Catheterisation Assessment for males and females Does the

Catheterisation Assessment for males and females Does the patient consent to the procedure? NO DO NOT PROCEED YES Does the patient have any allergies? YES Check the patient is not allergic to catheter material / anaesthetic gel etc. before proceeding NO Has the patient been catheterised before? NO Are there any urological conditions / undiagnosed haemoturia? YES Does the patient have a full catheterisation history? NO Obtain catheter change history and can it be changed in the community YES DO NOT PROCEED Catheterisation is considered high risk & requires medical back up NO Catheterise and document outcome on catheter care bundle Were there any problems during the procedure? Refer to GP / Urology for further investigation DO NOT PROCEED NO YES Were there any problems? YES NO Continue to plan to catheterise in the community / inpatient unit & repeat risk assessment at next catheter intervention Reassess appropriateness of catheterisation in the community / without medical support Discuss appropriateness of catheterisation with multidisciplinary team before proceeding

Catheterisation Decision Tree Are there any urological conditions / undiagnosed haemoturia? Incontinent Patient Assessment, including full medical history Refer to GP / Urology / Acute / Continence Service / DN with Special Interest NO Is there (still) a need for a catheter? Can patient operate catheter? YES Do not implement catheter / TWOC (in Community) YES Complete / update catheter passport Complete plan, implement catheter, set review date NO Type of catheterisation • Opportunity for rehabilitation? • Long term need – suprapubic or urethral? • Intermittent as gold standard Does professional have appropriate skills / training / knowledge to chose and / or implement chosen catheter? Choice of most appropriate catheter and equipment for patient YES NO REVIEW Review / assessment of catheter and supplies Patient and carer education and training Staff training