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

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.