Catheter associated urinary tract infection (CAUTI) refers to the urinary tract infection that occurs within 48 hours after the catheter is placed or pulled out. CAUTI is the most common health care related infection in the world, which is caused by the widespread use of catheter in hospital and long-term care process. The acquired urinary tract infection in hospital is directly related to the indwelling catheter. According to the data of infection monitoring, urinary tract infection accounts for 35% - 45% of hospital infections in the United States every year, while the incidence of urinary tract infection in China is 20.8% - 31.7%. As a common invasive operation in clinic, indwelling catheter is completed by doctors and / or nurses independently or jointly, while the routine nursing management of catheter is mainly carried out by nurses. Therefore, no matter the technical requirements of asepsis when the catheter is placed, or the daily care and cleaning are closely related to the nursing work.

In the prevention strategy of CAUTI, it is very important to reduce unnecessary catheter retention, which must have clear indications. Indwelling catheter should not be used in the treatment of urinary incontinence. Unless other measures to deal with incontinence are ineffective, and the patient requires a catheter. The medical institution shall make a list of indications for indwelling catheter, train the employees, and regularly evaluate the implementation. Before the catheterization, the doctor should give an order. In many foreign clinical guidelines, it is recommended that medical institutions consider the use of portable bladder scanner to determine whether patients need catheter after surgery.

Urology

In the diagnosis and treatment of all urinary diseases, the change of bladder function and bladder volume is an important reference. Bladder scanner can help doctors in clinic or any place where they need help to judge bladder volume in time and give accurate conclusions. It can be used to check urinary retention, neurogenic bladder patients with intermittent catheterization, coordinate with urodynamic evaluation of pelvic floor function, bladder function training, reduce catheter related urinary tract infection.

Obstetrics and Gynecology Department

Bladder scanner is used in obstetrics and gynecology. In addition, it can provide many other services for female patients, including female urinary incontinence clinic / urogyny. Bladder scanner helps nurses assess the need for catheterization during postpartum or gynecologic surgery. Its clinical application includes monitoring urinary retention, PVR, helping to diagnose incontinence type (pressure, urgency, frequent, over activity), pelvic floor function recovery and bladder function training, It also ensure patient comfort and improve the efficiency of nursing staff.

Rehabilitation Department

Patients in rehabilitation department recover from a variety of different diseases, many of them will suffer from surgery, chronic diseases, aging and physical weakness caused by various system problems. In view of the recent or chronic nervous system problems, acute cerebrovascular accidents or spinal cord injury in many rehabilitation patients, medical institutions need to adopt various bladder treatment schemes, and bladder scanner is an effective method. It is suitable for patients with chronic neurological disease, spinal cord injury (SCI) and acute cerebrovascular accident (stroke). It is convenient for doctors and nurses to grasp the time of catheterization, monitor urinary retention, improve the nursing of patients with neurogenic bladder, ensure the comfort of patients, and improve the working efficiency of nursing staff.

Radiotherapy Department

During radiotherapy, bladder filling was concerned. If the bladder is insufficient or excessive, it will affect the localization of radiotherapy, which will lead to radiotherapy failure. Bladder scanner helps to assess bladder filling and maintain a moderate bladder filling at each radiotherapy.

Orthopaedics

Orthopedic patients usually need to recover from orthopedic (bone / joint) surgery, and may also need physical treatment and rehabilitation. Most patients have multiple, acute or chronic diseases Postoperative anesthesia can cause urinary retention. Bladder scanner can evaluate the blocked Foley catheter and monitor the Foley catheter after removal so as to ensure patient comfort.

Neurology

Neurogenic bladder is the most common in neurology and neurosurgery. It includes the following kinds of bladder functions and dysfunction: overactive bladder (detrusor hyperreflexia), loss of bladder contractility (detrusor hyporeflexia), abnormal bladder contractions, for which a bladder scanner is frequently used.

Operating room / Recovery room / ICU

Most of the patients can be discharged only after they can urinate autonomously. If the patient is dehydrated, it is usually necessary to stay in the recovery room for a longer period of time before successful urination. Bladder scanner enables nurses to determine the bladder volume in a noninvasive way, thus speeding up the discharge time. If the bladder is not full, the patient does not have enough water, so more fluid is needed to speed up urination and discharge. Conversely, if there is already a large amount of fluid in the bladder, the patient may need to decompress the bladder to help urinate.

Emergency Department

Patients in the emergency department may suffer from acute trauma or medical emergency and need to be monitored for urine volume or evaluated for water shortage. Emergency staffs will encounter a lot of complaints about urination, such as irritating or obstructive urination symptoms and bladder pain. Bladder scanner can help care providers determine the cause of these symptoms and develop appropriate treatment options.

Others

It can also be widely used in geriatrics, general medicine, surgery, conventional nursing, pediatrics, psychiatry and oncology.