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NS10 > CATHETERIZING > Flashcards

CATHETERIZING Flashcards

1
Q

c.

A

Check the order and the equipment
Review patients chart for any limitations in physical activity and allergies
Confirm medical order for catheter insertion

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2
Q

W.

A

Wash your hands

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3
Q

P.

A

Provide for privacy

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4
Q

Prepare

A 
Clean work area
Assemble supplies
Trash receptacle 
Bed at working height
Lower bed rail
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5
Q

Assess- Subjective

A

Ask the patient if they have been having difficulting urinating and how often they have been urinating
Apply PQRST

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6
Q

PQRST

A 
Provocation/palliation
Quality/Quantity
Region/Radiation
Severity Scale
Timing
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7
Q

Assess- Objective

A

Abdominal assessment-
inspection- rounded, concave, convex, presence of incisions or scars
Palpation- soft, firm, rigid, tenderness, distention or masses

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8
Q

Assess- Objective pt 2

A

TACO
Type: void, urinary catheter
Amount
Color/Clarity: straw, yellow, amber, red, tea colored/ clear, sediment, clots

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9
Q

T.

A

Teach the patient about what you are doing and assess patient’s ability to assist with the procedure

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10
Q

Position

A

patient in recumbent position

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11
Q

Verbalize

A

Pericare. “I would then put on clean gloves and clean the perineal area from front to back. Then i would rinse and dry. Remove my gloves and wash my hands”

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12
Q

Open

A

Sterile kit

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13
Q

Apply sterile drape

A

Apply drape and done sterile gloves

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14
Q

Place

A

sterile tray between thighs

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15
Q

Open suplies

A 
Ensure clamp on bag is closed
Fluff cotton balls on tray and pour antiseptic solution over them
Set specimen container aside
Open lubrication, pour on tray
Insert sterile water syringe
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16
Q

Lubricate

A

1 to 2 inches of catheter tip

17
Q

With non-dominant hand

A

spread the labia. DO NOT LET GO.

18
Q

Use dominant hand

A

to clean both labial folds and meatus

19
Q

Dominant hand

A

position catheter and setup within easy reach on sterile feed

20
Q

Inserting

A

hold 2-3 inches from tip.
do not force catheter
ask patient to breathe deeply and rotate catheter slightly if there is slight resistance
insert until urine drains, then advance 2-3 more inches

21
Q

Hold

A

catheter securely at the meatus with non-dominant hand
inject sterile water
pull gently to feel resistance
remove syringe with plunger depressed so fluid remains in balloon

22
Q

Verbalize

A

remove equipment and dispose of it according to facility policy
Wash and dry perineal area

23
Q

Remove

A

gloves and perform hand hygiene

24
Q

Secure catheter tubing to patients inner thigh

A

Leave slack in catheter for leg movement

25
Q

Assist

A

patient into comfortable position

NS10 (7 decks)

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