OET SPEAKING ROLEPLAY – CATHETER REINSERTION

OET SPEAKING ROLEPLAY FOR NURSES –

CATHETER REINSERTION

SETTING: Hospital Ward

NURSE

You see a 40-year-old patient who had a urinary catheter inserted following a hernia repair. He/she had the catheter removed six hours ago and you are monitoring his/her bladder function.

TASK

  • Find out how the patient is feeling (any pain, whether passed urine, etc.). 
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  • Find out more details about the pain (onset, treatment tried, etc.). Explore the patient’s hydration (quantity, time of last drink, etc.). 
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  • Explain the purpose of the trial without catheter (e.g., ensure bladder function restored, etc.), and trial failure (no urine passed in six hours). Outline next steps (re-insert catheter, discharge with catheter bag, retrial within one week). 
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  • Warn the patient of possible risks of not re-inserting the catheter (e.g., urinary retention, infection, etc.). 
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  • Give details of catheter management (ease of emptying catheter bag, community nursing support available, etc.). Establish patient consent for catheter reinsertion. 
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  • Inform the patient of the timescale for returning to the hospital (within 1 week to remove the catheter, then repeat trial without catheter) and advise him/her to return sooner if he/she is worried (increasing pain, etc.).

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SETTING: Hospital Ward

PATIENT

You are 40 years old and had a urinary catheter inserted following surgery for a hernia repair. You had your catheter removed several hours ago and the nurse is checking your bladder function.

TASK

  • When asked, say that you’re feeling OK. You have a bit of pain in your abdomen but it is manageable. You haven’t passed any urine yet. 
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  • Say the pain started not long after the catheter was removed but it isn’t that bad so you haven’t had any treatment. When asked, say you’ve had two glasses of water every hour, and the last one was half an hour ago. Say you were hoping you could go home now that the catheter has been removed. 
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  • Say you really don’t want the catheter to be reinserted.
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  • Admit that you’re really not keen to go home wearing a catheter bag and you’re not sure if you’d cope with emptying it. 
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  • Say you will agree to have the catheter inserted again, but only because it will allow you to go home. Ask when you will have to come back to the hospital. 
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  • Say you will monitor the pain but hope that you can get the catheter removed soon.
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