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Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
Na Ii Ppt Module 8
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Na Ii Ppt Module 8

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  • 1.  
  • 2. <ul><li>Urinary Catheter </li></ul><ul><li>Part A: Catheterization </li></ul><ul><li>**Successful completion of the “Sterile Technique” module is required prior to this module** </li></ul>
  • 3. Urinary Catheter <ul><li>Catheters: </li></ul><ul><li>Catheter-a tube that is inserted into the bladder to drain urine </li></ul><ul><li>Four main types: </li></ul><ul><li>Indwelling/Foley/Retention Cath—remains in the bladder for an extended length of time </li></ul><ul><li>In and Out/Straight Cath—used for obtaining a sterile urine specimen; is inserted, thebladder drained, then removed </li></ul><ul><li>Suprapubic Cath—surgically inserted through the abdominal wall directly into the bladder </li></ul><ul><li>Condom/Texas Cath—An external cath for the male patient only. Applied over the penis and attached to drainage tubing </li></ul>
  • 4. Urinary Catheters <ul><li>Catherization—is the process of inserting a rubber tube called a catheter into the bladder but may include placing a condom-type appliance over the outside of the penis. </li></ul><ul><li>Requires an MD order </li></ul><ul><li>Is a very personal procedure </li></ul><ul><li>Is a Sterile Procedure </li></ul><ul><li>Increases the risk of infection to the patient </li></ul>
  • 5. Urinary Catheter <ul><li>In-dwelling catheter (Foley) </li></ul><ul><li>Inserted into the bladder to drain urine and left in place for an extended period of time </li></ul><ul><li>Urine drains through a closed drainage system to a collection bag </li></ul><ul><li>Can be used during surgery for comfort </li></ul><ul><li>Not a treatment for urinary incontinence </li></ul><ul><li>High risk for infection </li></ul>
  • 6. Urinary Catheter <ul><li>Incontinent —unable to control the passage of urine from the bladder, or stool from the bowel, or both </li></ul><ul><li>Void —to empty the bladder of urine </li></ul><ul><li>Urinary Tract —this includes the urinary meatus, urethra, and bladder but could include the ureters and kidneys as well. </li></ul><ul><li>Clean Catheters —someone who self-caths in the home setting will reuse the same catheter several times, just washing it out after use and allowing it to air dry. </li></ul>
  • 7. Urinary Catheters <ul><li>Anatomical Structures: </li></ul><ul><li>Meatus— Female urinary opening; located below the clitoris but above the vaginal opening </li></ul><ul><li>Penis—External male organ used for sex and elimination </li></ul><ul><li>Perineum—the area between the anus and vagina in the female; the area between the anus and scrotum in the male </li></ul><ul><li>Urethra—the hollow tube leading from the bladder to the outside of the body </li></ul><ul><li>Bladder-a hollow muscle in which urine is stored until it is eliminated from the body. This muscle will usually hold 240 cc’s of urine before indicating that it needs to void </li></ul>
  • 8. Urinary Catheters <ul><li>Patient Preparation: </li></ul><ul><li>Remember the beginning procedures of </li></ul><ul><li>Knock on the door </li></ul><ul><li>ID yourself and the patient by checking the armband </li></ul><ul><li>Assemble equipment </li></ul><ul><li>Provide Privacy </li></ul><ul><li>Wash hands </li></ul><ul><li>Apply Gloves as needed </li></ul><ul><li>Position the patient (Supine or Left Sims) </li></ul>
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  • 14. Urinary Catheter <ul><li>Measuring Intake and Output: </li></ul><ul><li>Most people eliminate about 15oocc’s of urine each day </li></ul><ul><li>I&amp;O is monitored to ensure the body is functioning correctly and the patient is taking in and putting out the correct fluid levels </li></ul><ul><li>When measuring urine output, each facility will have their own policies but Standard Precautions should be observed. </li></ul><ul><li>An in-dwelling catheter drains into a bedside drainage bag called a Foley bag. This bag will be emptied at the end of each shift and the total documented as output. </li></ul><ul><li>If the patient has had a Foley catheter removed recently, it will be very important to record the time and amount of each voiding for the rest of the shift and notify the RN if no void in 8 hours. </li></ul>
  • 15. Urinary Catheter <ul><li>Foley Bag: </li></ul><ul><li>This drainage bag must remain below bladder level at all times </li></ul><ul><li>Should hang on the side of the bed on an immovable section of the bed frame and NOT on the side rail </li></ul><ul><li>Should hang on the side of the bed that the resident is facing </li></ul><ul><li>The Foley bag should NEVER be placed on the floor or allowed to touch the floor from the bed frame. </li></ul><ul><li>The tubing should not be kinked or crimped and should be fastened to the leg with a strap to prevent pulling on the catheter, should always be placed OVER the leg not under, and should not hang below the drainage bag. </li></ul><ul><li>This is a closed drainage system which is sterile until opened. </li></ul>
  • 16. Urinary Catheter <ul><li>Emptying the Foley Bag: </li></ul><ul><li>Observe Standard Precautions and also wear goggles and face mask (per facility policy) </li></ul><ul><li>Use a Graduated Cylinder to measure the urine in the drainage bag. </li></ul><ul><li>Should be done at the end of each shift and any time the amount of urine reaches 1000cc’s </li></ul>
  • 17. Urinary Catheter- continued <ul><li>A paper towel is placed on the floor under the Graduate to catch any splashes or spills </li></ul><ul><li>The spout should not touch the inside of the Graduate </li></ul><ul><li>The spout should be cleaned with Alcohol before replacing into the protective sleeve(per facility policy) </li></ul><ul><li>Graduate should sit on a level surface for reading, also noting the color, odor and clarity of the urine to be documented </li></ul>
  • 18. Urinary Catheter <ul><li>Maintaining a Closed System with a Foley Catheter: </li></ul><ul><li>As long as the catheter and the drainage bag tubing remain connected, the system is sterile and is referred to as a Closed System. </li></ul><ul><li>Opening the system should be avoided; each time the system is opened increases the risk for infection </li></ul><ul><li>Leg bags may be used for ambulatory patients with both in-dwelling and condom catheters. </li></ul>
  • 19. Urinary Catheter-continued <ul><li>This appliance will require repeated opening of the closed system. Special care must be used to clean the connectors before reattaching. </li></ul><ul><li>Leg bags should never be left on a patient while in the bed </li></ul><ul><li>Catheter plugs should be used to protect the drainage bag connection while the catheter is attached to the leg bag. </li></ul>
  • 20. Urinary Catheter <ul><li>Ambulating a Patient with an In-dwelling Catheter: </li></ul><ul><li>Use care when moving and transferring the patient to avoid accidentally dislodging the catheter </li></ul><ul><li>When ambulating, the tubing and drainage bag are carried below the level of the bladder </li></ul><ul><li>Most facilities use cloth catheter bags for privacy </li></ul>
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  • 24. Urinary Catheter <ul><li>Urinary Catheter Irrigation: </li></ul><ul><li>Irrigation can be used to cleanse the bladder </li></ul><ul><li>Common after surgery and other conditions in which blood clots are present </li></ul><ul><li>Over irrigating can lead to infection </li></ul><ul><li>Several methods are used: Open and Closed and Continuous </li></ul>
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