Tuesday, February 27, 2024

Insertion Of Urinary Catheter In Female

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Slide 1: Insertion Avoiding Common Mistakes4

Bladder Irrigation Procedure
  • Wash hands BEFORE and AFTER procedure
  • Put on your sterile gloves after opening catheter kit
  • If sterile, gloved hand gets contaminated or glove rips, then remove glove, wash hands, and don NEW sterile gloves
  • If this happens, STOP procedure and get NEW sterile catheter to use
  • Use tongs to cleanse the urethral area with your sterile hand
  • Do not switch hands
  • 4. Manojlovich M, Saint S, Meddings J, et al. Indwelling urinary catheter insertion practices in the emergency department: an observational study. Infect Control Hosp Epidemiol. 2016 37:117-9. PMID: 26434781.

    Removing A Urinary Catheter

    Patients require an order to have an indwelling catheter removed. Although an order is required, it remains the responsibility of the health care provider to evaluate if the indwelling catheter is necessary for the patients recovery.

    A urinary catheter should be removed as soon as possible when it is no longer needed. For post-operative patients who require an indwelling catheter, the catheter should be removed preferably within 24 hours. The following are appropriate uses of an indwelling catheter :

    • Improved comfort for end-of-life care
    • Assisting in the healing process of an open sacral or perineal pressure ulcer
    • Patients requiring prolonged immobilization
    • Select surgical procedures
    • Intra-operative monitoring of urinary output
    • Patients receiving large-volume infusions or diuretic intra-operatively

    When a urinary catheter is removed, the health care provider must assess if normal bladder function has returned. The health care provider should report any hematuria, inability or difficulty voiding, or any new incontinence after catheter removal. Prior to removing a urinary catheter, the patient requires education on the process of removal, and on expected and unexpected outcomes . The health care provider should instruct patients to

    Review the steps in Checklist 81 on how to remove an indwelling catheter.

    Looking After Your Catheter

    If you need a long-term urinary catheter, youll be given detailed advice about looking after it before you leave hospital.

    This will include advice about getting new catheter supplies, reducing the risk of complications such as infections, spotting signs of potential problems, and when you should get medical advice.

    You should be able to live a relatively normal life with a urinary catheter. The catheter and bag can be concealed under clothes, and you should be able to do most everyday activities, including working, exercising, swimming and having sex.

    Read more about living with a urinary catheter.

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    How Can I Help Prevent An Infection

    • Wash your hands: Always wash your hands with soap and water before you catheterize yourself.
    • Clean and dry reusable catheters: Clean all reusable catheters with soap and warm water after every use. Sterilize all reusable catheters in a pan of boiling water for 20 minutes. Set the catheters on a clean paper towel to dry.
    • Store catheters correctly: Store dry catheters in a clean plastic bag. Throw away torn, hardened, or cracked catheters.
    • Wear cotton underwear: These allow airflow and keep your genital area dry.
    • Drink plenty of liquids: Ask your healthcare provider how much liquid to drink each day and which liquids are best for you. This helps prevent a urinary infection.

    Slide : Prepping For Catheter Insertion Procedure3

    ConvaTec GentleCath Female Hydrophilic Urinary Catheter With Water ...
    • Cleanse hands and don gloves
    • Get your buddy to help at the bedside
    • Place resident in the supine position
    • For a femaleapply topical lidocaine jelly if needed for comfort
    • Inspect catheter kit and remove it from its outer packaging to form a sterile field
    • Remove gloves and wash hands!

    3. Willson M, Wilde M, Webb M, et al. Nursing interventions to reduce the risk of catheterassociated urinary tract infection: part 2: staff education, monitoring, and care techniques. J Wound Ostomy Continence Nurs. 2009 36:137-54. PMID: 19287262.

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    How To Insert A Catheter In A Female Patient

    Urinary catheters are important pieces of medical equipment that can be used in a wide range of settings and situations, and its important for medical personnel to know exactly how to insert them. These pieces of tubing can allow patients to drain their bladders when it would otherwise be difficult or painful to do so, and both male and female patients may require catheter insertion. In this guide, well take a step-by-step look at how to insert a catheter in females.

    Warnings And Common Errors

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    Slide : Indwelling Urinary Catheters1

    Images: Figure l. Routes of entry of uropathogens to catheterized urinary tract.An image depicts the male and female lower urinary tract system, and the difference in placement of a catheter in the bladder.

    Source: Maki DG, Tambyah PA. Engineering out the risk of infection with urinary catheters. Emerg Infect Dis. 2001 Mar-Apr 7:342-7.*CMS, State Operations Manual, 2014.

    1. Maki DG, Tambyah PA. Engineering out the risk for infection with urinary catheters. Emerg Infect Dis. 2001 7:342-7. PMID: 11294737.

    Inserting The Local Anaesthetic

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    1. Warn the patient that the anaesthetic gel might initially sting, but then should quickly cause things to become numb.

