In this section
Insertion of an indwelling urethral catheter (IDC) is an invasive procedure that should only be carried out by a qualified competent health care professional using aseptic technique. Catheterization of the urinary tract should only be done when there is a specific and adequate clinical indication, as it carries a risk of infection.
To ensure the insertion and care of the urinary catheter is carried out in a manner that minimizes trauma and infection risks.
Insertion of an IDC should only be carried out by a nurse or doctor trained and competent in urinary catheterization. The need for an IDC should be discussed with the patients’ medical team prior to insertion. Medical approval for IDC insertion should be ordered and/or documented.The following should be completed in line with the RCH Aseptic Technique Procedure.
Please note: the use of a balloon catheter in neonates should only be with consultation of medical team in charge.
If unable to pass the catheter seek assistance from treating medical team or Urology registrar. DO NOT use force as you may damage the urethra.
Rapid drainage of large volumes of urine from the bladder may result in hypotension and/or haemorrhage. If concerned clamp catheter if the volume seems excessive. Release clamp after 20 minutes to allow more urine to drain. A medical review of the child should be requested.For post obstructive diuresis IV replacement of fluid and electrolytes may be required. This should be discussed with the treating medical team.
Insertion of the IDC should be documented in the LDA activity.
The following techniques to check for patency and/or flush a catheter should be completed following the aseptic technique procedure.
Some children will be discharged from the hospital with their IDC in situ.It is important to teach the families how to care for the catheter, how to perform hygiene, how to monitor the output and how to troubleshoot.Discuss the following with the child and family:
Kids Health Info Fact Sheet: Indwelling urinary catheter
Indwelling urinary catheter insertion and management evidence table
Please remember to read the disclaimer.
The revision of this clinical guideline was coordinated by Stacey Richards, Nursing Research and Michelle Cabato, Clinical Specialist, Theatre. Approved by the Clinical Effectiveness Committee. Authorised by Bernadette Twomey, Executive Director Nursing Services. First published March 2012, most recently revised August 2017.