Test 5 Urinary Catheterization Flashcards
perioperative urine monitoring
assess kidney function and fluid balance
30mL/hr
bladder decompression
prevent trauma during pelvic procedures
provide better visualization
facilitate healing
provide structure to healing surface, keep the area dry
bladder irrigation
prevent blood clot
remove debris or blood clots
other indications for catheterization include
prevent overfilling of the bladder and resulting damage
obtain a sterile specimen
treat incontinence
control bleeding
supplies needed
catheter 14/16 common
sterile fenestrated drape
lubricant
antiseptic cleaning solution (iodine/chlorohexidine)
gauze/swab
syringe (add 5mL water to size of the ballon)
sterile collection bag
What to tell the circulating RN…
color (amber, brown)
any sediment noticed (clear/cloudy)
Encounter any difficulty?
Use a coude?
steps to catheter a patient (1 to 4)
1-perform hand hygiene
2-gather supplies (non-sterile gloves, sterile gloves, kit, and sterile towels)
3-remove blankets to expose area
4-position patient (female= frog leg)
steps to catheter a patient (5 to 7)
5-open sterile kit using an aseptic technique
6- open sterile towels on a sterile surface
7-don sterile glove
steps to catheter a patient (8)
drape patient
-use 4 towels (far side first)
steps to catheter a patient (9)
prepare supplies
-lubricant and antiseptic solution
-plastic off catheter
-attach syringe to balloon port
-ensure catheter attached to drainage system
steps to catheter a patient (10 to 12)
clean meatus (x3) with wipes
-lubricate end of catheter
-insert catheter with dominant hand
steps to catheter a patient (13 to 15)
-inflate balloon
-pull back to make sure in place
-place tube under leg with a towel
-reattach the safety strap and clean the mess
