Foley catheter insertion
Hand washing performed. Assembled supplies and created sterile field. Foley catheter removed and discarded using a double bag technique. Peri hygiene performed. Donned sterile gloves Insertion site area prepped using 3 swabs betadine. Foley catheter 20 Fr. 5 ML balloon inserted using sterile technique. Blood tinged urine immediate return that cleared to yellow noted. Catheter attached to collection bag for gravity drainage. Pt. tolerated well.
Skilled nurse assess patient for S/S of complication related to diagnostic.
Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean the skin area and
catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to
drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and
cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear
pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to
8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking
chills or your temperature is over 101° F (38.3° C).
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding
Instructed patient about your Foley catheter daily Care: Always wash your hands before and after
doing catheter care. Use soap and warm water. Keep your skin and catheter clean. Clean the skin
around your catheter at least once each day. Clean your skin area and catheter after every
bowel movement. These will help prevent a bladder or kidney infection and will keep you more
comfortable.
SN instructed patient about suprapubic catheter care, always wash your hands with soap and water before and after handling your catheter, make sure that the catheter tubing does not get twisted or kinked, and that urine is flowing out of the catheter into the urine collection bag, keep the urine collection bag below the level of your bladder, make sure that the urine collection bag does not drag and pull on the catheter, you can shower with your catheter and urine collection bag in place unless you have been told not to, clean the bag every day after removing it from the catheter. Use another container while you clean the bag. To clean the bag, fill it with 2 parts vinegar to 3 parts water and let it stand for 20 minutes. Then empty it out, and let it air-dry.
Instructed patient about your Foley catheter daily Care: Keep your skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean your skin area and
catheter after every bowel movement. Always keep your urine bag below the level of your bladder.
Keeping the bag below this level will prevent urine from flowing back into your bladder from
the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a
bladder or kidney infection and will keep you more.
SN used hand cleaner, donned gloves. Drainage bag from old catheter has clear yellow with sediments urine. SN donned sterile gloves, cleaned the perineum around the urinary meatus with chlorhexidine swabs. Flush Foley with 50 cc NS and immediately drained clear yellow urine. Then connected Foley to new drainage bag, then statlock placed on right thigh to secure catheter. Adult diaper put on patient. All items used for procedure disposed of in plastic bag, tied shut and put in household trash.
SN instructed patient about tracheotomy care suctioning always involves: assessment , oxygenation management, use of correct suction pressure,
liquefying secretions, using the proper-size , suction catheter and insertion distance appropriate patient positioning,
evaluation, using the proper - size suction catheter and insertion distance appropriate patient positioning evaluation.
Instructed in signs and symptoms of possible complication of Foley Catheter such as urinary tract infection (symptoms include cloudy urine, foul odor, fever and pain in bladder area), blocked catheter, bleeding, leaking, and bladder spasms.
Instructed patient you should contact your doctor immediately if you believe your catheter is infected. Redness (erythema), warmth to touch, swelling (edema), fever or drainage from around the catheter site may indicate your catheter is infected. Some redness after insertion is expected but should not persist.