Chm sc ni

t catheter
bnh nhn
Kristel Rice
Barwon Health
Geelong
2018
Bn lun

Ti sao chng ta s dng

catheter
Cc loi catheter
Nhim trng tiu lin quan ti
catheter
Ngn nga nhim trng
X tr tnh hung
Gio dc

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Ti sao chng ta s dng catheter?

Gii p b tiu cp tnh

Gii phng tc nghn
Dn lu bng quang sau phu thut
Gi cn bng bi xut dch
To iu kin sc ra bng quang v x tr tiu mu cng nh tn
ng mu ng
Lnh vt thng nhanh.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Cc loi catheter

Catheter dng tng t s dng mt ln duy nht

Catheter ngn ngy khong t 7-10 ngy

Catheter lm bng hp kim bc hay c ph khng sinh c th c

cn nhc s dng ngn hn, chng c kh nng gim v lm chm
khi pht ca s hin din vi khun c trong nc tiu khng triu
chng, c lin quan ti catheter

Catheter di ngy 12 ngy

Celebrating more than 15 years of Health Education in Ho Chi Minh City
Cc loi catheter
Polyvinylcloride (PVC)
Catheter Nelaton dng trong
vic t t catheter tng t,
dng mt ln duy nht.
R tin
Dn lu tt
C n 10-12
C nam 14-18

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Cc loi catheter
Latex
Ngn ngy
Khuyt im: gy d ng
C nguy c ng cn cao

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter

Ph hydrogel
Cha latex v hydrogel
Gim kch ng niu o
12 tun

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Cc loi catheter
Lm bng Silicone- khng cha
latex
-C lng ng ln hn
-Kh ng cn hn
-Mm hn, thoi mi hn
-12 tun.
Khuyt im bng nc b mt
nc dn qua thi gian

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Kch c l quan trng

Nn s dng catheter nh
nht c th, v c th dn
lu tt gim thiu tn
thng niu o
Phng php T t catheter tng t (ISC)
ISC c xem l tiu chun vng trong vic dn lu nc tiu trong
bt c bnh cnh ri lon thot nc tiu bng quang.
ISC h tr trong vic bo v chc nng bng quang.
Gim i tiu khng t ch
Lm gin ch hp niu o
Cc th thut sau phu thut
Bnh nhn phi t thc hin c th thut ny

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter trn xng mu
B tiu cp v mn
tnh sau cc ln th
t catheter niu o
khng thnh cng.
Khng mun hay
khng th thc hin
vic t catheter tng
t
Catheter trn xng mu
Cc vn lin quan ti s lu
ng

mun ca bnh nhn

lu bng quang di ngy cho

bnh nhn c bnh l thn kinh

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Nhim trng tiu lin quan ti catheter
(CAUTI)
CAUTI l mt vn c th xy ra bt k bnh nhn t catheter.
Nhim khun bnh vin l vn nghim trng gp phn vo bin
chng v t vong ca bnh nhn.
Xy ra t hn 1% bnh nhn c t catheter.
nh gi nhu cu t catheter

Celebrating more than 15 years of Health Education in Ho Chi Minh City

CAUTI
CAUTI is a common and costly safety problem.

Several practices appear to decrease CAUTI.

Preventing CAUTI is a TEAM effort.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Nhim trng tiu lin quan ti catheter
(CAUTI)
Cc yu t trn k ch c v lm tng nguy c CAUTI bao gm:
Tui gi
yu lit

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Vi khun xm nhp bng quang bng 3 ng
Lc t catheter

T ti dn lu nhim trng qua lng ng catheter.

Theo mt ngoi ca catheter men theo din tip xc ca catheter v

nim mc.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Gi v sinh tay

Bin php phng chng nhim

trng thng dng nht

V sinh tay phi c thc hin

ngay trc v sau bt k th
thut no di chuyn v tr ca
catheter hay dng c.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

-K thut t catheter v trng
H thng dn lu kn

Ch nn thay catheter khi cn thit

Trnh vic ti cha khng cn thit

Mang gng

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Ngn nga nhim trng

Bnh cha ring bit v sch cho mi bnh nhn

Trnh tip xc gia vi ti dn lu v bnh cha.
V sinh vng quanh niu o vic ny c th c thc hin trong
lc tm ra hng ngy.
Nhim trng thng xy ra i vi nhng bnh nhn nm lit ging.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

 di catheter.
C 3 loi -
Tiu chun 41-45 cm nam v n.
N 20-25 cm tin nghi hn bnh nhn n c th i li v phi t
catheter di lu
Tr em 30 cm

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter balloon.

