1. Presented by SAMAR ELYAN

2.  Anatomy
 Definition
 Uses
 Prepare patient
 Gather Equipment
 Procedure
 Removing the Indwelling Catheter
 Summarize
 References

4.  A urinary catheter is a small, flexible tube
that can be inserted through the urethra and
into the bladder, allowing urine to drain. The
urethra is the tube that carries urine from the
bladder out of the body.
 Used foleys For short term or long term
according pt case
 For example c/s used short term

5.  THE INABILITY TO CONTROL URINE OR FECES
 DYSURIA : PAINFUL URINATION OR DIFFICULT URINATION
 Retention of urine leading to urinary hesitancy
 Obstruction of the urethra by an anatomical condition that
makes it difficult to urinate: prostate hypertrophy,
prostate cancer, or narrowing of the urethra
 Urine output monitoring in a critically ill or injured person
 Collection of a sterile urine specimen for diagnostic
purposes
 Imaging study of the lower urinary tract
 After surgery to monitor urine output

6. HEMATURIA – BLOOD IN THE URINE
NOCTURIA – FREQUENT URINATION AT
NIGHT
POLYURIA – LARGE AMOUNTS OF URINE
URINARY FREQUENCY – VOIDING AT
FREQUENT INTERVALS
URINARY URGENCY – THE NEED TO VOID
AT ONCE

7.  Explain the reason for the procedure to the
patient and/or family
 Explain the steps of the procedure to the
patient and/or family
 Answer any questions the patient and/or
family may have regarding the procedure
 Check for allergies to latex and iodine
 Wash your hands
 Gather Equipment
 PRIVACY

8.  Urinary catheterization kits are sterile.
 They contain a Foley catheter, a sterile drainage
bag with sample port and tubing , water-soluble
lubricant jelly, a 10cc syringe with sterile water for
the Foley balloon,, sterile drapes , sterile gloves,
iodine, sterile gauze, sterile specimen cup, and
forceps.

10. Foley catheter,
a sterile drainage bag

11. lubricant jelly 10cc syringe with
sterile water
 sterile gloves,
iodine, sterile
gauze, sterile
specimen cup,
and forceps.

12. ,, sterile drapes

13.  The female urethra is short compared to the male
urethra. Insertion of the catheter is facilitated by
having the patient on her back
 Adequate exposure of the urethra is obtained by
flexing her knees, separating them and placing her
feet flat on the bed about two feet about (frog-
legged position)

14.  The male urethra is long compared to the female
urethra.
 A catheter is placed while lying down with legs
extended and flat on the bed or in the frog-
legged position.

15.  Open the prepackaged foley packet
 Place packet outer container in a convenient
location and use as a trash receptacle
 Place drapes under patient’s hips-plastic side
down
 Place the fenestrated drape over the patient
exposing only the genitalia.

16.  Put on sterile gloves, if you haven’t already done
so.
 Open the packet of cleansing solution. Saturate
cotton balls (or soap solution if patient is
allergic to iodine)
 Check patency of catheter balloon with saline
filled syringe. Withdraw saline and leave syringe
attached to the luer-lok for balloon inflation
 Open lubricant. Saturate distal end of catheter
 Ask the patient to breathe deeply and slowly to
further relax.

17.  For Female Procedure
 Ask the patient to breathe deeply and slowly to further
relax the sphincter.
 Advance the catheter about 2-3 inches while continuing to
hold the labia apart, until urine begins to flow.
For male Procedure
 Gently straighten and stretch the penis to create a slight
traction; lift the penis to an angle of 60° to 90° to
straighten the urethral canal
 Advance the catheter about 6-8 inches until urine begins
to flow.
 And finally , must be returned the tools in the appropriate
place , ensure the comfort of the patient and the
cleanliness of the place.

18.  Explain procedure to the patient.
 Wash hand and don gloves.
 Provide privacy and position the patient.
 Place a waterproof pad on the bed between the patient's legs.
 Attach the syringe to the inflation port on the catheter tubing,
and pull back on the syringe plunger until all the fluid is
aspirated.
 Slowly pull out the catheter tubing.
 Dispose of the catheter and drainage bag.
 Assist the patient with perineum care.
 Wash hands.
 Report and record.
 Continue to monitor the patient for difficulties voiding after
the catheter has been removed.

20. • TOO WEAK
• DISABLED
• POST SURGICAL
• PROTECT WOUNDS OR PRESSURE ULCERS
• FREQUENT URINARY MEASUREMENTS

21.  https://www.webmd.com/a-to-z-guides/foley-catheter
 https://www.google.ps/search?q=procedure+foley+catheter+insertion&
rlz=1C1GGRV_enPS771PS771&oq=Procedure+foly&aqs=chrome.1.69i57
j0l5.13058j1j7&sourceid=chrome&ie=UTF-8
 https://www.google.ps/search?rlz=1C1GGRV_enPS771PS771&biw=1366
&bih=613&tbm=isch&sa=1&ei=hnleWtyVCs3ZwAKYupXQDA&q=%2C%2
C+sterile+drapes+for+foley&oq=%2C%2C+sterile+drapes+for+foley&g
s_l=psy-
ab.3...184123.191641.0.192102.12.11.1.0.0.0.162.1381.0j11.11.0....0.
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ab..0.1.145...0j0i30k1j0i8i30k1j0i24k1.0.3L1jkxiCtHM#imgrc=RFlFRCOI
kmux_M:
 http://www.bardmedical.com/media/143108/edu_bestpracticesfoleyadv
ance_sampleprocedureinsertionremoval.pdf
 YouTube https://www.youtube.com/watch?v=isxawzzYfsk