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首页> 外文期刊>BJU international >Suprapubic catheterization: a suitable procedure for clinical nurse specialists in selected patients.
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Suprapubic catheterization: a suitable procedure for clinical nurse specialists in selected patients.

机译：耻骨上导管插入术：适合特定患者的临床护士专家的适当程序。

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OBJECTIVE: To assess the feasibility and advantages of urology clinical nurse specialists (NSs) extending their professional role to include inserting initial suprapubic catheters in selected patients in the hospital and community setting. PATIENTS AND METHODS: A urology NS, who is also the district continence adviser, was formally taught by a consultant urologist how to insert suprapubic catheters using the 'Add-a-Cath' introducer technique (Femcare, UK). Once deemed competent, the NS was indemnified by the Trust to carry out the procedure in carefully selected patients using a safe and unequivocal protocol. RESULTS: Over a period of 40 months, the NS undertook the procedure in 164 patients, with 64 being catheterized in the community. There were no serious complications in the series and during the period studied, only 17 patients were referred back to the urologists for catheterization under formal theatre conditions. CONCLUSION: Initial suprapubic catheterization can be carried out safely by trained NSs in selected patients. This extended professional role has helped to improve the continuity and quality of care for patients who require long-term catheterization. The NS was also a valuable source of training for junior medical staff who have limited experience with suprapubic catheterization.
机译：目的：评估泌尿科临床护士专家（NSs）扩展其专业作用的可行性和优势，包括在医院和社区中的部分患者中插入耻骨上导管。病人和方法：泌尿科医师，也是区域性疾病的顾问，由一名顾问泌尿科医师正式教过如何使用“ Add-a-Cath”导引管技术（英国，Femcare）插入耻骨上导管。一旦被认为是合格的，NS将由Trust赔偿，以使用安全，明确的方案对精心挑选的患者进行该程序。结果：在40个月的时间里，NS对164例患者进行了手术，其中64例在社区进行了导管插入。该系列没有严重并发症，在研究期间，只有17例患者在正规手术室条件下被转回泌尿科医师进行导管插入术。结论：受过训练的NSs可以在选定的患者中安全地进行初次耻骨上导管插入术。这种扩展的专业作用有助于改善需要长期导管插入术的患者的护理连续性和质量。 NS也是耻骨上导管插入经验有限的初级医务人员培训的宝贵资源。

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