Catheterization 2

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.


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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.


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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.

Catheterization 2

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