Female Catheter Insertion Procedure
💣 👉🏻👉🏻👉🏻 ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻
Просмотров: 938 тыс · июл. 22, 2014
Foley Catheter Insertion Female | How to Insert a Foley Catheter Sterile Technique
Female Catheter Insertion Procedure
Cardinal Health™ CAUTI Prevention: Female Urinary Catheter Insertion
Nursing Skill Check: Urinary Catheter Insertion
If the patient is female, hold the labia open and insert the catheter into the urethral meatus. Hold the catheter in your dominant hand and use your non-dominant hand to spread the patient's labia so that you are able to see the urethral opening. Gently insert the tip of the catheter into the urethra.
How is catheterization of a female patient performed?
How to insert a Foley catheter into a female patient?
How is the insertion of an indwelling urinary catheter performed?
Why does it take so long to insert a catheter?
https://www.nursingtimes.net/clinical-archive/continence/urinary-catheters-2-inserting...
Отзывы: 2
Ориентировочное время чтения: 8 мин
Опубликовано: 16.01.2017
Introduction
Complications Associated with Catheterisation
Preparation
Female Catheterisation
Catheter Selection
The Procedure
Professional Responsibilities
Urinary catheterisation involves the insertion of a tube into the bladder using aseptic technique (Dougherty and Lister, 2015). The procedure is carried out for a variety of reasons, including to: 1. Address acute or chron…
https://m.youtube.com/watch?v=y4ocZR-kMtY
Перевести · 23.10.2017 · Video by: https://www.rocketstarmedia.comA how-to medical nursing skills video on Urinary Catheter Insertion on a female …
www.operationalmedicine.org/Videos/FemaleCatheterization.htm
Перевести · This video demonstrates how to insert a Foley catheter into a female patient's bladder for draining urine. The free, short version was produced by the US Navy as training for medical personnel in isolated settings. It was included on the Operational Obstetrics & Gynecology CD. It may be freely downloaded. Inserting a Foley Catheter.
https://teachmesurgery.com/skills/clinical/urethral-catheterisation-female
Перевести · 12.02.2015 · Without touching the catheter directly, insert the catheter along the urethra into the bladder If any resistance is felt, ask the patient to cough to ease insertion; Once the urine begins to flow, advance the catheter a further 5cm; Inject the contents of the syringe into the catheter to inflate the balloon in the catheter
https://www.wikihow.com/Insert-a-Catheter
Explain the process to the patient before beginning. Most patients are not used to inserting any object, let alone a long tube, into their urethra. Though this isn't always described as "painful," it is often described as "uncomfortable," even intensely so. Out of respect for the patient, explain the steps of the procedure to him or her before beginning.[2] X R…
Ask the patient to lie on on their back. The patie…
https://journals.lww.com/.../08000/inserting_an_indwelling_urinary_catheter_in_a.19.aspx
Перевести · YOUR RESPONSIBILITIES include assessing your patient's need for catheterization, inserting the catheter using aseptic technique, and reassessing her condition after catheter insertion. DO. Verify the order. Explain the procedure …
https://nursing.com/lesson/skills-03-01-inserting-a-foley-female
Перевести · Overview Purpose Placement of a foley catheter is done to collect urine for the following possible reasons: Urinary retention Genitourinary surgery or trauma Divert urine away from perineum due to large open wound During surgery or in women with an epidural It should NOT be placed solely for incontinence Foley catheters …
https://www.surgeryencyclopedia.com/A-Ce/Catheterization-Female.html
Перевести · Catheterization of the female patient is traditionally performed without the use of local anesthetic gel to facilitate catheter insertion. But since there are no lubricating glands in the female urethra (as are found in the male urethra), the risk of trauma from a simple catheter insertion …
Кате́тер — изделие медицинского назначения в виде полой трубки, пред…
‘It’s hard enough being a nurse, but being an Olympian too is truly inspiring’
Urinary catheters 2: inserting a catheter into a female patient
A step-by-step guide to the procedure for inserting an indwelling urinary catheter into a female patient
This article is the second in a six-part series on urinary catheters. It gives a step-by-step guide to the procedure for inserting an indwelling urinary catheter into a female patient.
Citation: Yates A (2017) Urinary catheters part 2: inserting a catheter into a female patient. Nursing Times [online]; 113: 2: 50-52.
Author: Ann Yates is director of continence services, Cardiff and Vale University Health Board.
