Foley Catheter Insert & Removal

Question 1

Step one verify

Answer 1

Verify orders for procedure

Question 2

Step 2 gather

Answer 2

Gather supplies and prepare equipment

Catheter kit
Sterile gloves
Clean gloves

Question 3

Step 3 Id / explain

Answer 3

Id pt using two identifiers Name dob

Explain procedure to pt and get consent to proceed.

Question 4

Step 4 place privacy position

Answer 4

Place supplies at bedside
Raise bed to working height
Place pt in semifowlers to
Make sure door or curtain is pulled for privacy
Lift blankets to abdomen
Have pt bend knees move ankles up to side.

Question 5

Step 5 open/don

Answer 5

Take it out of out of plastic
Set under patients needs a trash bag
Open the Catheterization kit
Don clean gloves.

Question 6

Step 6. Open/clean

Answer 6

Open cleaning kit
Clean peroneal area with the three cleaning wipes
Discard wipes and dirty gloves into trash

Question 7

Step 7. Open/sterile/drape/gloves/place

Answer 7

Open sterile kit
Grab sterile drape by outer 1 inch
Play straight between patients legs
Don sterile gloves. 
Place  tray into sterile field

Question 8

Step 8. Prep tray

Answer 8

Open antiseptic swabs place all three on tray
Put lubricant and trey place catheter tip and lubricant
Confirm sterile specimen container is uncapped
Attach H2O syringe to balloonport.

Question 9

Step 9. Non-dominant hand non-sterile

Answer 9

With nondominant hand spread labia minora urinary meatus,
Dominate hand use swab1 wipe down 1 side discard, swab2 down 2nd side discard, swab 3 down meatus discard.
Keep non dominate hand in place.

Question 10

Step 10.

Answer 10

Pick up catheter with sterile dominant hand.
Have patient bear down insert catheter into urethra
Advance to approximately the Y
Hold in place with non-dominant hand.

Question 11

Step 11. Inflate/ tug

Answer 11

You sterile hand to inflate the balloon and gently tug on catheter to confirm proper placement.

Question 12

Step 12. Specimen/stat lock

Answer 12

If specimen is required by order
open emptying spout collect specimen close spout
Peel backing off statlock and place on patient’s leg

Question 13

Step 13. Restore/attach/comfort

Answer 13

Just the patient’s gown to restore patient modesty
Attached drainage bag to hang around bedframe coil tubing and use bed clip
Remove drape
Move bed linens back to normal position
Make sure patient is comfortable

Question 14

Documentation

Answer 14

Date and time of catheterization
Type of catheter
Urinary output
Catheter patency
Urine quality quantity and odor
A&Ox?? Abdominal assessment, skin assessment
Teaching done
Response to care

Question 15

Removing indwelling catheter

Answer 15

Removing indwelling catheter

Question 16

Step 1. ID/confirm/supplies

Answer 16

Confirm the order for removal
Confirm patient ID with two identifiers
Play supplies at the bedside

Question 17

Step 2. Linens/pad/gown/drain/statlock

Answer 17

Move the top linens to the foot of the bed
Place waterproof pad and or towel under the patients
Left down to expose catheter
Drain residual urine into the bag
Disconnect the line from stat lock

Question 18

Step 3. Towel/syringe/withdrawal

Answer 18

Place towel under perineum
Attached syringe to balloon-port and remove air/fluid x2
With dominant hand remove catheter gently have patient exhale

Question 19

Step 4. Observe/prepare/restore/Comfort

Answer 19

Observe the catheter for any signs of infection
If indicated prepare the catheter tip for culture
Cleansing drive peroneal area
Restore modesty by adjusting linens
Make sure patient is comfortable