What is closed intermittent irrigation and open intermittent irrigation?

Please explain in details. I`m in nursing school and I`m really confused what the difference between the two is. I know that both can be used for bladder and catherer irrigation, but I need more info from any health care professionals in here. Thank you very much!

1 Answer

  • 9 years ago
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    Closed Intermittent Irrigation Method:

    a. Prepare sterile irrigation solution by pouring prescribed amount into sterile, graduated cup.

    b. Open sterile syringe and attach needle using aseptic technique.

    c. Don gloves.

    d. Draw sterile solution into syringe.

    e. Clamp drainage tubing below the soft injection port. Injection port also may be used for specimen collections.

    f. Cleanse injection port with antiseptic swab.

    g. Insert needle at 30-degree angle through the injection port.

    h. Slowly inject fluid into catheter and withdraw the syringe.

    i. Remove clamp and allow fluid to drain into the drainage bag. Keep clamp in place longer per specific physician orders.

    Open Intermittent Method:

    a. Open sterile irrigation tray and establish sterile field.

    b. Pour required amount of sterile irrigating solution into sterile container.

    c. Place waterproof drape under the catheter.

    d. Place sterile basin next to the client’s thigh.

    e. Don sterile gloves.

    f. Draw up prescribed amount of solution into syringe.

    g. Cleanse connection site of catheter and drainage bag with antiseptic swab.

    h. Disconnect catheter from drainage bag. Keep end of catheter sterile. Cap or position drainage tubing to maintain sterility.

    i. Attach end of syringe to the catheter and slowly inject the fluid into the catheter, being careful not to inject fluid into balloon inflation point.

    j. Remove the syringe and allow the solution to drain into the basin.

    k. Repeat procedure as ordered by the physician for bladder irrigation or instillation.

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