Bng khng c bm hi
hoc bm qu mc c th cn
tr vic dn lu
-Eye inclusion
-Kch ng thnh bng quang
Co tht

Celebrating more than 15 years of Health Education in Ho Chi Minh City

C nh catheter
H tr vic ko nh sau phu thut ct tuyn tin lit qua niu o v
ct tuyn tuyn lit tn gc gim thiu chy mu hu phu v bo
v cc mi ni phu thut.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Ti dn lu

Ti khng c t nn nh v
c th nhim khun t nn nh.
Ti dn lu khng c t
trn mc bng quang, iu ny
lm cho nc tiu b di ngc
dng v ng nc tiu.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Van catheter
Mt phng php thay th ti
dn lu.
M phng v duy tr dung tch v
trng lc bng quang.
X van mi 3-4 gi.
Thay mi tun.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Dy ai cho catheter

Thc hnh lm sng tt nht

hin ti ch ra rng nn c nh
catheter phng trnh vic
catheter b xc.
Chn thng niu o gy ra bi
c ng.
Gim nguy c nhim trng tiu

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter
Dng nc tiu phi lun lun c lu thng.
dng nc tiu lin tc. Catheter v ng dn phi khng b b gp

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter
Khng th tho hi bng:-
- S dng bm kim tim khc
-Nh v tr ca bng.
-. Xoay nh catheter
- t kim tim 18G vo knh bm v rt bt dch
- Khng c ct phn bm ca catheter.
- C th phi c rt ra di s hng dn ca siu m

Celebrating more than 15 years of Health Education in Ho Chi Minh City

X tr vn

Nc tiu khng c dn ra
ngoi-:
ng hay ti b b gp
Dch nhp
V tr ca ti
Bnh nhn c to bn khng?

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter-x tr vn

Cn trong nc tiu
-Tng lng dch nhp
Mu trong nc tiu
-mt lng t mu cng c th lm nc tiu thnh mu
-kim tra c nh
-tng dch nhp
-Tm nguyn nhn

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Catheter b tut

C th v bng quang co bp.

+/- to bn?
Bng qu to t nc trong bng
Dng catheter nh hn.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Phng trnh s ng cn
m bo vic ung nhiu nc
Thay catheter thng xuyn
Proteus mirabilis: vi khun
thng gp nhng trng hp
ng cn.
Nc tiu c tnh kim c lin
quan ti vic ng cn.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

X tr vn

Co bp v chut rt bng quang.

C th thng gp nhng
ngi mi t catheter.
Kim tra c nh

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Education
Gio dc nhn vin k thut t v chm sc catheter v khun v
ng n
Ch nn t catheter khi cn thit.
Nhn mnh gi v sinh bn tay
C nh chc chn catheter
Duy tr dn lu kn v v trng

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Gio dc bnh nhn

Gii thch v cho bnh nhn

xem cc thit b v tm quan
trng ca vic gi v sinh c
nhn.
Cch chm sc catheter ti nh

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Cho bnh nhn xem catheter

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Gio dc bnh nhn
Bin chng ca catheter
Tiu mu.
au v kh chu.
Cht hp niu o
Pressure neurosis.
Nghn catheter do ng cn.
Si bng quang.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Ghi nhn h s

Ngy gi thc hin th thut

Loi catheter v kch thc
Lng nc tiu c trong bng.
Lng nc tiu dn lu
Lu mu nc tiu c gi
ti khoa xt nghim hay cha?
Xem li ngy cn t catheter
Ch k iu dng.

Celebrating more than 15 years of Health Education in Ho Chi Minh City

References
ANZUNS -Catheterisation Clinical guidelines Version 2 2014
5 Moments for Hand Hygiene Advanced 2013
http://hha/home/5momentsfor handhygeine.aspx
Getliffe, K., Managing recurrent urinary catheter blockage,
Problems, promises and practicalities, Journal of wound, Ostomy,
Continence Nursing 2010.
Indwelling Urinary Catheter Securement: Best Practise for
Clinicians 2012 Wound, Ostomy and Continence Society

Celebrating more than 15 years of Health Education in Ho Chi Minh City

Celebrating more than 15 years of Health Education in Ho Chi Minh City