Foley Catheteriztion

WTF?? Why the Foley

• Decompression of the bladder
• Obtaining a specimin
• Passage to the GU tract (ex: Irrigation)
• Aiding dx of GU Bleeding
• Bladder obstruction outlet

Precautions!!!

• High risk for contact with patients blood/body fluid.
• Invasive procedure
• Infection Risk
• Sterile Procedure

Contraindications

• Urethral trauma
• blood at meatus
• urethral tear
• high riding prostate in men
• pelvic fractures

-Sterile Gloves
-Sterile Drape
-Cleansing solution
-Cotton Swabs
-Sterile Water
-Foley Catheter
-Syringe
-Lubricant
-Collection Bag
-Tubing
-securing device

REMINDER!!

ProcEdure of insertion

• Gather equipment.
• Explain procedure to patient
• Assist to Supine position with legs spread, feet together, and knees relaxed.
• Open Catheterization kit and catheter
• Prepare sterile field
• Apply sterile gloves
• Check balloon for patency
• If female, separate labia using non-dominant hand. If male, hold the penis with the non-dominant hand. Maintain hand position until preparing to inflate balloon.
• In the male, lift the penis to a position perpendicular to patient's body and apply light upward traction (with non-dominant hand) 
 Using dominant hand to handle forceps, cleanse peri-urethral mucosa with cleansing solution. Cleanse anterior to posterior, inner to outer, one swipe per swab, discard swab away from sterile field.
• Using dominant hand to handle forceps, cleanse peri-urethral mucosa with cleansing solution. Cleanse anterior to posterior, inner to outer, one swipe per swab, discard swab away from sterile field.
• Pick up catheter with gloved (and still sterile) dominant hand. Hold end of catheter loosely coiled in palm of dominant hand.
• Identify the urinary meatus and gently insert until 1 to 2 inches beyond where urine is noted
• Inflate balloon, using correct amount of sterile liquid (usually 10 cc but check actual balloon size)
• Gently pull catheter until inflation balloon is snug against bladder neck
• Connect catheter to drainage system
• Secure catheter to abdomen or thigh, without tension on tubing
• Place drainage bag below level of bladder
• Evaluate catheter function and amount, color, odor, and quality of urine
• Remove gloves, dispose of equipment appropriately, wash hands
• Document size of catheter inserted, amount of water in balloon, patient's response to procedure, and assessment of urine

A Little video to get the juices flowing... Literally ;)

complications

• Tissue trauma
• Infection
• Renal Inflammation
• Pyelonephritis if left in too long

Let's Practice!