Female Indwelling (Foley) Urinary Catheter Removal (Nursing)

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.