WEEK 2 FOLEY Flashcards
What are 3 risks associated with urinary catheterization?
- CAUTI
- Voiding dysfunction
- Bladder Ca
According to VCH policy, what are the only 3 ways urine specimens for C&S be collected?
- Midstream
- In/out cath
- Through a NEW catheter
What are 6 symptoms of CAUTI?
- Fever
- Suprapubic pain
- Gross hematuria/pyuria
- New costovertebral angle pain
- Autonomic dysreflexia
- Swelling/tenderness of male anatomy
According to VCH policy, what are the indications to obtain a urine specimen for culture?
- Fever AND one other CAUTI symptom
- If no fever, 2 other CAUTI symptoms
What are 6 indications for urinary catheterization?
- Peri-operative for select surgical procedures
- Urinary retention
- Strict monitoring of in/out
- Healing of sacral/perineal pressure wound
- Immobilization with inability to void by other means
- End of life
What size syringe is used to remove a Foley catheter?
10-20 cc
Where is the Foley catheter and collection bag disposed into?
Biohazard bin
What are 5 things to document after Foley catheter removal?
- Removed intact
- Amount of fluid in balloon
- Urine quantity and characteristics
- Client response
- Client teaching
What are 4 patient teaching points to provide for TOV (trial of void)?
- Drink lots of fluids
- Try to void 4-6 hours after removal if haven’t already
- May need gentle pressure on bladder
- Measure and report 1st void
What are 4 expected symptoms for patients to have for about one day after Foley removal?
- Dysuria
- Dribbling
- Burning
- Frequency
What are 2 other patient teaching points to provide after Foley removal?
- Kegel exercises
- Signs/symptoms of UTI
During a TOV, how many times do we expect to perform a PVR?
Twice
How would the PVR reading affect our nursing actions?
May increase/decrease the frequency of getting the patient up to try and void
What are 3 things we can implement to help the patient void if they are having a hard time doing so?
- Mobilize
- Improve patient’s position
- Warm blanket on abdomen
