For years urologists have been carrying around equipment to help with difficult catheterisations, either in a bag, car boot or even jacket pocket! Whilst helpful, there is the chance that they may not have the particular adjunct they require or any kit may have fallen out of date. Furthermore, with the increasing cross-site cover that urologist provide, we are often called to insert a challenging catheter in an unfamiliar setting with limited knowledge of where equipment is kept and no supporting staff to assist.
In collaboration with our senior urology sister (R.S.) we have developed a formal ‘emergency urology tool-box’, which is kept in theatres and accessible 24 h a day. It contains various catheter sizes (12–22 F), types (standard Foley, coude-tip, Tiemann-tip and open-ended) and number of channels (two- and three-way). In addition to Instillagel, cleaning fluids and a dressing pack, we have included a catheter introducer, co-axial dilators, 50 mL bladder tip syringe and two-channel irrigation tubing.
The ‘tool-box’ has been used on average weekly with significant time-savings whilst on call and a reduction in potential patient transfers. The arrangement is that after use it is returned to theatres where it is re-stocked by the on-call team to ensure a fully-equipped and in-date supply.
We are aware that numerous informal collections of ‘kit’ have been used by urologists for many years. However, we have found the presence of an official ‘emergency box’ very useful and reassuring whilst on call, particularly with cross-site cover, and suggest that other departments may find it useful to develop their own.