Many patients that are admitted to the hospital will need a Foley Catheter inserted into the bladder. The Foley catheter is a flexible tubing that a nurse inserts into the bladder and the catheter has a bag on the other end of the tubing that collects the urine. The catheter is inserted for patient's that are unable to get out of the bed, surgery patients, and patients that are urinary incontinent that are experiencing severe skin irritation to the perineum area. But proper insertion with sterile technique and monitoring for signs of infection can reduce the number of infections associated with the catheters. As health care professionals it is always important to educate the patient about the insertion of the catheter and the symptoms that they should report to the nurse if they are capable of doing so. Many of the Foley balloon Catheter kits have beta-dine to cleanse the area before inserting the catheter and it is important to know if the patient has any allergies to Iodine or Beta-dine. If the patient is allergic to Latex, ensure the catheter is Latex-free. Before inserting the catheter, verify that there is a physician order. Inform the patient of the procedure and answer any questions that they may have. Always wash the hands before beginning the procedure. Use very strict sterile technique. Follow hospital protocol for the facility in which you are employed. Most facilities have a device that is placed on the upper part of the inner thigh that holds the catheter in place to avoid the patient pulling the catheter out by accident and it keeps the catheter from pulling if the patient needs to stand. Always cleanse around the catheter near the opening of the urethra. Monitor for signs of infection, for example any drainage that is coming from around the catheter, fever, swelling, and discomfort to the patient. Inform the physician of any changes that the catheter may be causing. If you do not get any urine in the tubing upon insertion, the catheter will need to be removed and obtain another kit. You never want to re-insert the same catheter. Also inform the patient to report any discomfort to the nurse after the catheter is inserted.
Every hospital should have protocols that guides the nurse about how long the Foley catheter can remain in place before it needs to be changed out. Monitor the color of the urine as well as the amount of urine output per hospital protocol. When changing the Foley catheter or removing it, deflate the balloon. This will protect the patient from discomfort and injury. Always document the amount of urine that is remaining, and monitor the patient to ensure that they are able to urinate after removing the catheter. Remember, any time there is any changes or concerns notify the physician.
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May 2021
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