Lesson Plan: For Management of Suprapubic Catheters

 
Title of Course: Managing Patients with indwelling Suprapubic Catheters: CA-UTI and other Complications Associated with Suprapubic Catheters

Target audience: Experienced and New Nurse Managers
Anticipatory Set: Experienced Nurse Managers who are responsible for changing suprapubic catheters at Inglis and are responsible for clinical management and collaborations with medical staff on appropriate management.
Key words: Suprapubic cystostomy. Neurogenic bladder. Bladder calculi. Biofilm. CA-UTI. Urinary retention. Blockage. Stanley catheter. Lowsley tractor procedure Catheter cuff balloon formation
Overview: The overarching questions that need to be answered for those who require suprapubic catheters is, what are the best practices? As nurses we seek to look for current evidenced based practices to identify what risk and benefits are associated with different catheters and collecting systems; as well as different catheter management techniques and interventions. This course is based on literature searches, state, local and federal regulatory guidelines and worldwide advisory committee recommendations in order to guide our practice as we seek to become the premier organization with nurses who specialize in management of residents living with suprapubic catheters and improving the quality of life of those residents as we move toward patient centered nursing practice.

Goal: For nurse managers to be able to evaluate patients at risk for CA-UTI related to suprapubic catheters and develop prevention strategies for clinical management of patients/resident with suprapubic catheters.
Learning objectives: At the end of this course Inglis Foundation Professional Nurse Leaders will be able to:
• Explain two surgical procedures urologist use in suprapubic insertion, define indications for the procedures; care and management, and identify associated complications that may arise as a result.
• Describe three complications of long-term suprapubic use
• Identify two organisms commonly associated CA-UTI
• Analyze signs and symptoms associated with CA-UTI and provide the appropriate nursing and interventions, and associated medical collaboration
• Discuss the appropriate process for changing suprapubic catheters , in order to teach to new managers proper technique and how to troubleshoot problems
• Apply strategies for prevention of CA-UTI and identify which type of catheters with greatest prevention potential.

Course Content:
1. Suprapubic surgical procedure
1:1 Stanley Procedure and Lowsley tractor procedure
1:2 Implications for suprapubic catheter placement
1:3 Management of SPC after the Cystostomy
2. Care and Management of Suprapubic Catheters
2:1 Advantages of a suprapubic catheterization
2:2 Catheter Choice- Latex, Silicone, silvertip
2:3 Troubleshooting complications
2:4 Purple Urinary Bag syndrome (PUBS)
3. CA-UTI in SPC
3:1 Common isolated pathogens found in the urine of patients with suprapubic catheters

3:2 Biofilm
3:3 Evidence based strategies to prevent CA-UTI

4. Procedure for changing suprapubic catheters

3a. Instructional Design Method: ADDIE

1. Analyze
a. Goals: To provide Inglis Foundation Professional Nurse Managers with a chance to experience different types of active learning

b. Learners: Inglis Foundation Professional Nurse Managers, Professional Nurse Clinical Community Leaders, Professional Nurse Clinical Educators, Professional Nurse Administrative Nurse Supervisors, Professional Nurse Supervisors and CRNP, ranging in age from 30-65. Educational levels range from BSN, Multiple sclerosis MSN and CRNP. Clinical expertise ranging from ICU to Geriatrics with varied clinical certifications from medical surgical to.
2. Design
a) Learning Objectives: At the end of this course learners will be able to:
• Explain two surgical procedures urologist use in suprapubic insertion, define indications for the procedures; care and management, and identify associated complications that may arise as a result.
• Describe three complications of long-term suprapubic use
• Identify two organisms commonly associated CA-UTI
• Analyze signs and symptoms associated with CA-UTI and provide the appropriate nursing and interventions, and associated medical collaboration
• Discuss the appropriate process for changing suprapubic catheters , in order to teach to new managers proper technique and how to troubleshoot problems
• Apply strategies for prevention of CA-UTI and identify which type of catheters with greatest prevention potential.
c. Outcomes: Classroom Assessment Techniques (CATS), will be used in order to assess student learning activities during the class to guide students in their own learning process by providing feedback on what they have learned and what questions remain unanswered in the class.
3. Develop
a. Facilitation :
• “ One Minute Paper”
• Structured Observation
• Power Point Presentation
• Think/Pair/Share
• Simulation Lab
• YouTube Video
b. Logistics:
• Times and dates
• Announcements
• Class ground rules
• Physical Layout of the class room, horse shoes configuration to promote interaction
4. Implement:
• Motivating the class
• Classroom Assessment Techniques (CATS
• Ensuring the lesson is engaging
• Strategies to regroup and change direction if the class becomes bored or unmotivated

5. Evaluate:
• Student reaction
• Evaluation post test
Biech, E. (2005). Training for dummies. Hoboken, NJ: Wiley Pub.
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