Foley Validation

Question 1

Step 1:

Answer 1

• Perform Hand Hygiene before patient contact

- Verify correct patient using two patient identifiers. Utilize AIDET

Question 2

Step 2:

Answer 2

Assess for:

• Allergies, specifically latex or povidone-iodine
• Patient’s readiness for procedure

Question 3

Step 3:

Answer 3

Perform hand hygiene, clean gloves, assess and clean and assess perineal area

-Remove gloves and perform hand hygiene

Question 4

Step 4:

Answer 4

Ask for mobility of hips and any past hip surgeries

-Position patient for procedure in a dorsal recumbent position by relaxing thighs

Question 5

Step 5:

Answer 5

Open up kit

• Check for expiration date and any tears
• Use sterile technique and open the sterile inner package containing the catheter supplies

Question 6

Step 6:

Answer 6

Place waterproof sterile drape (SHINY SIDE DOWN)

Question 7

Step 7:

Answer 7

DON STERILE GLOVES (OUTSIDE STERILE FIELD)

Question 8

Step 8:

Answer 8

Prepare sterile tray on bedside table before transferring b/w the pt’s legs to prevent contamination. SETUP EVERYTHING (TIP IN LUBRICANT, SALINE PREPARED)

(REMOVE CATHETER WRAPPING WILL BE REMOVED BEFORE TRANSFER)

Question 9

Step 9:

Answer 9

CLEAN the URETHRAL MEATUS

• Clean labia majoris and minoris w/ antiseptic soaked cotton balls with forceps
• Away, Towards, Middle
• New cotton ball for each swipe

AROUND STERILE FIELD!!! NOT ACROSS

Question 10

Step 10:

Answer 10

INSERT CATHETER

• Ask patient to bear down gently
• Advance catheter 2-3 inches until urine flows (STATE URINE FLOW)
• after urine flow, advance another 1-2 inches

Question 11

Step 11:

Answer 11

INFLATE BALLOON

• After inflation, gently pull back until meeting resistance (DO NOT PUSH BACK IN)
• Place drainage bag below the bladder on bed rail

DON NEW GLOVES
-Secure Foley to pt and clip the gown

Question 12

Step 12:

Answer 12

REMOVAL

• Hand hygiene/AIDET
• Raise Bed to appropriate height
• REMOVE ANCHORING DEVICE
• INSERT A STERILE SYRINGE AND WITHDRAW ALL STERILE SALINE; STATE mL WITHDRAWN
• Slowly pull out catheter wrapping around fingers
• Assess for COMPLETE REMOVAL of catheter
• Unhook catheter
• Ask for any pain or discomfort; thank pt
• DOCUMENT