RESUMO
This article examines the importance of securing/fixing indwelling urinary catheters. The Oxford English dictionary interlinks the two words-'secure' and 'fix'-as having the same meaning. To secure the catheter should not be confused with 'support', whereby the weight of the urine drainage bag is supported with the use of velcro straps or a sleeve. The author introduces the need for the concept of this practice to be at the forefront of nurses' minds in all settings, and this is demonstrated through the use of case studies. Current guidance in this area is reviewed, as well as the problems that can arise when catheters are not secured properly and the available products for health professionals to use.
Assuntos
Cateteres de Demora , Drenagem/instrumentação , Fita Cirúrgica , Cateterismo Urinário/instrumentação , Adulto , Benchmarking , Drenagem/enfermagem , Desenho de Equipamento , Falha de Equipamento , Fixadores Externos/provisão & distribuição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Fita Cirúrgica/provisão & distribuição , Cateterismo Urinário/enfermagemRESUMO
Many patients admitted to hospital will require a vascular access device (VAD). Insertion of VADs is often viewed as a routine procedure, with little attention given to the importance of appropriate securement and dressing and how these factors can affect patient outcomes. This article discusses the types of VAD available and the rationale for VAD securement and appropriate dressings to minimise complications.
Assuntos
Bandagens , Cateterismo Venoso Central/instrumentação , Cateterismo Periférico/instrumentação , Cateteres de Demora , Fita Cirúrgica , Bandagens/normas , Bandagens/provisão & distribuição , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/enfermagem , Cateterismo Periférico/efeitos adversos , Cateterismo Periférico/enfermagem , Desenho de Equipamento , Falha de Equipamento , Humanos , Controle de Infecções , Flebite/etiologia , Flebite/prevenção & controle , Fita Cirúrgica/normas , Fita Cirúrgica/provisão & distribuiçãoRESUMO
Age- and disease-related factors can cause the skin to become susceptible to damage, particularly at dressing change. This review recommends ways of avoiding skin trauma when removing adhesive dressings and surgical tapes.
