Urinary Catheter Objectives

Question 1

Discuss the differences between an intermittent & indwelling urinary catheter & the possible need for each.

Answer 1

Intermittent: straight cath; used to drain the bladder for short periods
Indwelling: foley cath; used when catheter is to remain in place for continuous drainage.

Question 2

Discuss possible adverse effects of using an intermittent or indwelling urinary catheter.

Answer 2

Catheter Associated Urinary Tract Infection (CAUTI) or Urinary Tract Infection (UTI

Question 3

Demonstrate proper technique in safe insertion of an indwelling urinary catheter on male & female manikins.

Answer 3

Maintaining sterile field, asepsis technique, hand hygiene

Question 4

Demonstrate proper technique in the removal of an indwelling urinary catheter from male & female manikins.

Answer 4

Must have physician order, remove stat-lock, deflate balloon with syringe, remove catheter, measure urine, and perform peri care.

Question 5

Discuss possible unexpected issues that would prevent the insertion of an intermittent or indwelling urinary catheter.

Answer 5

Catheter in vagina, confused patient who keeps moving, urine stops flowing, pain when balloon inflates, urine leaks out of meatus, can’t get past prostate gland

Question 6

Understand the importance of accurately measuring urine output.

Answer 6

Helps with monitoring so that patient does not become dehydrated or fluid-overloaded, CHF, kidney disease, critically ill patients if less than 30 mL/hour