Staff Role Play—How good are your catheter care skills?

Roleplaying are often a helpful training and academic tool. Roleplaying allows staff to actively practice the skills they're learning about and helps build team communication. the next activity will help staff practice the catheter care skills highlighted within the "Catheter Types and appearance after Residents with Catheters" video. you need to gather supplies and steel oneself against this activity before showing the video.

Supplies

CPR mannequin or a staffer volunteer.
An empty resident room and/or bed.
A indwelling urinary catheter, it's tubing and drainage bag.
Urine receptacle or urinometer.
Marker for writing on the urinometer.
Water with yellow colouring.
Towel.

Case scenarios (provided) dig individual slips of paper per scenario.

Instructions

Volunteers will alternate acting out the varied case scenarios. Each scenario involves caring for a fictional resident with an indwelling urinary catheter. This resident can either be the CPR mannequin or another staffer who volunteer. Please note that the fifth scenario requires two people, and thus the sixth, and final scenario should be acted out last because it requires an empty drainage bag. be happy to switch up the order the case scenarios are performed or add your own scenarios.

Make sure you've all of the supplies available and review the scenarios before starting the activity.

Fill the drainage bag with the water dyed yellow; this might simulate urine for the scenarios. confirm the volunteers don't actually throw away the yellow water so you'll use it for multiple scenarios.
Identify volunteers and handout the scenarios to the volunteers. Answer any clarifying questions they might have.

Have the CPR mannequin or volunteer positioned during a bed or chair with the catheter tubing and drainage bag properly placed.

Have the volunteers act out one scenario at a time. After each scenario has been acted out ask participating staff members the next questions:

What a neighborhood of catheter care did the volunteer do well?
What a neighborhood of catheter care did the volunteer miss?
Some scenarios may have only one error while others will have more.
Consider using TeamSTEPPS for Long-term Care communication strategies and tools.
What are often done at our facility to help prevent this error or an error in catheter care?
Scenario Answer Key

Scenario 1

A staffer comes in to say "hi" to the resident. The staff person doesn't perform hand hygiene or placed on gloves but proceeds to the touch the resident. because the staffer leaves the space they also don't perform proper hand hygiene.

Error/Corrective Action: Hand hygiene wasn't performed upon entering or leaving the space. Hand hygiene should be performed when entering and exiting a resident's room.

Scenario 2

The staffer enters the resident's room and appropriately performs hand hygiene. She/he doesn't place on gloves. The staffer checks the catheter drainage bag, touching it within the method . She/he says, "Oh, it's like we'd wish to empty your bag." She/he exits the space to gather supplies to empty the drainage bag and performs hand hygiene as she/he exists.

Error/Corrective Action: Gloves should be worn when handling a resident's catheter, the catheter tubing, and thus the drainage bag.

Scenario 3

Note: don't discard the yellow water because it'll be used for other scenarios. A staffer walks into a resident's room and performs proper hand hygiene. She/he puts on gloves before examining the drainage bag. She/he notices that the bag must be emptied and places it on the resident's bed or floor while gathering the suitable supplies. She/he empties the drainage bag into an unlabeled collection receptacle/urinometer then removes his/her gloves and performs proper hand hygiene.

Error/Corrective Action: The catheter drainage bag should not be positioned above the the extent of the bladder—in this case, left on the resident's bed or on the bottom . The gathering receptacle should have the residents' name thereon and only be used for that resident.

Scenario 4

Note: don't discard the yellow water because it'll be used for other scenarios. A staff person walks into a resident's room and performs proper hand hygiene. She/he puts on gloves before examining the drainage bag. She/he notices that the bag must be emptied and gathers the suitable supplies. She/he writes the resident's name on the gathering receptacle/urinometer. Next, she/he empties the drainage bag, but during the emptying process accidentally touches the emptying port to the side of the gathering receptacle/urinometer. After emptying the bag she removes her gloves but doesn't perform hand hygiene since she didn't spill any of the urine.

Error/Corrective Action: The urine collection receptacle/urinometer shouldn't touch the catheter emptying port because it could introduce contamination into the closed system and put a resident in peril for an infection. Also, hand hygiene should be performed when leaving a resident's room.

Scenario 5

Note: Two volunteers needed. Two staff members walk into a resident's room and perform hand hygiene. One person puts on gloves and examines the drainage bag. She/he notices that the bag must be emptied and thus the second staff person (the one not wearing gloves) helps gather the specified supplies. the first staff person proceeds with emptying the drainage bag. She/he hands the urine collection device to the second staff one that empties the gathering device, rinses it out and dries it with a towel. Both staff members perform hand hygiene as they're exiting the space.

Error/Corrective Action: Both staff members should be wearing gloves since both are handling either the catheter or the urine collection receptacle. Additionally, the urine collection receptacle should never be dried with a towel, but should instead be left to air dry.

Scenario 6

Note: This scenario should be performed last because it requires an empty drainage bag. A staff person enters a resident's room, performs hand hygiene, and puts on gloves. She/he notices that there is not urine within the drainage bag and decides to determine to ascertain if there is a blockage. She/he breaks the closed system while examining to ascertain for breaks or blockages. After seeing that the catheter system is free of blocks, she/he puts the device back together. She/he removes their gloves and exits the space.

Resource :- https://sites.google.com/site/angiplastpvtltd1/urinary-catheter-types-and-the-way-to-worry-for-them-activity