Cystoclysis Continuous Male Bladder Irrigation Procedure

Initial Preparations

• Gather Supplies: Ensure all necessary materials and equipment are ready.
• Hand Hygiene: Perform to maintain aseptic conditions.
• Verify Doctor's Order: Confirm procedure requirements.
• Patient Identification: Use two identifiers to verify patient identity.
• Bed and Patient Positioning:
  • Raise bed to appropriate working height.
  • Lower side rails.
  • Ensure patient is in a supine position.
  • Expose catheter junction.
• Personal Protective Equipment (PPE): Wear appropriate PPE as needed.

Setup of Irrigation

• Fluid Bags:
  • Hang two bags of irrigation fluid on an IV pole or pneumatic pole.
• Tubing Preparation:
  • Close clamp on new irrigation tubing.
  • Insert the tip of the tubing into the irrigation solution bag using aseptic technique.
  • Open clips but keep roller clamps closed.
  • Fill the drip chamber half full by squeezing it.
  • Open roller clamp to allow solution to flow, keeping the tubing tip sterile.
  • Once tubing is full, close roller clamp and recap tubing with the provided cap.

Procedure Execution

• Hand Hygiene: Perform again to maintain sterility.
• Flow Rate Regulation: Ensure the flow rate is correctly set.
• Drainage Management:
  • Empty the drainage bag as needed for proper outflow.
  • Calculate drip rate if not specified by physician.
• Observation:
  • Monitor outflow of fluid into drainage bag.
  • Empty drainage bag as necessary.

Post-procedure

• Documentation: Record the procedure details and provide necessary health teaching.
• Hand Hygiene: Perform to conclude the procedure.
• Assessment:
  • Continuously assess urine volume and appearance.
  • Monitor for urinary retention and bladder distension.
• PPE Removal: Remove PPE as needed.