don't worry be happy smile love A physician order is required for a urinary catheter. B. Implement two person assist with every IUC insertion. Only nursing staff who are educated in the correct technique of aseptic insertion and maintenance catheter should handle catheters. C. Urinary catheters only be inserted maintained as medically necessary. 1. Adherence to Criteria-Based removal guidelines (HORN criteria- --see table definitions examples) 2. (HORN) must met or discontinued. discontinue per protocol can written when patient does not meet HORN criteria-based (except patients outlined D. & E. required). 3. Consider urology retention obstruction. discontinuing have had recent urologic surgery bladder injury pelvic surgery (i.e. GYN colorectal surgery) and/or involving structures contiguous tract. When radiation oncology admitted GYN implant MUST remain ENTIRE time implant inside NEVER removed while place ALWAYS at same removed. F. Maintenance: Daily review necessity done by providers prevent unnecessary delays removing that no longer needed care patient. This part interdisciplinary rounds discussed during shift report. Include proper documentation foley dates times EMR. Use water-filled peri bottle rinse after performing peri-anal hygiene. Do use antiseptic solution peri-care. 4. external male female devices appropriate