00:04
Now we want to secure the
catheter to the patient's thigh.
00:07
Usually your units going
to have a securement device
or even come with a
catheter kit itself.
00:13
This is an important step.
00:15
So that way we can keep
patient from getting trauma
and also for ideal
comfort for a patient.
00:22
Now make sure you place that
collection bag at the location
lower than the patient's bladder,
as you see in the picture here.
00:29
This is really important so urine
doesn't back up into the catheter itself.
00:34
Now before you leave the room,
and it doesn't matter if it's a
male, or if it's a female
catheter insertion, make sure you
return that bed to the lowest position.
00:43
Dispose of all
those used supplies.
00:45
And then make sure
you remove your gloves
and perform diligent
hand hygiene.
00:49
And don't forget to document.
00:56
Hey, guys, we just inserted our
indwelling catheter on our patient.
01:00
So let's talk about what we
do to finish this process up
for a male or a female patient.
01:06
So the first thing to know is securing
that catheter securement device.
01:11
Now just know each facility
may not have these,
but these are really key to keep
this from tugging on your patient.
01:18
So just know when you're looking
at this catheter securement device,
most of the time,
they're really really sticky.
01:25
So be really careful about
adhering it to the patient.
01:28
Also just know when
we remove the back,
we're going to put this
on the patient's thigh,
not really high, we don't want
this looped with the catheter.
01:38
So what I mean by
that is once inserted,
you want a little
bit of give here,
you don't want this super,
super tense and pulling
while in the catheter
securement device.
01:50
You also don't want so much slack
that you're seeing this loop.
01:55
So what's the problem with this?
Okay, so if the patient
has urine coming out,
if it's secured like this,
this can back up into the bladder
and provide complications
for your patients.
02:05
So that's not what
we want to see.
02:07
So give the patient
a little room here.
02:09
And then we're going to put our
catheter securement device down.
02:13
And we want to take a moment
to take a look at this.
02:15
Believe it or not, it's actually kind of
hard to get used to how to secure this,
we've had put the adhesive
down for the patient's leg.
02:23
This is a really helpful tip.
02:25
You see this device, you see how there's
an arrow here and it's pointing up.
02:30
So think about how the arrow
point towards the patient's head.
02:33
So that's going to be really
helpful in the positioning.
02:36
Also notice this thing kind of
swivels around or moves around.
02:40
And that's again, helpful to move with
your patient and to provide less tension.
02:45
So let me show you
how we open that up.
02:47
So there's a little
bit of lock here.
02:50
And I'm going to open
this up for our patient.
02:53
So then I'm going to
take my catheter itself
and Y is going to seat in here.
03:00
So again,
here's the Y of our catheter,
we're going to see this in just like
this, see how that fits nicely.
03:07
So I'm going to take this clamp,
and it's going to be clamped down for a
patient, you should hear a bit of a click.
03:15
So that's what we want to do.
03:16
So now you can see
this can wiggle.
03:19
And this is nice and
secure for our patient.
03:22
So this is our catheter
securement device.
03:25
Now, I will tell you, you may see some
people tape or something like that,
the main thing is to help provide some
support for our patient's catheter.
03:34
So this is our catheter
securement device.
03:37
So once we have this affixed,
the next thing to think about is
how you maintain your catheter.
03:43
So let me show you a
little piece of equipment.
03:49
This is our green clamp.
03:51
Some, but you may not
always see this being used,
it's actually a helpful
piece of equipment.
03:56
So what we're going to do with this is
help secure this to the patient's sheets.
04:01
So what this does is you will take
the catheter or excuse me, the clip,
you're going to squeeze it,
this is going to affixed to the
patient's bed linens, for example.
04:10
So you may see it open with the
clamp, like this.
04:15
So that's just to show
you how the clamp works.
04:18
But our tubing is
important to maintain,
what I mean by that
after insertion,
what I don't want to see
is what we call a dependent
loop or kinks in the line.
04:31
Right, urine needs to flow.
04:33
So what I mean by dependent
loop is once you hang it,
do you see how this
U shape occurs,
this is what we call
a dependent loop.
04:41
This can be a potential problem and what
you need to avoid for your patients.
04:45
Urine can sit in here
and it can back all the way back
up to the patient's bladder.
04:51
We want this nice in draining free and
clearly without kinks or dependent loops.
04:57
So make sure you're cognisant of
that when you hang your bag as well.
05:01
All right,
so here's talking about tubing.
05:04
Next, let's talk about
this collection bag itself.
05:07
There's some important
components to know.
05:10
So this collection
bag is really helpful,
we've already got a hanger, they all
come with this to secure this to the bed.
05:17
And we'll talk about
that piece too.
05:19
But I want you to see
on the bag itself,
this is a urinary drainage bag.
05:24
So you're gonna see
some variations to this,
you may see some of these that have a
like a clear box and extra meter on there.
05:32
You may see a urinary
drainage bag like this,
but this is to help
us measure our urine.
05:38
Now, it's really important
that you actually drain it
to make sure you get the appropriate
amount of urine recorded.
05:45
So just again,
show you the mechanisms of the bag.
05:49
You see here,
there's a little bit of a clamp,
you can make sure and
squeeze this and open this up
and drain this to whatever you need
to record your urine volume in.
05:59
There's also a clamp as you
see, if you push down,
that is going to open it up
for urine flow into empty.
06:07
But make sure anytime you empty
it to make sure to clamp this bag,
so you're in does not spill out.
06:15
Then once we're done,
this just goes back into this little
cap on the bag to keep this clean.
06:21
So these are some of the components
of the bag that's important.
06:25
One other thing about this bag.
06:27
So you notice we just
inserted this here.
06:30
You know many times when
this come out of the package,
there's almost like a vacuum
suction that's happening.
06:36
So to ensure that that
the urine in the tubing
is going to drain in the
bag, break this seal here.
06:43
So I'm going to take a piece of the
outside and a piece of the backing.
06:47
Make sure that this
is just separated,
there's no perfect
measurement for this.
06:52
Just make sure it's separated
because what we don't want
is that to back up into
the patient's bladder.
06:59
So this will help ensure it
goes into the collection bag.
07:03
Then once you've
done all of this,
you want to fix this to a
nonmoving part of the bed.
07:09
What I mean by this is once
we hang this for our patient,
you don't want this hanging
on the bed rail, for example.
07:16
So why do we not do this?
Well, if you move the bed rail
and it's attached to your patient
that could cause some
tugging, we don't want that.
07:24
So when you hang this,
make sure it's below the level
of the patient's bladder.
07:30
It's also not on a
moving part of the bed.
07:33
So again,
below the level of the bladder,
and also make sure it's on
a nonmoving part of the bed.
07:41
Then before you leave the room of course
return the bed to the lowest position.
07:44
Dispose of all
your used supplies.
07:47
Remove your gloves,
perform hand hygiene,
and make sure you document.