Journal of Community Nursing (JCN) | June 2022

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Transforming trial without catheter service provision

Transforming trial without catheter service provision
Trial without catheter (TWOC)

Pages: 43 - 50

Indwelling urinary catheters are one of the most commonly used devices in health care. They are usually considered a short-term intervention to manage an episode of urinary retention. Some catheters are removed before discharge, however many are not. Catheters should be removed as soon as possible to avoid catheter-associated urinary tract infection (CAUTI) and sepsis. When they are left in situ for longer than necessary, the person is put at risk of complications while waiting for an appointment to have it removed. Historically in the authors’ NHS organisation, requests for a trial without catheter (TWOC) were sent to urology from a wide range of clinical settings and subsequently the patient was placed on a long waiting list for a hospital TWOC. This article discusses the transition from hospital to a community-based nurse-led TWOC service and its benefits.


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