Urinary catheterisation involves the insertion of a tube into the bladder using aseptic technique (Dougherty and Lister, 2015). The procedure is carried out for a variety of reasons, including to:
Catheterisation is associated with a number of complications including:
The risk of complications means catheters should only be used after considering other continence management options, and should be removed as soon as clinically appropriate (Loveday et al, 2014).
A thorough risk assessment should be carried out before inserting a catheter. As with all procedures, where possible the patient’s informed consent should be obtained and documented following a discussion of the benefits and risks of catheterisation, and its effects on lifestyle and sexual relationships (Prinjha and Chapple, 2013; RCN, 2012).
Female urethral catheterisation is a skilled procedure (RCN, 2012) and before carrying it out you should be aware of the following:
Health professionals should also have achieved the level of competency required by their employer before undertaking female urethral catheterisation, and should adhere to the relevant local policies and procedures, for example on continence management, catheterisation and infection prevention.
Indwelling catheterisation should be undertaken using Foley urethral catheters; these have a self-retaining balloon that, when filled with water or solution provided by the manufacturer, remains in the bladder.
The correct catheter for individual patients depends on factors such as the likely duration of use, and the catheter material type, diameter, length and balloon size.
For short-term use (less than 28 days) an uncoated latex, PVC, polytetrafluoroethylene (PTFE), or silver alloy catheter should be used; if a latex-based catheter is being considered, the patient should be checked for latex allergy. For longer-term use all-silicone, silicone elastomer or hydrogel-coated catheters should be used.
Female-length catheters should be used routinely for female patients who are mobile. These are more discreet than standard-length catheters and are less likely to cause trauma or infections in female patients as movement in and out of the urethra is reduced (Dougherty and Lister, 2015).
The inflation valve on female catheters can become caught between the thighs in patients who are obese, confined to bed or wheelchair users, and this can lead to soreness (Dougherty and Lister, 2015). In these cases, a longer standard-length catheter can be used to avoid skin damage and improve patient comfort.
For routine drainage a 10ml balloon size should be used; this is usually inflated with 10ml of sterile water. Some catheters are supplied with a pre-filled syringe of glycerine solution or a pre-filled 10ml balloon of sterile water.
The health professional undertaking catheterisation is responsible for selecting a suitable catheter and using it in accordance with the manufacturer’s instructions (RCN, 2012).
1. Discuss the procedure with the patient, explaining any associated risks or benefits, to gain valid informed consent. Document this in the patient’s notes. Check for allergies to the lubricating or anaesthetic gel (Yates, 2015) (Box 1). Screen the bed to ensure privacy and maintain dignity.
2. Wash your hands and clean a trolley for the procedure, according to local policy.
3. Obtain the equipment needed to perform the female catheterisation procedure (Fig 1a), following aseptic non-touch technique (ANTT) guidance. This equipment should include:
Assemble the equipment on the trolley and take it to the patient’s bedside.
4. Help the patient remove relevant clothing (that is, underwear and/or pyjama bottoms) as necessary. Ensure she is not unnecessarily exposed by covering her thighs and genital area with a towel until you are ready to begin the procedure. Use a protective covering for bed linen to keep the bed dry.
5. Help the patient into a supine position with her legs bent and knees apart (Fig 1b).
6. Wash and dry your hands. Put on a plastic apron and open the catheterisation pack using ANTT.
7. Open additional equipment using ANTT. Leave the urinary catheter in its inner sterile plastic protective wrapping until the time of insertion, to protect it from potential physical and environmental contamination. Remove the towel covering the patient’s genital area.
8. Wash your hands and put on sterile gloves. Place a sterile towel under the patient’s buttocks and across the thighs; this creates a sterile field (Dougherty and Lister, 2015).
9. Using low-linting swabs, separate the labia with your non-dominant hand so you can see the urethral meatus.
10. Hold the labia open and, with your dominant hand, clean the urethral meatus with 0.9% sterile sodium chloride (Loveday et al, 2014) in downward movements towards the anus, using single strokes (Fig 1c). This reduces the risk of CAUTI.
11. Remove the cap from the lubricating/anaesthetic gel and insert the nozzle into the urethra (Fig 1d). Squeeze the gel into the urethra, remove the nozzle and discard. If you are using an anaesthetic gel, leave it for approximately five minutes, or according to the manufacturer’s instructions, to take effect. Box 1 outlines further relevant information. If you are using a plain aqueous lubricating gel without anaesthetic you can continue with the procedure immediately.