    2. Part the labia with your non-dominant hand.

    3. With your dominant hand place the nozzle of the syringe of anaesthetic gel into the urethral meatus.

    4. Empty the entire 5mls of anaesthetic gel into the urethra at a slow but steady pace.

    5. Allow 3 to 5 minutes for the lidocaine gel to reach its maximum effect.

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    Catheter Insertion In Female Patients

    Next, lets go over the process of how to insert a catheter in a female patient. This guide will provide a step-by-step guide for female catheterization and is based on a typical female Foley catheter kit. Your kit might be slightly different, or you may have to make special adjustments to suit your patient, but the steps below can be used as a general guide for how to insert a catheter.

  • Wash Your Hands Before you actually start touching the patient or touching any of the catheter equipment, its always good practice to wash your hands. This will help to get rid of any surface dirt and germs, minimizing the risks of contamination or microbes spreading around when you start interacting with your patient.
  • Gather All of the Equipment Next, youll need to gather all of your urinary catheter supplies. Usually, urinary catheters will come in boxed kits that you can simply unwrap with care, containing all the items you need to carry out the procedure. If you dont have one of these kits, youll need to prepare a catheter tray and fill it with all of the various items that you need. Place the items near the patients bedside for easy access.
  • Push the Catheter Further Continue to push the catheter further into the patients body until you see urine flow back into the tubing. This means that the tip of the catheter has reached the bladder, and at this point, you can just push it a little bit further and then stop.
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    Jul 09, 2020 · Two percent lidocaine gel has shown effectiveness in reducing discomfort associated with insertion of the catheter. However, because lidocaine gel takes at least 8 minutes for the anesthetic effect to be complete, use of a nonanesthetic lubricant with 2% lidocaine gel as lubricant must be considered on the basis of the childs age, level of anxiety, and urgency of the procedure.. Explain the procedure to the patient 67. Ensure patients privacy 68. Apply principles of asepsis and safety technique. 69. Don on non-sterile gloves. 70. Measure, empty, and record contents of catheter bag. 71. Remove gloves, perform hand hygiene. 72. Don on new non-sterile gloves. 73.. Step 1. Remove collection tube cap and ensure that there is 0.8 ml of stabilizing buffer already in place. -> . Step 2. Carefully fill with human urine up to the 4.0 ml mark. -> . The urine specimen containers for collection should be clean, dry, sterile, made of.

    When Urinary Catheters Are Used

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    A urinary catheter is usually used when people have difficulty peeing naturally. It can also be used to empty the bladder before or after surgery and to help perform certain tests.

    Specific reasons a urinary catheter may be used include:

    • to allow urine to drain if you have an obstruction in the tube that carries urine out of your bladder . For example, because of scarring or prostate enlargement
    • to allow you to urinate if you have bladder weakness or nerve damage that affects your ability to pee
    • to drain your bladder during childbirth if you have an epidural anaesthetic
    • to drain your bladder before, during or after some types of surgery
    • to deliver medicine directly into the bladder, such as during chemotherapy for bladder cancer
    • as a last resort treatment for urinary incontinence when other types of treatment have been unsuccessful

    Depending on the type of catheter you have and why its being used, the catheter may be removed after a few minutes, hours or days, or it may be needed for the long term.

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    Enhancing Healthcare Team Outcomes

    A myriad of clinical conditions may require bladder catheterization. While a physician or a nurse can place the catheter in most cases, consultation with urology is necessary for specific patients. The nurses are essential members of the interprofessional group, as they will predominantly perform the procedure. They also monitor the catheter and assist with the education of the patient and family as needed. The pharmacist will ensure that the patient is not on any medication that can precipitate urinary retention. The physical therapist also plays a role in early mobilization, voiding exercises, and rehabilitation. Interprofessional communication and care coordination among health professionals are vital to enhancing patient-centered care and improve outcomes.

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    Is Inserting A Female Catheter Painful

    Yes, there is a risk that the patient may experience some pain or discomfort, especially at the moment of insertion. This should fade quite quickly once the catheter is in position, and anesthetic gel can be used in some cases to ease any pain for the patient. If pain continues once the catheter is in place, there may be cause to remove and reinsert the catheter.

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    Who Can Insert A Catheter

    Before we look at exactly how to insert a catheter in a female patient, its important to understand who can carry out this procedure. There are multiple members of the typical hospital or medical team who can usually perform catheter insertion in females, including doctors, nurses, and EMTs. Its useful to have several members of the team who can carry out this procedure so that theres always someone on-call who can get the job done. Even patients may be taught how to insert their own catheters if they require long-term self-catheterization.

