Female Indwelling (Foley) Urinary Catheter Removal (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Let's take a moment to talk about how we remove a catheter from a female.

    00:09 So before we get started, make sure you raise the patient's bed to an appropriate level.

    00:14 Perform hand hygiene and put on your gloves.

    00:18 Now this is important so before he removed the catheter, make sure you empty that urinary drainage bag and we want to document the volume that's put out.

    00:28 Now before we also we get started with the removal itself, great idea to put absorbent pad beneath the patient's buttocks.

    00:39 Now once treatment for a female indwelling catheter is complete, we can now take a look at removing that catheter.

    00:46 So one thing is a good thing to remember, it's a great idea to place maybe a towel or an absorbent pad beneath the patient's buttocks.

    00:54 And as you here with my friend Susie, this is something we really can maintain privacy for almost most of the procedure.

    01:02 So now that we've got our absorbent pad down in my equipment, we can go ahead and get us ready to go.

    01:12 Now what are we going to need, as you know, we talked about the absorbent pad that's really helpful to keep those linens clean.

    01:20 Also, we need a 10 mL syringe, that way we can use this to deflate the balloon.

    01:25 And also it's a great idea to get supplies for perinatal care.

    01:30 Now once we're ready, we've gathered our supplies, perform your hand hygiene and of course provide privacy for your patient.

    01:37 It's important to explain the procedure to the patient.

    01:40 This may be a little bit uncomfortable, it shouldn't be really painful.

    01:44 But let the patient know what's about to happen.

    01:48 Now, depending on if it's a male or female, and again, this is gonna differ depending on who you're removing the catheter on.

    01:54 But today we're talking about female.

    01:56 So assist the patient in that lithotomy position.

    02:00 Now this is going to allow you easy access to remove the catheter.

    02:04 If you take a look at this image here, this is what we call the lithotomy position.

    02:08 If you notice the patient's knees are bent up that's really helpful for catheter access.

    02:13 Don't forget to remove the catheter-securing device.

    02:17 This is typically on the patient's thigh and adhere to the leg, so be gentle when removing.

    02:22 Now it's a good time to assess the patient's perineum.

    02:26 They could have some redness or irritation and we want to note this.

    02:30 So after assessment, we can attach our 10 mL syringe to the catheters balloon Luer lock.

    02:36 Now we're going to gently remove the sterile water from the urinary catheters balloon.

    02:41 It's important here to remove all the water from the balloon.

    02:45 If you take a look at this image, we are taking the plunger and pulling backwards until there is no more sterile water in that balloon.

    02:53 Now's a good time to have the patient to take a deep breath.

    02:57 And when they release the breath, gently remove the catheter.

    03:01 Now do not continue if resistance is met.

    03:05 And after the procedure provide thorough perinatal care for your patient.

    03:13 So I've got Susie in a position that is on her back, usually in like a lithotomy type position, meaning her knees would be bent up.

    03:21 This is going to allow us for easy access to the catheter.

    03:25 Now most of the time and I hope that you have a catheter securement device on your patient.

    03:31 If that's the case, it's usually on the patient's leg.

    03:34 And this is a great time now to go ahead and remove that.

    03:37 It's usually just adhered with some adhesive.

    03:40 So be cautious and careful when you remove this piece.

    03:43 Now before removal with a female, it's a great idea to go ahead and assess the patient's perineum and for redness or irritation upon removal when you assess.

    03:54 So now that we've done that, we can go ahead and get our equipment ready.

    03:59 So I've got my Luer lock syringe here.

    04:02 So the main thing to know is that there's a specific balloon port that we want to use for removal.

    04:08 So you see this red balloon port right here, this is what we want to use.

    04:13 So I simply can take a 10 mL syringe, take this out, and I'm going to attach this to the balloon port.

    04:26 Okay, so now that this is attached, I want to take this and you can already tell with all that pressure in that balloon, see how that syringe is filling up.

    04:37 That's perfect.

    04:38 So we're going to go ahead and assist that by pulling back on the plunger.

    04:45 Now usually we inflate this with about 10 mLs of saline but you want to make extra sure that all that saline's out.

    04:52 So I'm going to go ahead and pull back and disconnect and get rid of this sterile water.

    04:59 I've got my trash can back here.

    05:01 So I'm going to go ahead and reattach and just really make sure all that sterile water is out.

    05:07 What we absolutely do not want to do is have any water in that balloon when you remove it from the patient.

    05:15 That can definitely cause complications, trauma, pain, for sure.

    05:19 So you see when I pull back this plunger, my extra check to make sure all the waters out, you see how there's all this air, I'm holding tension back on the plunger, and then I can disconnect.

    05:30 So I definitely know all the waters out.

    05:33 So now I've got this disconnected, I can toss my syringe.

    05:37 And a good rule of thumb is kind of choke up on the catheter and educate and instruct my patient here.

    05:44 So now I'm going to instruct Susie to take a deep breath in.

    05:47 And on exhalation Susie, I'm going to quickly and gently remove this catheter.

    05:52 So deep breath in and on exhalation, deep breath out.

    05:56 So while I'm doing this and Susie's exhaling, I'm just going to quickly go ahead and bunch this in my glove for example, and that way I can dispose of this.

    06:07 So just know there's going to be urine and things like that, mucus for example, on the catheter.

    06:12 So I like to hold on to this and I even like a great idea just to kind of cover it with your glove, and then I'm gonna dispose of the catheter properly.

    06:22 Then after we finish before I leave Susie, make sure her bed is in the lowest position and provide perinatal care.

    About the Lecture

    The lecture Female Indwelling (Foley) Urinary Catheter Removal (Nursing) by Samantha Rhea, MSN, RN is from the course Indwelling (Foley) Urinary Catheters (Nursing).

    Included Quiz Questions

    1. Attach the syringe to the balloon port and aspirate water, dispose of the water and repeat until only air is seen when the plunger is retracted.
    2. Attach the syringe to the balloon port and retract the plunger until 10 mL of water is removed from the catheter balloon.
    3. Once 10 mL of water is removed from the catheter balloon, the catheter will slip out of the client.
    4. Attach the syringe to the balloon port and pull back on the plunger until it is all the way to the end of the syringe.
    1. Lithotomy
    2. Supine
    3. On hands and knees
    4. Side-lying
    1. 10cc empty syringe
    2. 20cc empty syringe
    3. 10cc syringe of sterile water
    4. 5cc syringe of sterile water

    Author of lecture Female Indwelling (Foley) Urinary Catheter Removal (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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