This ‘How to’ article explains how to change a suprapubic catheter in a safe, effective and supportive manner. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. The patient – and/or their carer where appropriate – should be involved in shared decision-making about the care of their suprapubic catheter and any catheter changes. This will increase the patient’s confidence and acceptance of the suprapubic catheter and its function.

• A suprapubic catheter is inserted through the lower abdominal wall, above the pubic bone and below the navel, and into the bladder.

• A suprapubic catheter change is an aseptic procedure that is undertaken to reduce the risk of infection at the catheter site and in the tract, which has direct access to the bladder.

• Nurses undertaking a suprapubic catheter change need to be skilled in removing and replacing the catheter without delay to avoid closure of the tract.

Reflective activity

‘How to’ articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of:

• How this article might enhance your practice when changing a suprapubic catheter.

• How you could use this information to educate nursing students or your colleagues on the appropriate method for changing a suprapubic catheter.