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Hot Topic – Unplanned Catheter Changes

Have you recently read the ‘Urinary Catheterisation for Adults Clinical Guideline’?

This includes some handy troubleshooting guides for UTI’s, Expelled, Blocked and Bypassing catheters. 

Best practice states that all patients with an indwelling urinary catheter should carry a Catheter Passport.  This is a national document which is a great tool for patients, carers, families and nurses to utilise.

Did you know… If one of your patient’s is seen by OOH’s DN’s for catheter assessment, they will schedule a MIDDAY appointment to the caseload holder in the following days? This MIDDAY appointment should be used to reassess that patients needs.

Formulary – Currently, UnoMedical catheters are the catheter of choice on formulary. Please familiarise yourself with this formulary and aim for 100% concordance. See below for the latest urology formulary.

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Guidance

Urinary Catheterisation for Adults Clinical Guidelines

This is the clinical guideline for Catheter Care for GGC.

NHS Greater Glasgow Urology Formulary

Please use the Urology Formulary to support prescribing for Catheter Care.

NHS Greater Glasgow Urology Formulary

Troubleshooting Support Documents

The documents in this section are to support you when you are troubleshooting patients with Catheters problems. They should be used to support your decision making skills when communicating with patients and their carers via SPOA.

Patient Resources for Catheter Care

The section has resources that you can print and provide to community patients. All patients on District Nursing Caseload should have been supplied with a leaflet as well as verbal instructions and support given.

Cauti

Resources to support patient care with suspected or confirm catheter associated urinary tract infection.

Additional Catheter Care Resources

This section has additional resources to support Catheter Care in Community care.

For guidance for caring for a patient who may experience Autonomic Dysreflexia guidance can be found in the GG&C Urinary Catheterisation for Adults Clinical Guidelines and in appendix 6 from NHS QIS – urinary Catheterisation and Catheter Care.

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If you have any problems accessing the above, please get in touch with either: David.McCrohon@ggc.scot.nhs.uk or Jill.McNeill@ggc.scot.nhs.uk.

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Palliative Care Definition

This framework sets out a vision for the next five years, outcomes and ten commitments to support improvements in the delivery of palliative and end of life care across Scotland. It will give an understanding of the definition of Palliative care and the link to preferred place of death.

Palliative and end of life care: strategic framework for action.

Anticipatory Care Planning Resources

Whilst Anticipatory Care Planning may be particularly useful for people receiving palliative care, it is a tool that can be used with anyone. Staff should encourage everyone to start to think about what matters to them and what their wishes and preferences may be. More information and resources to help guide conversations can be found on the ACP Resources Page.

As part of the GGC Unscheduled Care Anticipatory Care Programme, a standard operating procedure has now been published giving detailed guidance to staff regarding the process of having and recording anticipatory care planning conversations. This guidance is applicable across all areas of NHSGGC, including the 6 HSCPs, Primary Care, Acute settings and the independent care sector.

The SOP is very comprehensive with a quick guide to support navigation. These can be accessed via the ACP Resources Page or via the links below:

We hope existing and newly recruited staff, managers, GPs and Nursing/Care Homes will find the SOP helpfully provides guidance around ACP conversation initiation, use of the ACP Summary documentsaving to Clinical Portal and KIS.  Example ACP Summaries are also included providing extra support. All staff can also access ACP training via the emodule or attending a virtual communication skills workshop (dates available on the webpages).

We will be promoting this document over the next month via tweets, core briefs, e-bulletins etc. and would appreciate your help in spreading the word. You can follow us on twitter at @NHSGGC_ACP or forward any emails you receive to colleagues and networks you feel may be interested. 

Any feedback or questions regarding the documents or the programme can be sent to ACPSupport@ggc.scot.nhs.uk.

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