Current Content
Volume 43 - Number 6
November/December 2017

Practical Considerations and Current Best Practice for Pediatric Clean Intermittent Catheterization
Nan E. Tobias

Clean intermittent catheterization (CIC), a commonly accepted practice for several pediatric diagnoses, is used worldwide to promote urinary tract health and continence. CIC is a modification of aseptic technique that children and families perform at home and school. CIC instruction occurs in many different practice areas, including inpatient, outpatient, and home settings. Nurses who are not experienced urologic nurses are commonly expected to provide this instruction, making it paramount to have resources to provide such teaching. Pediatric nurses need to understand the reasons for the procedure, common diagnoses encountered, variations in technique encountered in its practice, long-term benefits, developmental and behavioral considerations, and recommendations in communications with families during the process. Nurses who care for these patients post-teaching need to understand the rationale for their patientsí urologic care, and use their clinical judgment and critical thinking skills when issues such as insurance coverage, personal preference, or anatomic variations exist. Using this information, nurses can to draw on their knowledge as well as communicate appropriate information to families and the referring service to provide safe, appropriate, and cost-effective care to the patient and family.