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The Longest Five Seconds in Healthcare

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For many spinal cord injury patients, a catheter change isn't a routine procedure—it's a moment of genuine anxiety where experience, confidence and communication matter more than people realise.

Changing a catheter looks deceptively simple... right up until it's your catheter.


For spinal cord injury clients, those few words, "I'm just going to insert the catheter," can make the heart rate climb faster than the nurse realises. It's not the tube that's frightening—it's the uncertainty. Will it go in first time? Will there be resistance? Will it trigger bleeding, discomfort or even autonomic dysreflexia? Every experienced client has at least one story they'd rather forget.


The funny thing is that seasoned spinal injury nurses often make the whole process look almost boring. That's because they've developed the gentle touch, confidence and awareness that only comes from experience. It's one of those rare jobs where making it look easy is actually a sign of real expertise.


That's why proper spinal injury training matters so much. At Fellow Carer, we teach carers and healthcare professionals not only the practical aspects of catheter care, but also the subtle signs, risks and communication skills that help keep clients calm and safe throughout the procedure.


So, over to you... what's the best—or worst—catheter change experience you've ever witnessed, and what made the difference?

Marc Francis | Cartoonist, SCI Trainer
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