Foley Catheter Lab

Bernard, M.S., Hunter, K.F., & Moore, K.N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing 32(1)

Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile

A catheter is used in an event of an individual that has either had trauma or surgery and as a result has temporary urinary retention (Patton & Thibodeau, 2013)

. The organization’s culture patients are found using indwelling catheterization for long periods of time, and no protocol for removal of the catheter post-operative patient’s, and also unnecessary Foley insertion on elderly inpatients for incontinence. Simultaneously, it is important to note that by avoiding indwelling cauterization and prolonged stay of catheter in patients may increase the infection and (CAUTIs (Bernard, Hunter, & Moore, (2012). The author made a survey and then analyzed it as a whole. However, the survey documented low and high score related to the case.

When changing a suprapubic catheter, you need to follow precise steps to keep the procedure sanitary as well as correct. Firsts, you need to have a clean and sanitize table that you can place all the supplies needed for it. Once, the table is clean go ahead and lay out all the following supplies; the catheter, insertion kit, iodine, personal lubricant, saline syringe, and collection bag. After you have everything you need laid out go ahead and put on both sets of surgical gloves. Next, clean the area in which the suprapubic catheter will go in with the iodine, making sure that you cover a 1-inch circumference around the surgical site. Afterward, you will need to open the insertion kit and get out the empty syringe and connect it to the used

The purpose of this paper is to identify an issue identified by the National Council of State Boards of Nursing NCLEX examination blueprint. The identified issue that I will be addressing for this paper is catheter associated urinary tract infections and is under the category of safety and infection control; according to (INSERT NCSBN CITATION) this issue falls under the overview of safe and effective care for patients. The importance of addressing this issue is one that can potentially aid in the patient having a higher satisfaction rate for the facility and the facility not potentially having to pay for services not covered by insurance after the infection develops.

Urinary tract infection (UTI) are extremely common healthcare-associated infections, it is estimated that about 6 million American are affected annually. One of the risk factors for developing UTI is associated with indwelling urinary catheter; approximately 80% of UTI are related to the use of indwelling urinary catheter (Lederer, Jarvis, Thomas, & Ritter, 2014). Indwelling urinary catheters are common sources of infection in the urinary tract because they are irritating to the tissue and, when inserted, may be a means of introducing bacteria directly into the bladder if sterile technique is not used

Remain in a sitting position, but do a pressure release immediately. You may transfer yourself to bed, but always keep your head elevated.

It is very important for the researcher to control the extraneous variable that could affect the study results. The extraneous variables that would affect the results in this study include, the catheter material, the catheter care, and the method of obtaining the urine sample. To control the catheter material, this study will be using the antimicrobial and antiseptic-impregnated catheters instead of the standard catheters as recommended by the Centers for Disease Control and Prevention (CDC) 2009 guidelines because they are effective in reducing the risk of CAUTIs. To control the catheter care, the study will follow the CDC guidelines for routine catheter care by ensuring that all the indwelling urinary catheters (IUC) maintain a sealed drainage system, and an unobstructed urine flow. In addition, the nursing staff will be cleansing the meatal area daily with warm soapy water instead of antiseptics, while maintaining the standard precautions including hand hygiene and wearing of gloves while performing peri-urethral care. To control the procedure for obtaining urine sample, the study will use the CDC recommendation for collecting the urine sample aseptically, by aspirating the urine from the sampling port with a sterile syringe after thoroughly cleansing the port with an antiseptic wipe (Gould et al., n.d.).

A foley can be left in the bladder for a short or long periods of time, it is also known as an indwelling catheter (Frank et al., 2012). A foley catheter is used for multiple reasons: urine retention, obstruction of the urethra, monitoring output in critically ill patients including those with acute medical illness, spinal trauma, surgery, healing open sacral or perineal wound in the incontinent patient, and hospice care. Foley catheterization may be placed by the medical providers, registered nurses or any trained personnel. It is inserted using a sterile

Foley catheter insertion is a sterile procedure used for multiple reasons in the hospital. The CDC has a list of appropriate indications for placement of an indwelling catheter. The catheter which is a thin sterile tube placed into the urinary bladder through the urethra. It is important to remain sterile throughout the insertion process to help prevent a catheter associated urinary tract infection (CAUTI), which are the most common type of healthcare-associated infection (HAI). Due to Foley insertion being an invasive technique it can only be performed by a trained and licensed personnel. There must be a doctor’s order indicating the need of a catheter insertion. Foleys are available in different sizes so it is important to pick the smallest

Evidence based practice says, 15 seconds of exposure to 70% alcohol applied with friction followed by a 30-60 second dry time is effective to disinfect an access port contaminated with high levels of bacteria (Kaler, 2014). This full 15 second method of disinfection with alcohol wipes before and after use, is known as the “scrub the hub” protocol. It is the standard of practice for more than a decade. The “scrub the hub” protocol is effective when followed. Although efficient when done properly, it is unrealistic and often inconsistently carried out especially in a busy and time-constraint environment. In addition, it does not provide means for compliance auditing. Proper catheter hub disinfection is difficult to monitor accurately especially if nursing staff know that they are not being

In removing of Indwelling catheter first we need to verify the identity of the patient, then explain procedure to the patient, get her/his consent, check notes to see how much water was being inflated into the balloon, check the scheduled removal date if it is correct, perform proper hand hygiene, gather the equipment, use gloves, provide privacy then we start to do the procedure.

When providing care for an indwelling catheter it’s important that you provide patient comfort with minimal exposure of genital areas when needed for privacy and respect towards the client. Before beginning care, you would position a female patient in a dorsal recumbent position and a male in the supine position, followed by placing a waterproof pad underneath the client’s buttock. These positions are necessary in order to ease visualization of the genital area and provide proper care. In addition, you would place a warm blanket only exposing the perineal area along with the catheter for comfort. In order to provide easy access for you to clean around the catheter you should remove the catheter from the securing device while keeping the catheter

I was slightly familiar with the foley catheter, however, I need some slight guidance. I knew that I needed to drain the foley bag because it was slightly full, but I did not know where to unclamp to drain it. The nurse’s aid taught me how to unclamp the bag so I can drain the urine. I also learned that when moving the patient who has a foley bag, it was important to make sure that the patient is not going to get a UTI. UTI can be caused by holding the foley bag at a higher positon causing the urine to backtrack. It is important to keep that in mind as a healthcare worker. I have not been skill checked on foley catheters, however, I need to practice working around foley catheters to protect the patient. I could always go on youtube and search videos on foley catheters or I can use the perry and potter book to learn