Urethral Catheterisation Device Multiple Choice Questions

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* 1. Contact Information

Name

Job Role

Organisation

Date

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* 2. Which of the following is an indication for insertion of the Urethral Catheterisation Device (UCD)?

Known urethral stricture

Acute urinary retention

Uncomplicated catheterisation in a female patient

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* 3. What size is the UCD?

12 Fr

14 Fr

16 Fr

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* 4. Before inserting the UCD you should first…

Flush the guidewire channel with a local anaesthetic lubricant (instlligel)

Use a ‘clean’ technique rather than an ‘aeseptic’ technique

Explain the procedure to the patient and gain consent

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* 5. Before inserting the guidewire into the meatus, you must ensure…

You remove it from the guidewire channel

The patient’s penis is straight, 90 degrees from the abdomen and under slight tension

The wire remains dry

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* 6. Which of the following can be indicators that the UCD is in the bladder?

The UCD is inserted up to the Y-Junction

A small amount of urine drains from the urine drainage lumen

The catheter stops before passing through the prostate

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* 7. Once the UCD is in the bladder you should first…

Remove the guidewire from the catheter and close the stopper

Inflate the balloon with 10ml of sterile water

Attach the urine drainage bag to the guidewire channel

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* 8. When should you use the UCD?

As a first line option for female patients

After failing to insert a standard Foley catheter (using the number of attempts specified in your Trust’s policy)

If you cannot find a standard Foley catheter

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* 9. You should ask for help if any of the following occur…

The guidewire turns twice

You are unable to insert the catheter into the bladder

No urine draining when the catheter is in situ

Bleeding at the meatus

All of the above

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* 10. If the guidewire turns twice, you should…

Stop and escalate as per your Trust’s procedure

Have a further attempt

Try a smaller size Foley catheter

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* 11. Once you have successfully inserted the UCD you should clearly document in patient notes...

Indication for insertion

Catheter name, batch number, expiry date, catheter size, catheter balloon volume

Plan for removal/ renewal

All of the above