–740. 10.1016/j.purol.2016.07.148

Conflict of Interest No conflict of interest.

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