Indwelling (Foley) Urinary Catheter Insertion: Special Considerations (Nursing)

by Samantha Rhea, MSN, RN

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    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.

    About the Lecture

    The lecture Indwelling (Foley) Urinary Catheter Insertion: Special Considerations (Nursing) by Samantha Rhea, MSN, RN is from the course Indwelling (Foley) Urinary Catheters (Nursing).

    Included Quiz Questions

    1. The nurse scans the client's bladder six hours post-catheter removal to assess for urinary retention.
    2. The nurse inspects the catheter balloon after catheter removal.
    3. The nurse hangs the urinary drainage bag at a fixed point below the level of the bladder.
    4. The nurse performs regular peri-care on the client after catheter removal.
    5. The nurse asks the client if they are in pain post-catheter removal.

    Author of lecture Indwelling (Foley) Urinary Catheter Insertion: Special Considerations (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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