Indwelling (Foley) Urinary Catheter: Post-procedure and Special Considerations (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 After we've removed our catheter, make sure remove and discard that absorbent pad that was used.

    00:09 Return the bed to the lowest position and dispose of any used materials.

    00:15 Once we've done this, we can take off our gloves, perform hand hygiene and don't forget to document that procedure.

    00:22 Let's talk about some special considerations regarding patients with indwelling catheters.

    00:28 Now this is going to go for males or females.

    00:31 So one thing to know if you take a look at this list.

    00:34 1. With a catheter, you may think, "Oh, we're gonna be stuck bed bound." But that's not the case, we can actually increase the patient's mobility by using a leg collection bag when able.

    00:46 This is going to look like a smaller bag that's going to be affixed to the patient's leg so they can go about and go about their normal activities.

    00:55 Now here's one thing to note about the male population.

    00:58 This is important.

    01:00 So particularly with males with enlarged prostate, they may need a special kind of catheter.

    01:05 So we may need something for a little bit easier insertion around that large prostate, we call these coudé catheters.

    01:12 Now about every facility should have something like this.

    01:15 So make sure you assess your patient and their history.

    01:18 Sometimes we may need to irrigate here.

    01:21 This could be for a lot of reasons such as trauma or post surgery, we use a special kind of 3-way catheter for irrigation here.

    01:29 So just know there's some variations on some of the equipment you're going to use.

    01:34 Now, if you remember, we've talked about this previously, when you remove a catheter, sometimes the patient's bladder, and they're just used to having a drainage system in place, we need to make sure the patient can urinate on their own and sometimes urinary incontinence can also be an issue.

    01:52 And lastly, educate the patient on the catheter and infection prevention strategies.

    01:57 Remember your hand hygiene.

    01:59 Remember sterile technique for the nurses, this is going to help reduce our CAUTI rates.

    02:05 So we've talked a lot about CAUTI prevention.

    02:08 So if we take a look at this image here, there's a lot of key points that we need to consider to prevent CAUTI on an indwelling catheter.

    02:16 So if you take a look at the top here, you see one that says intact seal.

    02:20 So we're talking here about that catheter securement device, make sure this is intact and here to the patient's leg.

    02:27 Now, when you're having an indwelling catheter, we don't want any kinks in that catheter tubing and no dependent loops.

    02:33 You may ask what a dependent loop means.

    02:36 Sometimes when it's a fixed that tubing can kind of create a U shape.

    02:40 We don't want urine to stay here and potentially back up to the bladder.

    02:44 So we need to check the tubing that it's going to flow freely.

    02:49 Now as you see on this image, don't forget that drainage bag, you remember when we inserted it, we made sure that it's below the level of the bladder.

    02:57 Again, we don't want urine to back up into the bladder itself.

    03:02 And please note, this is something that takes a lot of monitoring and care.

    03:07 Sometimes that urinary drainage back can get really full, we need to make sure that we're emptying that properly and empty when it's about half full.

    03:16 Now if you take a look on the other side of the screen, you'll see routine perineal care is really important to prevent CAUTI.

    03:23 We also want an ongoing evaluation to see if we even need that catheter.

    03:28 The earlier the better for removal.

    03:30 And easy and painless removal is also going to help prevent CAUTI and our patients comfortability.

    About the Lecture

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

    Included Quiz Questions

    1. Coudé
    2. 3-way
    3. Indwelling
    4. French
    1. Keep the drainage bag below the level of the bladder.
    2. Routine perineal care.
    3. Removing kinks or dependent loops.
    4. Attach the catheter securement device to the client's thigh.
    5. Use the 1-inch border to move around the sterile field.

    Author of lecture Indwelling (Foley) Urinary Catheter: Post-procedure and Special Considerations (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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