Foley Catheter-Personal Narrative

So when my mentor Mary and I were preparing the trays we made sure that everything he wanted was on the trolley. As I was working under supervision of Mary and the Circulating nurse Mark, they were explaining to me about the importance of preparing the theatre according to each surgeon’s preferences. After all the necessary checking’s and preparations in the anaesthetic room done, Mr Dillon was brought into the theatre after he was given general anaesthesia and Mr Mann started the surgery. Everything was going well until Mr Mann started to fix the tibial implant. As per surgeon’s instructions we had it ready but unfortunately the ‘71’ size he had requested was a bit smaller and he asked for a ‘73’ size. But Mary told him that it is not available in the tray so she asked me to get it from the tray room. Mark left me to go on my own to the tray room and I could not find it. I was afraid to go back into theatre to tell the surgeon. When I finally went back and told, the surgeon that I could not find it, he started shouting. Mary stepped in and told me to go with Mark so I could see where it was kept. That made the surgeon to calm down. We ran back again and got it. Mary, Mark and I were so relieved. The time taken for such a small incident was almost 10 -15 minutes which was really stressful to the whole team and very dangerous to the patient. Luckily everything went

I was about to achieve my objective this week by performing nursing care for two patients, hanging an IV piggyback, flushing and administering an IV med and inserting a straight catheter with the help of the nurse.

My educational fear in the past was during my first week off ICU orientation, I was assigned an admission from the ER of a post cardiac arrest middle aged patient who was placed on a therapeutic hypothermia. I verbalized to the Charge Nurse of being hesitant to accept the admission since I’m fresh off orientation. She told me “this would be a good experience for you”. I want to keep good positive impression to my colleague being a new nurse of my new unit and took on the mission to accept the assignment. After receiving a report, the unconscious patient arrived on our unit on a ventilator with hypothermic jacket and with multiple drips. My heart started to pound and said to myself “what am I getting into, transferring here in ICU is a mistake, and I just want to cry”. While being shaky, I took good long deep breaths. After the patient was situated the on the bed, I carried on the task according to the doctors’ orders and the protocols. I stayed in communication with my charge nurse for assistance, questions and moral support. I succeeded the patient care uneventfully on a 12 gruesome hours by working and collaborating with the charge nurse, the senior RNs as a

A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine ( ). There are many types of catheters such as a straight, indwelling, and condom catheters. A straight catheter is one that does not stay inside the person. It is removed immediately after urine is drained. An indwelling catheter is one that stays inside of the bladder for a period of time. And last, a condom catheter is one that has an attachment that fits onto the penis. This catheter is changed daily or as needed. For the purpose of this document, the care that is going to be performed will need to be performed on a patient/resident with an indwelling catheter.

Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora

You must explain the process to the patient before you began. Most patients are not used to inserting any object into their urethra. It is often described as painful or uncomfortable. So out of respect for the patient, explain the steps of the procedure to him/her before beginning.

This study focuses on whether the use of reminders assists in decreasing the use of urinary cathethers and the occuruence of catheter associated urinary infections. UTI risk increases by 5 percent with the use of indwelling catheters. The Center for Disease Control and Prevention (CDC) has recommended that patients receive catheters if indicated but over 41% of physicians have ignored this and nursing staff have ignored evaluating when the catheter should be removed. Besides noncompliance with the CDC, this study shows for patients who have catheters, the reminder system will help to decrease the length of indwelling cathethers are potential UTI infection associated with it. In previous studies, their has been different views as to whether

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

This one special Tuesday morning that I remember so fondly started just like any other day. My alarm clock went off at precisely 5:15 a.m. I lay in bed dreading to go back to “my hell,” which I called work. When I finally made it to the nursing home, I went straight to the nurse’s station to check what rooms had been assigned to me. I just so happened to get one of the hardest hall assignments, one that I had recently gotten the day before. This made me upset because the nurses were supposed to make sure we got different room assignments every day to make it fair on everyone. I decided then and there that I would keep a positive attitude and do my job the best I could, so I held in my frustration and went straight to doing my morning rounds.

A midline catheter is a thin, flexible tube that is inserted into a vein in the upper arm or at the bend in the elbow. Its tip ends at or near the armpit (axillary) area. A midline catheter is a type of intravenous (IV) access.

This was very funny and I had to share with you. While the physician preparing the sterile field for Foley catheter, I ethical asked the physician that if was okay for me to insert a Foley Catheter. She laughed and told me that she cannot let me do it because she never saw me inserting a Foley

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

The Cardiac Catheterization Lab is a highly specialized area of work, and therefore does require some specialized training for its nurses. Among the requirements include a background in intensive care nursing and having Advanced Cardiac Life Support certification. Some nurses were also Cardiovascular Nurse-Board Certified, and had X-ray training and licensure. Because it can be a very high intensity area, the VA does not accept new graduates to the Cath Lab. With its intensity, I inquired of several nurses what techniques they utilize to cope with traumatic events. Sara discussed how much she relies on her fellow coworkers in emergent events to step up and be willing to jump in and assist as needed. She also mentioned how each nurse attends a biweekly meeting with several other staff members to discuss any major successes or errors which have occurred. Sara explained this time as an excellent learning opportunity, as well as an outlet when each person on the team can share their thoughts.

As Friday was my first day starting my experience at the cardiac catheterization lab, I was quite nervous and curious about the different things that I would have to do considering in all my time volunteering at the hospital, I have been to the cath lab only one or two times. However, when I went to the lab I was warmly welcomed by some of the staff and I later met many of the nurses and doctors there as well. Everyone was very friendly and they were excited to have my help and to “train me.” In fact, one of the doctors I met wanted me to do some research regarding cardiac catheterization to “get me more involved in the field,” which is pretty exciting because I'm not very familiar with anything related to cardiology but I chose this specific

The case that I have chosen to reflect on was a patient that was already staying on a ward within the hospital, the patient was rushed to the emergency theatre late at night from the ward with a suspected internal bleed, the cause and exact location of the bleed was unknown, the patient presented a complex case for the theatre staff as the patient 's condition was largely unpredictable along with the amount of blood loss that the patient could lose. My role within the theatre team was on the anaesthetic side, I was supported by my mentor who I feel I have learned a vast amount of