Beruflich Dokumente
Kultur Dokumente
EM URINARY ELIMINATION
RED-RUBBER
(HAS
A BALLOON
COUDE
O O
URINARY IF
WHEN
O
DO WE INSERT A
FOLEY?
AFFECTED
ONLY
THE
THERE
(GERMS)
INTO THE
DEPENDS URINE
DANGER
URINARY BLADDER, WHERE IT IS HELD UNTIL PRESSURE STIMULATES SPECIAL SENSORY NERVE ENDINGS IN THE BLADDER WALL FOR AN ADULT), CAUSING A NEED TO URINATE O O
WE
MIGHT INSERT A
FOLEY
WHEN
BLADDER LEAVES
600 MLS
o THE PATIENT HAS URINARY RETENTION, AND ALL MEASURES FAIL TO INITIATE
VOIDING
ALL
OF WASTE
WHAT
O
IS URINARY CATHETERIZATION?
RECEIVING A GENERAL ANESTHETIC, OR IF THE PATIENT IS CRITICALLY ILL AND URINE OUTPUT MUST BE CLOSELY MONITORED
THE
ALLOW FOR THE PASSAGE OF URINE OUT OF THE BODY, OR TO INSTILL FLUID INTO THE BLADDER
PATIENT LOSES ALL VOLUNTARY URINARY CONTROL URINE OUTPUT MUST BE MONITORED CLOSELY
URINARY CATHETERIZATION
O
WHAT
O
WHEN MOST
PROBLEMS OCCUR, INDWELLING CATHETERS ARE FREQUENTLY INSERTED ARE INSERTED BY NURSES USING STERILE TECHNIQUE TO PROTECT
STRAIGHT BALLOON) IN
OR INTERMITTENT
CATHETERS
(NO
FAILURE
PROBLEMS O
PRIOR
URINARY TRACT INFECTIONS (UTIS) INTRODUCTION OF BACTERIA INTO URINARY TRACT ONE OF THE MOST COMMON HEALTH-CARE ASSOCIATED (40% OF ALL HEALTHCARE-RELATED INFECTIONS!) URETHRAL TRAUMA ESPECIALLY
URETHRA
GRAB
(IF
DO
YOU NEED TO WASH AND DRY THE PERINEAL AREA USING SOAP
AND WATER?
(MAKE
CLEANSING THE PERINEAL AREA) FOR MALES, INSERT ALONG THE NORMAL CONTOUR OF THE
PLACE
FIELD
FOLEY FACTS
MALE
URETHRA IS NORMALLY CURVED, BUT CAN BE GENTLY TO URETHRA CAN OCCUR IF THE CATHETER IS FORCED
DAMAGE
THROUGH STRICTURES
(TIGHT
SET
HAVE
UP STERILE FIELD AND MAINTAIN IT THROUGHOUT THE PROCEDURE STERILE GLOVES, AND BEGIN ORGANIZING SUPPLIES THE
DON
FOLEY
A NOTE ABOUT DO IF
DRAPES
SIZED
FRENCH
SCALE
(FR) -
TYPICAL
ADULT SIZE IS
ON SIZE OF URETHRAL
BASED
WITHOUT
CONTAMINATING
IF
YOU
CANNOT
PAGES 32-37
PATIENT.
IN
FOR INSERTING A
N1300 COURSE HANDBOOK LIST STEP-BY-STEP PROCEDURE FOLEY CATHETER INTO A FEMALE PATIENT AND A MALE
DO IF
ALL
STEPS SHOULD BE STUDIED BY THE STUDENT IN ORDER TO NOT, THROW THEM AWAY! JUST MAKE SURE YOU DO NOT CONTAMINATE YOUR STERILE FIELD WHEN YOU DO SO.
WHAT DO I NEED
O
TO
KNOW
FOR
CHECK OFFS?
KNOW YOUR SIX RIGHTS OF PROCEDURES YOU CAN EITHER STATE THEM OR ACT THEM OUT POSITION PATIENT PROPERLY FEMALE: DORSAL RECUMBENT (ON BACK, KNEES FLEXED, FEET FLAT ON THE BED, RELAXED THIGHS) MALE: DORSAL SUPINE (ON BACK, LEGS STRAIGHT, AND SLIGHTLY APART)
CLEANSE
LABIUM AND DIRECTLY DOWN THE CENTER OF THE URINARY MEATUS. FIELD. O
WHEN
THROWING AWAY USED SWABS, DO NOT MOVE THEM ACROSS THE STERILE
ONE
MALE:
WITH
ONE
AGAIN,
MAINTAINING HOLD ON PATIENT WITH NON-DOMINANT HAND, PICK UP LUBRICATED FOLEY CATHETER NEAR THE TIP WITH THE DOMINANT HAND AND CAREFULLY INSERT THE END OF THE CATHETER INTO THE MEATUS. CONTINUE GENTLE INSERTION UNTIL URINE FLOWS (FEMALE: 2-3 INCHES; MALE: 7-9 INCHES) AND THEN ADVANCE THE CATHETER AN ADDITIONAL 1-2 INCHES. HOLD
THE CATHETER SECURELY WITH THE NON-DOMINANT HAND AND WITH THE
DOMINANT HAND, PICK UP THE STERILE WATER-FILLED SYRINGE AND INFLATE THE CATHETER BALLOON. O
USING
(MALES
HANG DRAINAGE BAG ON THE SIDE OF THE BED, BELOW THE LEVEL OF THE BLADDER. O
DO NOT
COMPLETE
(20
MINUTES).
REMEMBER
O
THE
WASH
ASEPSIS
USE
DOCUMENTATION
SECURE THE CATHETER TO THE LEG WITH A SECURING DEVICE AT THE Y-PORT, BECAUSE THE CATHETER IS MORE RIGID THERE USE A CLOSED DRAINAGE SYSTEM MAKE SURE URINE FLOW IS UNOBSTRUCTED (THE PATIENT SHOULDNT LIE OR SIT ON THE TUBING, THE TUBING SHOULD NOT BE KINKED) POSITION THE COLLECTION BAG BELOW THE LEVEL OF THE BLADDER,
BUT NOT ON THE FLOOR
EMPTY THE COLLECTION BAG FREQUENTLY, WHEN IT IS HALF-WAY OR TWO-THIRDS FULL DO NOT ALLOW THE SPIGOT TO BECOME CONTAMINATED INFLATE THE BALLOON WITH 10 ML OF STERILE WATER (NOT AIR OR SALINE SOLUTION) AND DO NOT PLACE A FOLEY UNLESS ABSOLUTELY NECESSARY!!!