Post on 05-Apr-2018
7/31/2019 Catheterization 2
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Prepared and Compiled by:
LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN
Mindanao State University
Name of Student: ______________________________________ Score: _________
Clinical Instructor: _____________________________________ Date: _________
CATHETERIZATION
Purpose: To provide continuous bladder drainage and/or irrigation, to obtain specimen, and to keep thebladder empty.
Equipments: Catheter set, urobag, 10cc syringe, distilled water, lubricant, plaster, antiseptic solution,picking forceps, Kelly pad, and sterile gloves
Indications:
By inserting a catheter, you are gaining access to the bladder and its contents. Thus enabling you todrain bladder contents, decompress the bladder, obtain a specimen, and introduce a passage into the GU
tract. This will allow you to treat urinary retention, and bladder outlet obstruction.
Urinary output is also a sensitive indicate of volume status and renal perfusion. In the emergency department, catheters can be used to aid in the diagnosis of GU bleeding. In some cases, as in urethral structure or prostatic hypertrophy, insertion will be difficult and early
consultation with urology is essential.
Contraindications:
Contraindicated in the presence of urethral trauma.PROCEDURE RATIONALE 3 2 1 0
1.) Wash hands. Deters the spread of
microorganisms.
2.) Explain procedure and its purposeto the client.
Reduces anxiety and enhancescooperation.
3.) Provide privacy and adequate
lighting.
Privacy enhances self-esteem and
adequate lighting provides a good
visualization of the perineum.
4.) Assess patient status and plan tomeet individual client need.
To provide client safety.
5.) Gather and prepare all needed
equipment.
To have an organized approach to
the task.
6.) Drape the patient; assist the patient
in a dorsal recumbent position withknees flexed and feet about two feetapart. Expose only the area around the
genital.
Put underpads under the patient
buttocks. Put on sterile fenestrateddrape with hole over the genital.
Positioning in this manner can
easily see the perineum.
To avoid spilling of secretions and
preventing contamination.
7/31/2019 Catheterization 2
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Prepared and Compiled by:
LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN
7.) Place the catheter set between the
patient legs.
Repeat hand washing.
Put on sterile gloves. Pick cotton balls
soaked with betadine antiseptic
solution swab and cleanse the genital,urinary meatus, and perineal area
thoroughly.
To easily get the catheter when
needed.
Deters the spread of
microorganisms.
To prevent contamination. Cleaning
these areas of the perineum provides
more accurate findings.
8.) Pick up the catheter and coil over
the (right) dominant hand whileputting lubricant jelly in a desired
amount on the (left) non dominant
hand distal part of the thumb.
Coiling the catheter provides an
organized approach. Placing the
lubricant in the distal part of the
thumb of the non dominant hand
provides an easy way to lubricate
the top of the catheter.
9.) Lubricate the tip of the catheter atleast 2-3 inch.
To avoid trauma to the patient
during insertion.
10.) Place the thumb and the
forefinger of your non dominant hand
between the labia minora. Expose the
urinary meatus; angle the catheterupward gently advances in the catheter
into the opening.
This is to see the urinary opening
for correct catheter insertion.
11.) NOTE: If the catheter will not
advance then instruct the patient to
inhale and exhale slowly. This mayrelax the sphincter muscle.
Do not force or if patient has unusualdiscomforts.
This is to provide client safety and
avoid trauma.
12.) When the catheter has passed,urine will start to flow and insert the
catheter approximately one inch
further.
Inserting the catheter one inch
further will totally drain the
bladder.
13.) Foley Catheter:
If it is used, better to have apreconnected end tubings to the urine
collection bag or urobag.
Foley catheter is a kind of catheter
with double lumen.
14.) Attach the syringe to the balloonport and inject the 10cc sterile water
slowly to inflate the balloon. Removethe syringe. Position the balloon
correctly, pull on the catheter gently
until you feel resistance.
Injecting distilled water to thecatheter will inflate the balloon
inside the bladder. The balloon
serves as the resistant.
15.) Anchor the catheter tubing to thelateral abdomen secure with tape.
This is to prevent catheter from
loosening.
7/31/2019 Catheterization 2
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Prepared and Compiled by:
LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN
16.) Secure the urinary collection bag
below the level of the bladder and off
the floor. Coil extra tubing on the bed.
Coiling extra tubing makes the urine
move slower.
17.) DOCUMENTATION AND
EVALUATION:Record the time that the procedure
was done by whom, and the patientsreaction to the procedure.
To provide an accurate
documentation and reporting.
18.) All patient teaching done and thelevel of patient understanding.
To involve the patient in making a
care plan.
19.) Report any significant
observations to the charge nurse, it
includes:
a. The amount, color, and clarityof urine.
b. Any difficulties with theprocedure.
c. The presence of blood in theurine.
a. To determine if there is
abnormalities
b. To determine if there is
abnormalitiesc. To determine if there is
abnormalities
20.) Remove gloves, drapes, and
protectors from around the patient.
Discard disposable equipment in awaste receptacle and return the
reusable one to appropriate area.
Prevents contamination of
microorganisms.