A Foley catheter is a sterile tube that is inserted into your bladder to drain urine. It is also called an indwelling urinary catheter. Urinary catherization is considered one of the most common cause of infections acquired in the hospital there fore it should only be used when deemed necessary. An indwelling catheter is designed so that it does not slip out the bladder by having an inflated balloon once inserted. When a patient has urinary incontinence and can not eliminate urine properly the use of a Foley catheter is needed. There are many factors that can cause the use of a urinary elimination device such as age, food and fluid intake, muscle tone, and medications. First, we must assess the patient normal elimination habits and their degree …show more content…
Making sure that proper hand hygiene is performed by using soap and water or an alcohol-based hand rub. Review the patients chart for any physical activity limitations and confirm the medical order for indwelling catheter to the MAR. Bring the catheter kit and other necessary equipment, perform hand hygiene, and Identify the patient by checking the wristband and asking them to state their name and birthdate making sure it matches the information compared to the band this ensure the right patient receives the right treatment. Provide privacy and make sure of good lighting to see the meatus clearly. Adjust the bed to a comfortable height and depending on whether the patient is a male or female depends on which position the patient can be placed however in both cases a patient can lay on the back with legs spread apart and then being draped properly. Put on clean gloves to reduce the risk of exposure to blood and body fluids. Clean the perineal/ genital area: for a female wipe from above the orifice downward toward the sacrum; for a male clean the tip of the penis first and then the shaft downward. Prepare urine drainage setup, then open sterile catherization tray using the sterile technique wearing sterile gloves first, grasp upper corner of drape and unfold without touching the sterile side. Place drape between patient’s thigh only exposing the genitals/ labia. Open package of antiseptic swabs, lubricate 1 to …show more content…
Place end of the catheter to the receptacle, using your dominant hand hold the catheter 2 to 3 inches from the tip and insert slowly
As a standard precaution against bodily fluids or blood borne pathogens the medical assistant and the doctor would don their personal protective equipment (PPE) such as gloves, face shield, and gown. Next, the medical assistant will prepare the following materials in preparation of the procedure: 1% or 2% lidocaine in a 10cc syringe/25 gauge needle, skin prep solution, #11 scalpel blade with handle, gauze, hemostat, scissors, iodoform, tape, and culture swab. After the materials have been prepped the doctor will clean the abscess with skin prep and drape the wound with sterile fenestrated drape. Anesthetic in the form of lidocaine with a 10cc syringe and 25-gauge needle will be injected around the abscess. The doctor will allow 3-5 minutes for the anesthetic to take affect before making an incision into the abscess. Once the incision is made the doctor will allow pus to ooze and drain out. While the pus is draining out, the culture swab will be inserted in to the abscess where a culture is taken so the origin of the infection is identified incase further treatment is needed. Using the hemostat the doctor will explore the abscess and continue to soak up the pus with the gauze. With a syringe and normal saline the doctor will irrigate
The patient will be asked to remove clothing and will be given a gown to
5), many hospitals in conjunction with the Joint Commission's 2012 National Patient Safety Goals has been rallying for hospitals to use evidenced-based practices (EBP) to the prevention of CAUTIs because evidence is growing showing that many are avoidable. Such practices such as utilizing a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter to determine how long a patient should have an indwelling catheter and when to discontinue it. Several factors have been identified that pose as risk factors to CAUTI which include but not limited to drainage bag not being below the level of the bladder, healthcare personnel not practicing standard precautions and utilizing aseptic techniques during insertion of catheters, unsterile equipment, and unnecessary placement of urinary
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
Making sure tubing and equipment is germ-free (sterile). Checking the bag of fluid (dialysate) you will use during the session, to make sure it is sealed and free of germs (uncontaminated). What happens during treatment? At the start of a session, your abdomen is filled with a fluid called dialysate.
To access for BPH one asks the patient about difficulty in starting or continuing urination, reduced force or weak stream, sensation of incomplete bladder emptying, straining to begin urination, post void dribbling or leaking (Ignatavicius & Workman, 2013, p. 1630). The nurse I was working with explained that do to the patients underlying health issues he was not a surgical candidate, and that to help the patient void he had an indwelling foley catheter placed long-term.
