BLADDER CATHETERISATION- Skill Lab- OSCE #bladdercatheterisation #foley’scatheter #surgicaleducator #babysurgeon #skilllab #osce Subscription Link: http://youtube.com/c/surgicaleducator... Surgical Educator Android App link: https://play.google.com/store/apps/de... Dear viewers, • Greetings from “Surgical Educator” • Today I am uploading one more video on Skill Lab procedure for your OSCE exam. • In this episode, I am talking about the Bladder Catheterisation by Foley’s catheter , the skill which should be mastered by all medical students. • I hope you can master the skill by watching this video and can do all the steps in the correct sequence. • You can enjoy all my videos in the following link: • youtube.com/c/surgicaleducator • Thank you for watching the video.

1. BLADDER
CATHETERISATIO
N
FOLEY’S
SKILL
LAB
OSCE
Dr.B.SELVARAJ MS;Mch;FICS;
“SURGICAL EDUCATOR”
MALAYSIA

2. BLADDER
CATHETERISATION
DEFINITION
Insertion of Foley’s catheter into the
urinary bladder through urethra
INDICATIONS
1. Acute retention of urine in BOO
2. To monitor urine output
3. Neurogenic bladder
4. Urinary incontinence
5. Instilling dye into bladder to take Cystogram or
Micturating Cysto Urethrogram- MCU
6. Instilling topical chemotherapy in Ca Bladder

3. BLADDER
CATHETERISATION
CONTRAINDICATIONS
ABSOLUTE
1. Urethral Trauma- Rupture
2. Urethral Stricture
CONTRAINDICATIONS
RELATIVE
1. Acute Urinary Tract Infection- UTI
2. Patients on anticoagulants/ Bleeding Diathesis

4. BLADDER
CATHETERISATION
EQUIPMENTS

5. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
1.Introduction & Informed
consent
 Introduce yourself to the
patient
 Tell the patient why and
what you are going to do?
 Tell the possible
complications also and then
obtain the informed consent.
2. Chaperone & Privacy
 Ask for a chaperone
 Maintain privacy by putting
the curtain

6. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
3. Wear PPD, wash hands
and wear glove
 PPD/PPE: Wear apron, cap,
mask and goggles
 Wash hands
 Wear sterile glove

7. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
4. Patient’s position
 Place the patient in the
supine position with legs
extended and flat on the bed.
5. Put absorbent pad under
patient
 Place absorbent pad under
patient

8. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
6. Clean genitalia properly
 Retract the prepuce in un
circumcised patients and
clean glans with Povidine-
iodine or Chlorhexidine
7. Apply sterile drape
 Drape patient with sterile
fenestrated towel

9. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
8. Inject lignocaine jelly
into urethra
 Inject 10ml lignocaine jelly
into bladder
9. Wait for 5 minutes
 Compress urethral meatus
for 5 minutes to avoid back
flow

10. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
10. Place sterile receiver
 Keep sterile kidney dish
below the genitalia
11. Select appropriate
catheter
 Select the correct catheter for
your patient

11. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
12. Insert catheter gently
into urethra
 Insert gently Foley’s catheter
into the urethra
13.Fully insert the
catheter until urine drains

12. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
14. Inflate balloon with
sterile water
 Inflate balloon with 30ml of
sterile water
15.Attach Urobag
 Attach appropriate size
urobag

13. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
16. Pull catheter to
conform self-retaining
status
17. Replace prepuce if
appropriate

14. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
18. Clean the area & cover
it
19. Fix urobag below the
level of the patient

15. NASO-GASTRIC TUBE
INSERTION
SEQUENTIAL STEPS
20. Thank the patient & throw the glove into
yellow color bin

16. NASO-GASTRIC TUBE
INSERTION
SEQUENTIAL STEPS-RECAP
1. Introduce yourself ,Explain the procedure
and take informed consent
2. Ask for a chaperone &Provide privacy
3. Don apron/ wash hands/ don gloves
4. Position patient
5. Put absorbent pad under patient
6. Clean genitalia properly
7. Apply sterile drape
8. Inject lignocaine jelly into urethra
9. Wait for 5 minutes
10 Place sterile receiver
11. Select appropriate catheter
12. Insert catheter gently into urethra
13. Fully insert the catheter until urine
drains
14. Inflate balloon with sterile water
15. Attach Urobag
16. Pull catheter to conform self-retaining
status
17. Replace prepuce if appropriate
18. Clean the area & cover it
19. Fix urobag below the level of the patient
20. Thank the patient and throw the glove
into yellow color bin