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    Urinary catheters are a common aid to empty the bladder. The catheter consists of a flexible small thin tube that allows urine to leave the bladder. Some catheters also provide an integrated bag to collect the evacuated urine. Catheters can be used for many different reasons, both for temporary and long-term use. Catheterization allows urine to drain from the bladder for collection. It may also be used to inject liquids used for treatment or diagnosis of bladder conditions. A clinician, often a nurse, usually performs the procedure, but self-catheterization is also possible.. Apply gel on the external urinary opening. Apply anaesthetic gel into the urethra and discard the gel container. Insert the catheter until urine flow is visualised, then advance the catheter a further 2-4 centimeters to ensure the balloon has passed the urethra.

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    When To Seek Medical Advice

    You should contact a district nurse or nurse practitioner or your GP if:

    • you develop severe or persistent bladder spasms
    • your catheter is blocked, or urine is leaking around the edges
    • you have persistent blood in your urine, or are passing large clots
    • you have symptoms of a UTI, such as pain, a high temperature and chills
    • your catheter falls out

    If your catheter falls out and you cant contact a doctor or nurse immediately, go to your nearest accident and emergency department.

    How To Insert A Catheter

    This article was medically reviewed by Sarah Gehrke, RN, MS. Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.There are 9 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. This article received 28 testimonials and 87% of readers who voted found it helpful, earning it our reader-approved status. This article has been viewed 937,847 times.

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    Slide : Male Catheter Insertion Procedure

    • Keep nondominant hand in this position, do not remove!
    • Lubricate tip of catheter with sterile lubricant jelly.
    • Holding the coiled catheter in dominant hand, gently introduce the catheter tip into the urethral meatus.
    • If using coude catheter, point catheter tip upward to 12 o’clock position.
  • Slowly advance the catheter through the urethra into the bladder. If substantial resistance is met, do not force the catheter!
  • If tip of catheter is accidentally contaminated by touching anything that is not sterile, discard, and get a new one.
  • Cleaning The Genital Region

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    1. Part the labia with your non-dominant hand.

    2. With your dominant hand pick up a cotton ball and use a single stroke moving downwards to clean the urethral meatus and surrounding genital region. Dispose of the first cotton ball into the clinical waste bin and continue to repeat this process with a new cotton ball each time until the area has been thoroughly cleaned.

    3. Discard your used gloves, wash your hands again and don a new pair of sterile gloves.

    4. Place the sterile drape over the patients genitals, positioned such that the genitals remain visible through the central aperture of the drape. Some drapes come with a hole already present for this purpose, whereas others will require you to create one.

    5. Place the sterile urine collection bowl below the genitals but on top of the sterile drape.

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    Urinary Catheterization Nursing Procedure & Management

    • To obtain a sterile urine specimen from a woman
    • To measure the amount of residual urine in the bladder
    • To obtain a urine specimen when a specimen cannot secure satisfactory by other means
    • To empty bladder before and during surgery and before certain diagnostic examinations

    Necessary Equipment for Catheterization

    • Catheters are graded on the French scale according to the size of the lumen.
    • For the female adult, No. 14 and No. 16 French cathetersare usually used. Small catheters are generally not necessary and the size of the lumen is also so small that it increases the length of time necessary for emptying the bladder.
    • Larger catheter distends the urethra and tends to increase the discomfort of the procedure.
    • For male adult, No.18 and No. 20 French catheters usually used, but if this appears to be too large, smaller catheter should be used.
    • No. 8 and No. 10 French catheters are commonly used for children.

    Preparation of the Patient

  • Adequate exploration. On some instances, catheterization is the last resort, use other techniques first for drawing out the urine before proceeding to catheterization.
  • Position. Dorsal recumbent for the female and supine for the male using a firm mattress or treatment table, Sims or lateral position can be an alternate for the female patient
  • Provision for privacy
    • A catheter to remain in place for the following purposes:
  • For intermittent bladder drainage
  • Slide 1: Securing Drainage Bag

    • Advance tubing another 3-5 cm once you see urine in the tubing
    • Inflate balloon with 10 cc sterile water
  • Once inflated, pull gently on catheter to make sure it’s secure
  • Secure catheter to medial thigh
  • Place drainage bag below the level of the bladder
  • Remove personal protective equipment and wash hands immediately
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    Why Urinary Catheters Are Used

    A urinary catheter is usually used in people who have difficulty passing urine naturally. It can also be used to empty the bladder before or after surgery and to help perform certain tests. Specific reasons include:

    • to allow urine to drain if you have an obstruction in the tube that carries urine out of the bladder for example, because of scarring or prostate enlargement
    • to allow you to urinate if you have bladder weakness or nerve damage which affects your ability to pee
    • to drain your bladder during childbirth, if you have an epidural anaesthetic
    • to drain your bladder before, during and/or after some types of surgery, such as operations on the womb, ovaries or bowels
    • to deliver medication directly into the bladder, such as during chemotherapy for bladder cancer
    • as a treatment for urinary incontinence when other types of treatment havent worked

    The catheter will be used until its no longer needed. This may be for a short time and will be removed before leaving hospital, or it may be needed for longer or even permanently.

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