12. When the anaesthetic gel has taken effect, wipe away any excess, dispose of the gloves, wash and dry your hands and put on new sterile gloves.
13. Place a receiver containing the catheter on the sterile towel between the patient’s legs and open the catheter but leave it in the sterile packaging to reduce the risk of contamination. Hold the labia open.
14. Holding the catheter in your dominant hand, introduce the tip into the urethral orifice in a slightly upward and backward direction, feeding it out of the sterile packaging (this adds a further layer of physical protection for the duration of the insertion procedure). Insert the catheter approximately 5-6cm (Fig 1e). The direction and length of catheter inserted relates to the anatomy of the female genitourinary tract (Fig 2) (Dougherty and Lister, 2015). If the patient experiences any pain or discomfort, stop the procedure and seek medical advice.
15. Once urine starts to drain, insert the catheter up to the bifurcation point to ensure the balloon is in the bladder. Inflation of the balloon in the urethra is painful.
16. Gently inflate the balloon with 10ml of sterile water or solution, according to the manufacturer’s directions (Fig 1f). For pre-filled balloons remove the clip and gently squeeze the reservoir of sterile water. Observe the patient for any signs of discomfort as inflation should be pain-free.
17. Once the balloon is inflated, withdraw the catheter slightly to ensure the catheter is in the bladder and is secure (Dougherty and Lister, 2015).
18. If the catheter is not already attached to a drainage bag, attach it to either a drainage system or catheter valve as required (see Parts 3 and 4 of this catheter series).
19. Make the patient comfortable. Help her get dressed if required and ensure the bed is clean and dry.
20. Dispose off equipment in a clinical waste bag according to local policy. Wash your hands.
21. Fully document the procedure including:
If it is the patient’s first catheterisation, the urine output should be measured and recorded on insertion to help monitor renal function and fluid balance. The volume also provides important information about bladder capacity in patients who have urinary retention (Dougherty and Lister, 2015).
23. Check the patient is comfortable and give her information on the maintenance and care of the catheter and drainage system.
Box 1. Anaesthetic and lubricating gels in female patients
The use of anaesthetic gels for catheterisation is well recognised in male patients but there is controversy over their use in female patients. EPIC (Loveday et al, 2014) and Royal College of Nursing (2012) guidance do not differentiate between male and female patients. Loveday et al (2014) recommend that an “appropriate lubricant from a sterile single-use container” is used for catheterisation. Many practitioners use lubricant gels with a topical anaesthetic (lidocaine 2%), but local policies should be followed.
Aesthetic gels and female patients
Lidocaine is a topical drug and local medicines administration policy should be followed. As with any drug, it is essential to check for allergies before use (Dougherty and Lister, 2015).
This procedure should be undertaken only after approved training, supervised practice and competency assessment, and in accordance with local policies/protocols.
Dougherty L, Lister S (2015) The Royal Marsden Manual of Clinical Nursing Procedures. Oxford: Wiley-Blackwell.
Loveday HP et al (2014) epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infection; 86: S1, S1–S70.
Prinjha S, Chapple A (2013) Living with an indwelling urinary catheter. Nursing Times; 109: 44, 12-14.
Royal College of Nursing (2012) Catheter Care: RCN Guidance for Nurses.
Yates A (2015) Selecting gel types for urinary catheter insertion. Nursing Times; 111: 26, 18-20.
Thank you. Article is so helpful for friend who has to self catheterize.
Sign in or Register a new account to join the discussion.
Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.
Claire Read reports on a roundtable discussion on digital transformation in nursing…
EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG
We use cookies to personalize and improve your experience on our site. Visit our Privacy Policy and Cookie Policy to learn more. You can opt out of some cookies by adjusting your browser settings. More information on how to do this can be found in the cookie policy. By using our site, you agree to our use of cookies. Accept
We have made all essential coronavirus clinical content free to registered users. Our clinical zone will aid your practice while our news coverage will keep you up to date. Plus free online CPD including infection control and patient isolation
Mature Laura Anal
Retro School Sex
Jav Shemale Porno
Mom I M In Pain
Teen Erotic Nudism
Urinary catheters 2: inserting a catheter into a female ...
Insert a Foley Catheter into a Female Patient Video
How to Insert a Catheter: 11 Steps (with Pictures) - wikiHow
Inserting an indwelling urinary catheter in a female ...
03.01 Inserting a Foley (Urinary Catheter) - Female ...
Catheterization, Female - procedure, tube, pain ...
Female Catheter Insertion Procedure
