00:04
Let's take a look at some
special considerations
in regards to an
indwelling catheter.
00:10
Now, here's the biggie, guys,
catheter-associated urinary tract
infections, otherwise known as CAUTI.
00:17
So as you can imagine, when you're
talking about indwelling catheter,
this is something
foreign in the body.
00:23
This is definitely an avenue to
increase infection in our patients.
00:27
CAUTI is a huge initiative
in your facilities,
we need to prevent this to prevent
complications in our patients.
00:35
Next, you can definitely cause
some trauma on insertion.
00:38
So this is something
such as bleeding,
pain that we need to be conscientious
about with our insertion technique,
and just with the
catheter being in place.
00:48
Now, here's something
to think about.
00:50
When we inserted the
catheter with our patient,
notice when we inflated
the balloon once inserted,
it's really important upon removal that
we make sure that balloon is intact.
01:02
Because again,
if you remember on insertion,
we inserted that catheter,
we inflated the balloon,
we need that balloon to stay
intact inside the bladder
so we can drain and
properly seat for a patient.
01:16
But if that balloon burst,
that can be a serious issue for a patient.
01:20
Now sometimes when you have an
indwelling catheter for some time,
the patient is used to
having this in place.
01:27
In that catheter is draining that
urine for you out of your bladder.
01:31
Now when we remove
that catheter,
sometimes our mind our bladders not
used to it and we can hold on to urine
and cause urinary retention
or urinary incontinence.
01:42
This is something we need to be
diligent to assess as a nurse.
01:47
Next with a catheter in itself,
there's lots of stuff that can
collect around that catheter.
01:52
So there's an increased risk for
bladder stone formation as well.
01:57
And lastly, the longer that's in
that can cause serious complications
or fistulous for a
patient's bladder.