The document provides instructions for inserting an indwelling urinary catheter in a female patient. It involves preparing equipment and the patient, properly positioning the patient, maintaining sterile technique, lubricating and inserting the catheter into the urethra, inflating the retention balloon, securing the catheter and drainage bag, and documenting the procedure. Maintaining aseptic technique and gently inserting the catheter to the proper depth are important steps to properly place the catheter and avoid injury or infection.
The document provides instructions for inserting an indwelling urinary catheter in a female patient. It involves preparing equipment and the patient, properly positioning the patient, maintaining sterile technique, lubricating and inserting the catheter into the urethra, inflating the retention balloon, securing the catheter and drainage bag, and documenting the procedure. Maintaining aseptic technique and gently inserting the catheter to the proper depth are important steps to properly place the catheter and avoid injury or infection.
The document provides instructions for inserting an indwelling urinary catheter in a female patient. It involves preparing equipment and the patient, properly positioning the patient, maintaining sterile technique, lubricating and inserting the catheter into the urethra, inflating the retention balloon, securing the catheter and drainage bag, and documenting the procedure. Maintaining aseptic technique and gently inserting the catheter to the proper depth are important steps to properly place the catheter and avoid injury or infection.
The document provides instructions for inserting an indwelling urinary catheter in a female patient. It involves preparing equipment and the patient, properly positioning the patient, maintaining sterile technique, lubricating and inserting the catheter into the urethra, inflating the retention balloon, securing the catheter and drainage bag, and documenting the procedure. Maintaining aseptic technique and gently inserting the catheter to the proper depth are important steps to properly place the catheter and avoid injury or infection.
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Inserting an Indwelling Urinary Catheter (Female)
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Initial Steps for Inserting Straight or Indwelling Catheters 1. Confirm the physician’s order. 2. prepare equipment 3. Perform hand hygiene and don gloves. 4. Identify the patient with two separate identifiers (name, medical record number, date of birth). 5. Determine if patient has any allergies (especially to iodine and latex). 6. Close door or bed curtains and explain procedure to the patient. 7. Set up good light source. Place trash receptacle within easy reach. 8. Raise the bed to a comfortable working height. Stand on the patient’s right side if you are right handed, on the patient’s left side if you are left handed. 9. Provide the patient with opportunity to perform personal perineal/penile hygiene. Inserting an Indwelling Catheter in a Female Patient 11. Position patient in dorsal recumbent position 12. Open the catheterization tray on clean bedside table while maintaining asepsis. Put on clean gloves. Pick up drape from the top of the catheterization kit, touching only the corners of the drape. Slide sterile drape under patient’s buttocks 13. Remove clean gloves. Don sterile gloves. Place fenestrated sterile drape over the perineal area. Place sterile catheterization tray on sterile drape between patient’s thighs. Inserting an Indwelling Catheter in a Female Patient
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14. Open sterile lubricant and lubricate the catheter tip. Open cleansing solution and pour over half of the sterile balls or open antimicrobial cleansing swabs. Open the sterile specimen container. Do test inflate the balloon. 15. Place nondominant hand on labia minora and gently spread to expose urinary meatus. Visualize exact location of meatus. During cleansing and catheter insertion, do not allow labia to close over meatus until after the catheter is inserted. 16. Using sterile hand, pick up saturated cotton ball with sterile forceps or antimicrobial swabs 17. Cleanse the urinary meatus with a downward stroke. Discard the cotton ball or antimicrobial swab. Repeat this step three or four times. 18. Use dry cotton balls to absorb excess antiseptic solution. 19. With sterile hand, pick up the catheter approximately 3 inches from the tip and place distal catheter end into sterile basin. If the catheter is attached to sterile tubing and drainage container (closed drainage system), position catheter and setup within easy reach on the sterile field. Make sure clamp on drainage bag is closed. 20. Gently insert catheter into urethra (approximately 2 inches) until urine begins to drain. 21. Insert the catheter an additional 2-3 inch (5 - 7.5 cm). ( female) 22. Inflate the retention balloon with the prefilled syringe. Check to ensure placement by gently pulling on catheter. 23. Connect distal end of catheter to drainage bag. In some kits, the catheter is already connected to the drainage unit. 24. Secure catheter tubing to the patient’s inner thigh ( female) Inserting an Indwelling Catheter in a Female Patient
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25. Attach drainage bag to bed frame 26. Remove gloves and perform hand hygiene. 27. Record the time of completion of the procedure, size of catheter inserted, amount and color of urine, and any adverse patient responses