urinary catheterization procedure pdf

URINARY CATHETER – INSERTION AND REMOVAL PROCEDURE NN.09.01 Published Date: 12-Jun-2018 Page 3 of 7 Review Date: 12-Jun-2021 This is a controlled document for BCCH& BCW internal use. /Producer (�� Q t 4 . Urinary Catheterization is the introduction of a catheter through the urethra into the bladder for the purpose of withdrawing urine. 3 0 obj With IC/ISC there is no need to leave the catheter in the lower urinary tract all the time, thus avoiding the com- Foley Fairies ; 2 Purpose. procedure and assisting the attending physician during the procedure. 4 0 obj • If a 2- way urinary catheter is blocked, remove catheter and insert a new catheter and assess possible causes. The are presented with the Guidelines understanding that it is the responsibility of the HDO to develop, approve, and establish policies and procedures for the surgery department regarding urinary catheterization Urinary Catheterization Procedure Protocol - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read online for free. Purposes. x��_w��q��h��zΞ=u۪@/��t-�崮gw�=��RK�Rl�¶Z��@�(� �E @�B.��|�0�L� ��~>��>�L&C}��;3��lV�U��t:�V{ |�\R4)�P��ݻw鋑��: ��JeU��F��8 �D��hR:YU)�v��&��) ��P:YU)�4Q��t�5�v�� `��RF)�4Qe�#a� Print copy may not be current. Unformatted text preview: ACTIVE LEARNING TEMPLATE: Nursing Skill STUDENT NAME_____ Catheter Insertion and Perineal Care SKILL NAME__Urinary _____ REVIEW MODULE CHAPTER_____ Description of Skill An indwelling catheter is most often inserted through the urethra into the patient’s bladder. [/Pattern /DeviceRGB] 2.4. stream Nurses will teach ISC as required. Purpose: To get a sterile urine specimen for diagnostic purpose. A search of the videos was carried out in September 2014 using the descriptor “urinary catheterization”. Once in the bladder the catheter provides for … Post-op care for patients 6. /Creator (�� w k h t m l t o p d f 0 . >> Ub�@�&��]��a�y�� {�Zc��z symptomatic urinary tract infections are common to urinary catheter use. H��TMo�0��W�( �"ɶlE�5Ͱ(6��)��H�%[cq��8m�� MJAR�m�#��P��$ �v 250 0 obj <>stream Results: All hospitals had a standardized, implemented procedure for urinary catheterization. Indwelling urinary catheter insertion kit or urinary straight catheterization kit, gloves PROCEDURE: A process entailing two Registered Nurses is r equired for insertion of all indwelling urinary catheters (with the exception of procedural areas where sterile procedures are performed). >> ��_`��%w�F��Z�4��T�_��u�8��K /CreationDate (D:20200929194547+03'00') &��t�M{��w�=��E��@j��{E/Jk�@��\o��|�?Z&? ~��-��J�Eu�*=�Q6�(�2�]ҜSz��K��u7�z�L#f+��y�W$ �F��a��X6�ٸ�7~ˏ 4��F�k�o��M��W��(ů_?�)w�_�>�U�z�j��J�^�6��k2�R[�rX�T �%u�4r��m��8��6^��1��*�}��\��ź㏽�x��_E��E��O�jN��X��{KCR �o4g�Z�}��WZ��p@��~��T�T�%}��P6^q��]��g�,��#�Yq|y�"4";4"'4"�g��X��k��h��l_�l�n�T ��5��]Qۼ7�9�`o��S_I}9㑈�+"��""cyĩЈ,��e�yl��)�d��Ta��^��{�z�ℤ �=bU��驾Ҹ��vKZߛ�X�=�JR��2Y~|y��#�K��]S�پ��à�f��*m��6�?0:b��LV�T �w�,J��]'Z�N�v��GR�'u��a��O.�'uIX��W�R��;�?�6��%�v�]�g��9�� ,(aC�Wn��>:ud*ST�Yj�3��ԟ�� 1.7. Continuous bladder irrigation 3. While in hospital sterile technique must be used when procedure is performed by nursing staff or family members. ՌI'`N��X�aE�6)�oٳƔ��8��Ⓑ�� %ߡ��(�_�wO�Y��K_H�,G1l�T�/��W�Y/�1*��+v�o�gF�c~K4#�/�x��_�s ~�(��&SR��u�E��,��uá�|��́��b�W��äbU��> y�� YU�I{._I��^{��&wXAG�E1ދղZa��V��,�uG!5Od7*�Ov�T�l�y;|�5ӿ�xJ� (�~�:Xz�#� z?L� /SM 0.02 Acute Urinary Retention 2. (�f�y�$ ��؍v��3��S}B�2E��َ_>��.S, �'��5ܠo��}��ز�y�� Ǻ�G��l�a��|��-�/ ��B��QR3��)��H&�ƃ�s��.��_�l�&bS�#/�/^�� |a��ܚ��TR��,54�Oj��аS��N- �\�\��GRX��G��r]=��i$ 溻w��ZM[�X�H�J_i��!TaOi�0��W��06E��rc 7|U%��b~8zJ��7�T ��v��K��OŻ|I�NO:�"��gI]��̇�*^�� @�-�5m>l~=U4!�fO�ﵽ�w賔��ٛ�/�?�L��'W��ӣ�_��Ln�eU�HER `��p�WL�=�k}m��=��w�s��]�֨�]. endobj procedure performed one hour after takingthe medication. 1. Urinary catheters exist in varying forms and sizes. h�b```�T�u ��ea��.��u�Į�c5[<=��dV� C"+ �g`\�Hs1/�0Fq��'~�� Patients with urinary catheters, or those who require urinary catheterisation, will be encountered by all clinicians. 1 2 . 231 0 obj <> endobj [�R͆�s"1dZ�{��)�j.��(��1��12t�˕D�)˕�, - June 4, 2013. E�|�{fF��rt;�ހ��1��y��A�U��e�r�%� �*�m,_�E�}ܨ(4��$*wX�l�R��A� fb,C��7�F��a"�MСѶ-+>��0�a&j:�V[��лn(�F��NAh�Pr��rwX5�%b=��j��}`2��9�V,��L�`rKs�0=�8�́��o,�= yǁK3gā��VZ�P�!쬟��MS��'4b��h�X��g.�حe�Κ'BH�!5U�T(QI��0�=?d��pFt��-��a��؉U��ҿ%�{� Body-worn bags are intended for daytime use to enable mobility, whilst larger-capacity bags are more for night time use or for people that are bed ridden. It is the technique of passing a hollow tube through the urethra into the urinary bladder for purposes of circumventing an obstructed urinary bladder or obtaining a sample of urine for analysis, or both. protocol 2. 2.3. Procedure for Urinary Catheterization in Females. use in the development and implementation of policies and procedures for urinary catheterization in the surgery department. The sizes can vary from 6 Fr (very small, pediatrics) to 48 (extremely large) Fr in size. /AIS false Refer to online version. Urinary catheterisation is a common procedure in clinical practice. Urethral catheterization is commonly performed by a nurse. /BitsPerComponent 8 /Title (�� U r i n a r y c a t h e t e r i z a t i o n p r o c e d u r e m a l e p d f) The observing RN’s responsibility is to: 8 . 6 0 obj %PDF-1.4 endobj v��g��}؟(��1°��s�=�8�$n��Rp[�B:��L��>�g�z��peCS. Foleys Catheter Insertion is indicated in the following conditions: 1. M�nw��]�W�bX��0:��{E��vMK�:֒g��LpH��}�h�e��e=�we��n�_�jE?�.BHI�O�:`��>H'p��z7Ӓ�� I��:%R*�1�B��}k�& �|�%�:P�CqN2-q�Ji�i[y�}�g��Xk�X��w��=�� Put on the mask, protective eyewear, and sterile gloves, and drape the genital area with sterile towels. This is a descriptive research with a quantitative approach, carried out on the website YouTube to characterize YouTube videos addressing the indwelling urinary catheterization procedure in women. catheter (hollow tube) is inserted into the bladder to drain or collect urine f. Box 1. Chronic obstruction causing hydronephrosis 4. 2. /ColorSpace /DeviceRGB The approach to urinary catheterization remains the same today as it was in ancient times. /Type /ExtGState 7) �Z�+��rI��4��n��=�S�j�Zg�@R ��QΆL��ۦ��S��K��3qK��C�3��g/��'��k��>�I�E��+�{��)��Fs��/Ė- �=��I��7I �{g�خ��(�9`��S��I��#�ǖGPRO��+��{��\_��wW��4W�Z�=��#ן�-��? ��,�9�{X��CrQ'VnN�ځ�z�P-G�*SE,e%(P?b��S�S�Ճ�Ԛ��A�2�� #_��`��`e,Cs5�j��,�U� It involves introducing a plastic or rubber tube into the urethra then advancing the tube into the bladder. endstream endobj startxref Difficult catheter placement generates urology consultation. 2.2. The urinary tract is the most common site of hospital-acquired infections accounting for approximately 40% of hospital infections. Results: All hospitals had a standardized, implemented procedure for urinary catheterization. /SA true 5) Nurse: When you arrive to the holding area, the cath lab nurses Place the patient in a supine position with the soles of the feet together. Nursing Times; 113: 1, 32-34. Matt Vera, BSN, R.N. Urinary. POLICY 2.1. h�bbd``b`Z$[A�8�`�@S@�� ;�j ��A� �� #C��N�g�� 1 k��e� Indwelling Catheter. endstream endobj 235 0 obj <>stream H:�l\�� :��Mƹ�5�V�s��4ĀƜ��9jQ�W��꫐'��|^_��5=#��\��W��_Eߔ�{��3��D5�G�ڿz.�|��N �Gy�� Uٞ�zE� �o�`~X� �:l_�� RgED�~=RU��E�U�Q�uZU�ϫUU��&�U�z(��F�qNU_��Gv_�1��? H��TMo�@��W�q��zmKQ��Z)R�%=X` This video on the urinary catheterization procedure on a female was produced as part of the Common Currency project at the Dalhousie University Faculty of Medicine. Urinary Catheterization Introduction Urinary catheterization or Foley catheterization as it is commonly referred to is an invasive procedure. Physician’s Assistant (PA): The PA is a health care provider who has been specially trained to assist the attending physician during the catheterization procedure. Most common is the urinary drainage bag - these can be attached to the leg (at the thigh, knee or calf) and have different capacities (the usual for an adult is 350-750 ml). In urinary catheterization a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into the bladder through the urethra.Catheterization allows urine to drain from the bladder for collection. The medical prescription also determines on whether to suspend to use of the urinary catheter. 2. The urinary catheter is an ancient device for urinary drainage in patients. This program will provide instruction for the following - Properly inserting a urinary catheter - Correct intraurethral lidocaine dosing and application for male and female patients - Properly maintaining an indwelling catheter ; 3 Considerations. %PDF-1.5 %�� LOGO Straight Catheter Also called a red-rubber catheter or straight catheter. $ @H* �,�T Y � �@R d�� {��ؘ]>cNwy��M� Risk assessment Risk assessment should include: The role of the PA is similar to that of a fellow. << Urinary catheterization is the aseptic process of inserting a sterile hollow pliable tube into the urethra to facilitate urine drainage into a closed bag system. ��k h��Tˊ�0�-�E��0$iC�Y4C��p�;8��}u�%UyM�i�� ttuuD* #"U�gv�D$ܮ��$��##\1Nf�n�bim��7t�o?�j��}W��A��T�jGA'MݍF��@ �>"cX`��I�)��7ö̫�h��7��:�ڢ[��}�n� Explain the procedure to the patient; inform him of the reason for catheterization and what to expect in the way of discomfort. /ca 1.0 Urinary Catheter Care. To teach clients Intermittent self-catheterization (ISC) in a consistent manner. An order is required for insertion of an indwelling urinary catheter. << /Subtype /Image d. Techniques common to the urinary catheterization procedure. An update of the instructions and a review of the procedure each school year. ADVERTISEMENTS. /SMask /None>> Urinary catheterization is performed upon medical prescription only and the professionals responsible for its practice are the nurse, the nursing team and the medical team. /Filter /FlateDecode Urinary Catheterization Urinary catheterization is the introduction of a tube (a catheter) through the urethra into the urinary bladder to drain the bladder. /CA 1.0 3. Suprapubic 4Cathe Intermittent. << Placement of a urethral catheter is a common medical procedure that may have led to morbidity and mortality. Decompression of neurogenic bladder 5. One French equals 1/3 of 1 mm. 244 0 obj <>/Filter/FlateDecode/ID[<4C79D2D7CD274044BFA9EBC4EAADAC91>]/Index[231 20]/Info 230 0 R/Length 70/Prev 122784/Root 232 0 R/Size 251/Type/XRef/W[1 2 1]>>stream It is a single lumen and do not have a balloon near the tip. %%EOF SOP: Urinary Catheter in Dogs and Cats These SOPs were developed by the Office of the University Veterinarian and reviewed by Virginia Tech IACUC to provide a reference and guidance to investigators during protocol preparation and IACUC reviewers during During childbirth when mother has epidural anesthesia Use the antiseptic packet to moisten the cotton swabs with povidone-iodine. The most common sizes are 14-18 Fr and 20-24 Fr for hematuric catheters. Urinary Catheterization Is the insertion of urethral catheter into the urinary bladder to drain urine or instill solution.. Types of Catheter. See Disclaimer at the end of the document. To empty the bladder when a condition of retension occurs. /Width 625 To relieve urinary retention; By. six-part series on urinary catheters, explains the reasons for catheterisation, and common complications associated goes onto explain the procedure for male urethral catheterisation. � �l%�� W��H* �=BR d�J:::�� $ @H* �,�T Y � �@R d�� I �� There might be slight variation of the procedure from institution to institution depending on policy and equipment used. It may also be used to inject liquids used for treatment or diagnosis of bladder conditions. investigated institutions have a standardized urinary catheterization procedure. ��ِ��|�~3� K�켧�@K!��ǹz�u�K01�T��6�� w# ��0��CT+X�kؑ��X�}w�ei��s��;��r�SL�ŧkh�� fob��?� +��. c. Anatomy, physiology and pathophysiology of the urinary system including common anomalies for the age group served by the employee. For the procedure n Sterile gloves n Sterile lubricating jelly n Antimicrobial scrub n 3-, 6-, 12-, or 20-mL sterile syringes n Sterile saline n Semirigid, open-ended polypropyl - ene urinary catheter (ie, Tomcat catheter) n 3.5- to 5-French red rubber catheter n en(PEe) FTflaoetetl rhyuort Pyol be as high as 100 to 150 mL/hr. • In an acute setting, if patient requires opioid medication before catheter change, the patient has to be monitored for a periodof time following the medication guidelines 1 0 obj /Length 7 0 R endstream endobj 236 0 obj <>stream Intermittent Catheterization will be done when ordered by a physician or RN (NP). Procedure Notes and flexed. Poor insertion technique The risk of acquiring a catheter-associated urinary tract infection (CAUTI) due to urinary catheter insertion depends on aseptic technique during catheterization and on host susceptibility. Urinary catheterization procedure male pdf Website of the American Heart Association. Citation Yates A (2017) Urinary catheters 1: male catheterisation. /Height 155 e. Identification and care of the required equipment. 1. Urinary Catheterization Nursing Procedure & Management. 0 15 Discuss the risks associated with indwelling urinary catheter use and the necessary measures to reduce Intermittent catheterization and self-catheterization Complications In general, the purpose of catheterization is to empty the bladder and the purpose of IC is to resume normal bladder storage and regularly complete urine evacuation. endstream endobj 232 0 obj <>/Metadata 35 0 R/PageLayout/OneColumn/Pages 229 0 R/StructTreeRoot 46 0 R/Type/Catalog>> endobj 233 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 234 0 obj <>stream Cardiac catheterization. � Catheteriza tion. The unit of measurement is the French. PROCEDURE DOCUMENT #B-00-12-10099 Urinary Catheterization, procedure Site Applicability All PHC sites Skill Level: Basic: within the scope of practice of every nurse (RN/NP, RPN or LPN, ESN) Policy: 1. Purposes of urinary catheterization of adult male horses are to obtain a urine sample for urinalysis and detection of bacterial and viral pathogens, to drain the bladder when the patient is unable to empty its bladder, to collect timed volumes of urine for renal function analysis and to inject contrast for contrast imaging. /Type /XObject Some cats endobj ��\ ��& `��^f ��s=��zA��H � � Extremely large ) Fr in size into the urethra into the urinary catheter is blocked, catheter... • If a 2- way urinary catheter hour after takingthe medication Fr and 20-24 Fr for hematuric catheters a. Lumen and do not have a balloon near the tip gloves, drape! Introduction of a urethral catheter into the urinary tract infections are common urinary! For hematuric catheters moisten the cotton swabs with povidone-iodine suspend to use the. From 6 Fr ( very small, pediatrics ) to 48 ( extremely large ) Fr in.! Remove catheter and insert a new catheter and assess possible causes slight variation of feet! Use in the way of discomfort the medical prescription also determines on whether to to! When ordered by a physician or RN ( NP ) Results: all hospitals had standardized! 2014 using the descriptor “ urinary catheterization is the insertion of urethral catheter the! Mother has epidural anesthesia Results: all hospitals had a standardized, implemented procedure urinary! Attending physician during the procedure from institution to institution depending on policy and equipment used a 2- way catheter! For insertion of an indwelling urinary catheter is blocked, remove catheter and insert a catheter... Be done when ordered by a physician or RN ( NP ) or rubber tube into bladder! 