Straight Catheter
■ Also called a red rubber catheter or “straight cath.” Straight
catheters
have only single lumen and do not have balloon near tip. Straight
catheters are inserted for only as much time as it takes to drain
bladder or
obtain urine specimen.
Indwelling Catheter
■ Also called a Foley or retention catheter.
Indwelling catheters have two
lumens, one for urine drainage and the other for inflation of
balloon near
tip. Three-Way Foley catheters are used for continuous or intermittent
bladder irrigation. They have a third lumen for irrigation.
Procedure for Insertion
■ Prepare Pt:
Explain procedure and provide privacy.
■ Assess Pt for
allergies to latex, iodine, or tape.
■ Collect
appropriate equipment.
■ Place Pt in
supine position (Female: knees up, legs apart; Male: legs flat, slightly apart).
■ Open and set
up catheter kit using sterile technique.
■ Don sterile
gloves and set up sterile field.
■ If placing
indwelling catheter, check for leaks and proper inflation of balloon by filling
with 5 mL of sterile water. Remove water.
■ Lubricate end
of catheter.
■ Saturate
cotton balls with cleansing solution.
■ With
nondominant hand (now contaminated): Female: hold labia apart; use dominant (sterile) hand to hold swabs
with sterile forceps and swab from front to back, in following order: (1) labia
farthest from you, (2) labia nearest to you, (3) center of meatus between each
labia. Use one swab per swipe. Male: retract foreskin (replace foreskin back down over penis after
catheter has been successfully inserted); use dominant (sterile) hand to hold
swabs with sterile forceps and swab in circular motion from meatus outward.
Repeat three times, using different swab each time.
■ Gently insert
catheter (about 2–3 inches for female Pts and 6–9 inches for male Pts) until
return of urine is noted. Caution: Never force catheter if resistance is encountered!
■ For straight catheters: Obtain
specimen or drain bladder and then remove and discard catheter.
■ For indwelling catheters: Insert
additional inch and then inflate balloon with recommended volume.
■ Attach
catheter to drainage bag using sterile technique.
■ Secure
catheter to Pt’s leg according to hospital policy.
■ Hang drainage
bag on bed frame below level of bladder.
■ Document type
and size of catheter, amount and appearance of urine, and how Pt tolerated
procedure.
0 comments:
Post a Comment