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INSERTION OF INDWELLING URINARY CATHETER

INDICATIONS:

POST-OPERATIVE PATIENTS- patient who cant get up.(Hip replacement, CS)

URINARY RETENTION (distended abdomen)

CONSIDERATIONS:

Verify Doctors order for IDCEducate Patient (What are you going to do, Why the procedure isnecessary)Get Patients ConsentProvide Reassurance to Patient

Promote Safety and Privacy

CONTRAINDICATIONS:

After abdominal trauma (difficult to poke, may cause more traumato organs)Vaginal Surgery (allow doctor to do it)

EQUIPMENT:

Right catheter sizeSterile glovesDrainage bag and holder

BlueyCatheter pack10 mls syringePlain NSSSterile waterLubricantExtra gauze (for holding labia to separate when cleaning)Tape to hold catheter in the inner thigh.

Procedure:1. Check for doctors order2. Explain to patient the procedure3. Get patients consent. If they allowed you then prepare your

equipment.4. Make sure area is clean to get rid off debris(shower, if cannot

provide face wash and bin-if they can do it. If incontinent thenyou do it)

5. Wash your hands6. Check for the hospital policy7. Position patients legs up and out. (like a frog). Provide

privacy. Put your curtains around.

8. Get your equipment put in trolly make sure trolly is cleanalready with rubbish bag.

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9. Put bluey under patients buttocks. Put the rope on the side ofthe bluey.

10. Put on goggles11. Open catheter pack, Separate the contents 2 blue

container and forceps out of the container.

12. Open 10 mls syringe13. Pour water on the container with gauze and cotton.14. Put lubricant on the side of our sterile field.15. Put sterile gloves on arrange your equipment16. Get blue gloves in the pack and put it on17. Wring cottons and sponges with forceps18. Spread blue with diamond on patients vaginal area

using forceps. (white part up)19. Put the other container on working are for urine to flow.20. Put the sterile tissue on top of patient.21. Open the catheter tube not the whole thing, Allow the

blue for the urine to flow.22. Wipe vagina up to down outside first23. With the added gauze use to separate folds and clean

inside.24. Throw gauze, cottons and blue and remove blue gloves

throw everything.25. Get catheter make sure its lubricated26. Get the other gauze use to separate.27. Stick tube to the uretha until there is resistance. Urine

will flow on the remaining plastic. (make patient breath in and

out making muscles more relaxed and patient is focused onher/his breaths)

28. Get 10 mls syringe flush with prepared NSS, water orair. According to hospital policy. (green side)

29. Connect the drainage tube on the other end of thecatheter.

30. Tape catheter on the inner thigh. Will not move. Allowtube to be not too tight. If no tape use the rope loop it and tie.

31. Tear the bluey with diamond. Put everything on therubbish bag

32. Take off sterile gloves. Discard.

33. Wash your hands.34. Assess for the patient if tolerated the procedure and

comfortable. Urine is draining well.

DOCUMENTATION

What size of catheter you put in.

How many mls you injected to inflate the balloon

Output of urine after.