I am suprapubic catheter inserted into the bladder through the abdominal wall.
That is how I got my name Suprapubic catheter.
Use for the drainage of distended bladder.
Who need Suprapubic catheter?.
Male patients with prostate problems.
Spinal cord injury.
There are various types of Suprapubic catheter,invented by different inventors.
A catheter with an obturator(a hollow needle with a sharp point inside)
Catheter inserted through abdominal wall.
Right above the pubis.
Before you insert catheter use aseptic techniques .
Apply local anesthetics at the abdominal wall.
Incision 1 to 2cm at abdominal wall.
2cm or less above the pubis bone.
Catheter (Suprapubic catheter)
Goes into the distended bladder.
The balloon is inflated to keep catheter in place.(Usually done by urologist doctors)
There were various Suprapubic catheter and slightly different methods of placing them .
Keep the Suprapubic catheter site clean/intact/Dry.
Measure urine output every 4hours.
Monitor color, appearance and consistency of the urine.
Do not allow your patient to pull it out.
If it’s pulled out, you have to notify the urologist immediately so that the incision site does not close.
The experience nurses will want to put it back immediately using a sterile technique due to fear of closure .
Notify the doctor immediately because if you keep quiet and allow the hole at the abdominal wall to close that is not good.
Some doctors will be very furious as if they want to beat you up.Be proactive and advocate for your patient. Don’t replace if it is pulled out. Call and follow up with the urologist immediately, and let the primary physician know in case the urologist is not going to come.
As for me,I will call the urologist, the primary doctor and the supervisor. The supervisor is to make him or her aware of the current situation. Remember that it is not your Ego, it is your patients been properly taken care of by a competent nurse. And that without the catheter your patient cannot urinate.