Pull out the needle: Pull out the needle at the same angle you put it in. Press your injection site for a few seconds to keep insulin from leaking out.
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
Condoms come rolled up in individual packets. After the erection is complete the condom should be rolled down to the base of the penis while holding the tip of the condom. If the man is not circumcised, the foreskin should be pulled back to put the condom on. The penis should be withdrawn from the vagina immidiately after the ejaculation and the penis starts to soften. When withdrawing the penis the condom should be held by the bottom to prevent if from staying in the womans vagina. When withdrawn it should be taken off carefully, wi...
The goal was chosen, background obtained, literature review done, methods established, and implications for nursing practice reviewed. They wanted to implement one-on-one discussions with bedside nurses related to behavioral justification for restraint use, use of least restrictive restraint, and prompt removal when clinically justified, along with coordination of information-sharing with nursing leadership to promote a data driven approach to reduction in restraint usage. Outcomes were that as a result of monthly discussions, there was a sustainability of reduction in usage of restraints in the adult ICU’s. Another initiative was the nurse driven urinary catheter removal protocol. The goals were to reduce catheter associated urinary tract infections through early removal of indwelling urinary catheters and increase compliance to the Surgical Care Improvement Measure Urinary Catheter Removal through a nurse driven protocol that standardizes care and sanctions catheter removal based on approved criteria. A pilot was conducted at two hospitals to assess efficacy of implementing the plan system wide. A plan was developed with interventions, a urinary catheter removal algorithm, and documentation compliance parameters. Outcomes were lower catheter days and reinsertion rates, decreased catheter utilization ratio, and infection rates
The Power of Finding Your Voice In Laura Esquivel’s Like Water for Chocolate, the main character, Tita, lives a life full of tragedy. From a young age, her life had already been decided for her. As the youngest daughter, she must follow the tradition of taking care of her mother until she dies. She cannot get married, nor can she start her own family. Through the plot structure of the book, Laura Esquivel explores how the suppression of one's emotions and opinions prevents people from being able to advocate for themselves.
In this section the researchers explain the complications that can occur based on non-adherence to a proper self-catheterization regimen. A spinal cord injury can cause an interruption in neural pathways which affect the function of the bladder causing urinary incontinence, urinary retention, urinary reflux, and recurrent urinary tract infections. These problems can ultimately lead to an increase in renal morbidity and mortality (Shaw & Logan, 2013) Later, in the discussion section of the article, the authors focus on the importance of nursing education to teach patients proper methods to perform and cope with ISC in order to eliminate these common occurrences in patients suffering from SCIs (Shaw & Logan, 2013). The perception of performing this task may vary from patient to patient. This research helps identify various educational approaches that could be taken to accommodate all patients. Therefore, the research is significant to nursing due to the fact that nurses are considered the primary educators and are expected to address practical issues with patients performing ISC and help them manage the psychological issues that are faced with this
Hospital-acquired bladder infections. These infections, occur in people in a medical care facility, such as a hospital or nursing home. Most often they happen in those who have had a urinary catheter placed through the urethra and into the bladder to collect urine, a common practice before surgical procedures, for some diagnostic test, or as a means of urinary drainage for older adults or people confined to bed.
First, you must obtain all of the necessary supplies: gloves, alcohol or Betadine preps, a tourniquet, tape, an appropriately sized IV catheter, a bag of IV solution, the IV tubing, and gauze pads. While obtaining the supplies, you should inform the patient that IV catheter placement is necessary, and why. Do not lie to the patient and tell him or her that it is a painless procedure. Instead, be honest with them and explain that the initial puncture feels like a sharp pinch on the skin and that the pain and discomfort associated with the IV placement is only temporary. You may find it helpful to demonstrate to the patient the amount of pain to expect by pinching the skin on the back of their hand. This is especially helpful for younger patients or patients who are more concrete in their thinking.
One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn...