Chapters Transcript 2 BD SureStep™ Foley Catheter Insertion, Male Catheterization mm. Hmm, ensure adequate lighting, arrange for extra nursing personnel to assist as necessary. Position the patient supine with the knees flexed and separated open outer packaging of the foley catheter tray, remove the tray, remove the label, directions for use brochure and orange sticker sheet from the top of the tray and set aside. Place it between the patient's legs. The first step of the catheterization procedure should be a soap and water, perennial Cleanse. A perry care kit is provided on top of the wrap of the foley tray with simple instructions. Open the kit and remove the soap wipes and hand sanitizer. Open the packet of soap, wipes, remove and unfold them. Cleanse the peri urethral area and discard wipes after use, remove and discard your soiled gloves, perform hand hygiene with the provided alcohol, hand sanitizer gel, position the tray so that the arrow is pointed towards the insertion site, remove the band by lifting near the adhesive and unfold the outer wrap. Don the sterile gloves while maintaining sterile technique in an area outside of the outer wrapping. Place the under pad beneath the patient, plastic or shiny side down. Use caution not to contaminate your sterile gloves while positioning the under pad, position the thinnest rated drape over the external genitalia so only the penis is exposed. Advanced the tray toward the patient so the outer wrap and under pad, overlap the sure step fully tray is labeled. To walk you through each step of the catheterization procedure. Step one open the packet of POV adonai iodine step two Pour the solution onto the three foam swabs, sticks to saturate them. Step three attach the syringe filled with sterile water to the inflation report. Please note that it is not necessary to pretest the foley catheter balloon. Step four, locate the green syringe with lubricant and deposit the full amount of lubricant into the tray. If hospital policy permits injecting lubricant into the male urethra. Full amount will not be dismissed into the tray at this time, remove foley catheter from the blue wrap and place it in the lubricant. Step five. With your non dominant hand. Elevate the penis, holding it perpendicular to the body without compressing the urethra. This hand is now contaminated and committed to non sterile activity With the uncircumcised patient. The four skin should be gently retracted. Step six, Using your dominant hand, cleanse the penis with the POV adonai iodine saturated foam swabs sticks, twist the swabs to remove them from the train. Start at the urethral status and you swap sticks one at a time cleansing in a circular motion If hospital policy permits or following physician's orders inject remaining lubricant into the urethra per established protocol. Step seven, remove the catheter from the lubricant, insert the catheter into the urethra. Metis using gentle downward pressure insertion may be eased by instructing the patient to take deep breaths and exhale slowly if using a codex catheter insert the catheter tip into the with the curve facing towards the ceiling. If during insertion there is an obstruction or difficulty. Stop. Do not force passage, Call for appropriate assistance or follow proper hospital protocol. When the catheter tip has entered the bladder, urine will be visible in the drainage tube. Advanced the foley catheter to the bifurcation of the catheter or as far as hospital policy permits to assure the balloon is within the bladder, inflates the catheter balloon with the entire 10 mL of sterile water provided in the syringe. Only sterile water must be used to inflate the balloon, remove syringe once the balloon is inflated, gently pull the catheter cod really until the inflated balloon is snug against the bladder neck. If successful, catheter insertion is not completed, including breaks in aseptic technique, replace the catheter and collecting system using aseptic technique and sterile equipment. If proper catheterization is not accomplished, use a new catheter system after inserting the catheter, discard all materials in accordance with hospital policy and remove contaminated gloves, Created by
