Catheters and Sterile Field Flashcards
Tell me about the sterile field
DRY, above WAIST, do NOT turn BACK, 1” is NON STERILE, open AWAY form you, do NOT reach OVER, THROW it OUT
Tell me about pouring sterile liquid onto the sterile field
Put in sterile BOWL, 6” ABOVE field, pour AWAY from LABEL
What are some situations you use sterile gloves for
Urinary CATH, TRACH SUCTION/ CLEANING, WOUND care, CENTRAL line
What are the EVB indications for urethral catheter
ACUTE urinary OBSTRUCTION or RETENTION, prevent CONTAMINATION during surgery, accurate MEASUREMENT, perineal WOUND, IMMOLBIZED pts, END of LIFE
What are the 4 types of catheters
Straight (in and out)
Indwelling
Triple-,umen
Coude
What is a CAUTI
Catheter-associated UTI
What are the risks of catheterization
CAUTI, trauma, erosion
What do you do for sizing
Smallest size
Tell me about a straight cath
In and out, UA, DIAGNOSE, DRAIN, empty a POUCH, chronic RETENTION
NO BALLOON, less RISK
Tell me about the indwelling
Double-lumen (fill balloon, urine), LEFT in place
Tell me about the coude
STIFFER CURVED tip, used for BPH, LEFT in place
Tell me about the triple lumen
balloon, urine, bladder iirigation, allow IRRIGATION fluid to wash out CLOTS or give ABX
What to do if you are met with resistance
PULL BACK, LUBE, PENIS STRAIGHT
Trouble shooting when no urine is seen
DONOT INFLATE balloon untill there is URINE, LEAVE in place, COUDE
Trouble shoot if you break sterile feild
NEW equipment
What is scheduled catheter care
SOAP and WATER or CHG
Where does the bag go
Below the bladder, anchor tubing to thigh
When do you empty the bag
2/3 full
What do you need to do with uncircumcised penises
Pull foreskin back and clean then PUT IT BACK
What is phimosis
The foreskin can’t go away
What is paraphimosis
The foreskin can’t go back over
What is a suprapubic catheter
Surgical placement through abdomical wall
What are the indications for suprapubic
Catheter is CONTRA, after bladder SURGERY, NEUROGENIC bladder
What is the maintence for a suprapubic cath
DRINK fluids, DAILY cleanin around SITE, NO LOTIONS, ASSESS site, CHANGE 4-6 WEEKS
What do you use for incontience management of a female
External female cath
What are the contraindications for a purewick
UNCOOPERATIVE, frequent POOPS, skin BREAKDOWN, MENSTRATION, RETENTION
How often should an external female cath be replaced
8-12 hours, or when soiled
What are the risks of external male catheters
SKIN death, STRANGULATION, INFECTION
How often to replace
DAILY, PRN
How do extrenal male caths work
Most are GRAVITY other than PRIMOFIT
