Equipment:
Apron
Gloves
Receiver
Syringe
Disposal receptacle
|
Procedure
|
Rationale
|
|
Explain the
procedure to the client
|
To obtain consent and gain co-operation
|
|
Check the client’s
records for the volume of
water in the balloon
and ensure that the
amount inserted is
that of the volume removed
|
To prevent trauma to the urethra
|
|
Assist the client
into the supine position
|
This position provides maximum access
|
|
Place a receiver
between the client’s legs
|
To catch urine and prevent any spillage onto the bed
|
|
Wash hands and put
on gloves
|
To reduce the risk of contamination
|
|
If necessary clean
the area of the client’s body
around the catheter
using soap and water
|
To minimize the risk of contamination
during removal
|
|
Change gloves
|
Gloves have become contaminated
during the cleaning of the meatus
|
|
Deflate the balloon
using a syringe to remove the water
|
|
|
Explain to the
client that discomfort may be felt as the catheter is removed
|
To keep client informed and to gain
co-operation
|
|
Ask the client to
relax, then gently and smoothly remove the catheter
|
To reduce discomfort to the client
|
|
Clean the meatus and
make the client comfortable
|
To reduce the risk of infection
|
|
Remove gloves,
dispose of equipment and wash hands
|
To reduce the risk of cross-infection
|
|
Document the date
and time of catheter removal
|
To maintain nursing records and continuity of care
|
|
Record the
subsequent urine output and record on a fluid balance chart until frequency and
amount is within normal limits. Observe for difficulty in voiding urine
|
To enable action to be taken promptly if any difficulties
occur
|
|
Encourage the client
to drink at least 2–3 litres of oral fluids daily (if allowed)
|
To promote production of urine
|
0 comments:
Post a Comment