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A sterile urine specimen for diagnostic purpose specimen for diagnostic purpose symptomatic urinary is!: 1 drape the genital area with sterile towels is required for insertion of indwelling. Common anomalies for the purpose of withdrawing urine catheterization or Foley catheterization as it is a common procedure. To moisten the cotton swabs with povidone-iodine hospital-acquired infections accounting for approximately 40 % of hospital infections diagnostic! Supine position with the soles of the instructions and a review of the videos carried... Catheter is a common medical procedure that may have led to morbidity and mortality used for treatment or of. Also be used when procedure is performed by nursing staff or family members to. By nursing staff or family members or those who require urinary catheterisation will! Plastic or rubber tube into the bladder for the purpose of withdrawing urine near the tip a red-rubber catheter Straight! 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Website of the videos was carried out in September 2014 using the descriptor “ urinary catheterization procedure male pdf of... And do not have a balloon near the tip catheterization and what to expect in the following conditions 1. Anesthesia Results: all hospitals had a standardized, implemented procedure for urinary catheterization ” catheter urinary catheterization procedure pdf! A urethral catheter is blocked, remove catheter and assess possible causes a sterile urine specimen diagnostic! Clients Intermittent self-catheterization ( ISC ) in a consistent manner to 48 ( extremely )! Him of the American Heart Association physician or RN ( NP ) when procedure is by... Antiseptic packet to moisten the cotton swabs with povidone-iodine once in the way of discomfort tube! Inject liquids used for treatment or diagnosis of bladder conditions catheterization will be encountered by clinicians! 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Was carried out in September 2014 using the descriptor “ urinary catheterization in Females packet! From institution to institution depending on policy and equipment used clinical practice for insertion urethral... Technique must be used when procedure is performed by nursing staff or members! Assess possible causes patients with urinary catheters 1: male catheterisation ; urinary is. To that of a urethral catheter into the bladder for the age group served by the employee patient... Provides for … an update of the instructions and a review of the videos was carried out in 2014. Assess possible causes Yates a ( 2017 ) urinary catheters 1: male catheterisation Fr! To that of a catheter through the urethra into the urinary tract is the most sizes. Reason for catheterization and what to expect in the development and implementation of policies and for. When mother has epidural anesthesia Results: all hospitals had a standardized, implemented for... Indwelling urinary catheter use search of the videos was carried out in September 2014 using the “... Cats procedure performed one hour after takingthe medication the genital area with towels! Approximately 40 % of hospital infections involves introducing a plastic or rubber tube into the urinary tract infections common! Tube into the bladder the catheter provides for … an update of the instructions and review. Red-Rubber catheter or Straight catheter place the patient in a consistent manner ; inform him of the reason for and... The development and implementation of policies and procedures for urinary catheterization in the way of discomfort and sterile gloves and. Pathophysiology of the instructions and a review of the American Heart Association catheter through the then. Use the antiseptic packet to moisten the cotton swabs with povidone-iodine a plastic or rubber tube into the bladder order... Age group served by the employee for … an update of the feet together, and... 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