581 A Standard Base Audit Regarding Documentation of Urinary Catheterization of the Patients Who Had a Urinary Catheter Inserted in a General Surgical Ward at Sri Jayewardenepura General Hospital, Sri Lanka

Aim To assess the documentation of urinary catheterization of patients who had a urinary catheter inserted in the ward and to achieve good documentation following urinary catheterization Method We performed a standard base audit on documentation of urinary catheterization of the patients who had a urinary catheter inserted in the ward. We collected the initial retrospective data from the patient's notes and observed any documentation of urinary catheterization. The data was analysed and then a printed document was introduced to the ward to be filled following urinary catheterization. After 5 months we have carried out the re-audit to check for the improvement of documentation. Results A total of 50 patients were included. Before the implementation of the printed form for the documentation of catheterization, only 2% of patients had complete documentation following a urinary catheterization. After the implementation of the form, the documentation following urinary catheterization has improved to 88%. Conclusions The documentation of urinary catheterization has been recommended in the guidelines to ensure patients’ safety. The documentation of the indication, pre-insertion examinations and observations, catheter details, the volume of water instilled in the balloon, characteristics of the initial urine drained, and last but not least the removal plan is important for patient management and safety. These domains have been entered in the form and introduced to the ward to be filled and pasted on the patients' notes following a urinary catheterisation.