Transcription

So today I'm gonna be talking about Foley catheters, and helping you to better understand what we use them for, what are the risks of precautions with bolding catheters? What should we be looking out for how to insert them how to put them in that kind of stuff. So one of the things that I know, you know, is definitely helpful to hear about any topic, especially when it comes to nursing procedures.

I know there are a lot of nursing graduates that are actually very nervous about even putting in a fully in or that just, you know, just nervous in general about for the catheter. So what I hope is, after you watch this video, not only will you feel more comfortable with Foley catheters, but you'll have an understanding of them, and why we use it, and so forth. So one of the ways I wanted to do this in order to really help you not only retain it better, but grasp and grasp it better, but help you to really understand it well.

And I have in front of me, a Foley catheter, so I so this is not the entire Foley catheter kit, this is the drainage is bad. But still, I wanted to use this so that way, you can really begin to see how they work and so forth. So first of all foremost, so here's what we should be thinking about, what are some reasons why we would need to put a Foley catheter in, right? So you should, so that should be something that you know, and identify. So one of the reasons reason number one, is because the patient is on strict intake and output, and it's more of a priority for us to monitor how much they're urinating than it is for the risk for infection. Right. So some of the reasons why we want to do a strict I know, maybe the patient has eyes on, for example, diuretics. And strict I know is really huge, especially with a patient who struggles with fluid retention or fluid overload, and others while we put a catheter in, is because the patient has urinary retention. Okay, so what do you remember about the test and period is that urinary retention is an emergency. And we say one more time, urinary retention is an emergency, it's not something that you can, you should take lightly. So we have to respond immediately if they are retaining urine. Okay, so how do we know that they're retaining urine? Well, for one, we will do a bladder scan.

So let's say for example, for whatever reason, they're not going to the restroom, they're not paying, right. So we do a bladder scan, and it's been hours and they're still not paying. And we look and evaluate and we see in the bladder scan that they have urine in there. And you know, they have maybe like 400, or two instances of urine, you know, which is not normal, if especially if they can if they should be able to go pee. Now, some reasons why they don't they have lost or lost the ability or the function to use the restroom could be maybe they have a spinal cord injury, you know, they have maybe they have a spinal cord injury, maybe they have lost the muscle called the external sphincter, that's certainly helps to create that urge for somebody to use the restroom. So maybe they lost that.

Another one we put a polling factor in is because we want to monitor the color, the urine, the consistency of the urine, right? So we want to monitor how the urine looks like. And this is usually this could be this is when the patient needs more attention. Usually what they were large is a urologist, and these patients could they usually will have kidney problems. Maybe they have acute kidney failure, but it's a kidney issue. And so when we're seeing this problem happening with these patients, their urine can be cloudy sedimentary, I mean, it can still be yellow. There are times where the patient is in serious renal poor renal function. And I've seen it their urine is bloody red, I mean, bloody, maybe there was a trauma, damage to the kidneys, whatever it is, and it's bloody red, and there's clots in the urine, like literally, I think clots in the urine. So those are the reasons why we why we put a Foley catheter in.

Now let's here's a question. When we insert a Foley catheter, do we use aseptic technique or sterile technique? Well, we're definitely going to use sterile technique, right? So when we're when we're putting the Foley catheter in, so to describe the process of it, if it's a man or a woman, we're going to have them sitting laying, laying flat on the bed, right? And usually we're going to have those the legs a little bit raised up. We want it to be a brightly lit room. We want to wash your hands first. We want to educate the patient and tell them what we're going to do is going to feel cold is going to be uncomfortable especially if their meal, you have the drainage, the whole kit, okay, so this is just the bag, right? This is the bag, but you have the actual the whole kit. And the way that it works is that you will have the area, okay, you have the area that's going to be your stroke stick sterile technique. Remember, you don't want to break sterility. So it's very important that you're careful with this process. So, this is, as you can see, this is the the two part, right. But the way that it will work, though is that you will, there will be another port, which would be where we would have the balloon, okay, so the steps that will will look like after we put them in the right position, everything we have bright light, we put on the mask, we put on the stroke gloves, you know, we tell the patient to relax all that good stuff, then we want to check the balloon, okay, we will check we will, there will be a balloon on the tip of the catheter, okay, and then we will push water into the balloon to make sure the balloon works.

Okay, make sure the balloon can expand. And then we will withdraw the water back but we will keep the syringe on there. Alright, hopefully you're following along so far, then we would lube right, we will also now that we know that the blue works, we're going to go ahead and lube the catheter tip. So we're going to put a whole bunch of lubricant on there. The important thing to remember too, is that you don't want to bring style technique, right. So you're going to hold you know, whether it's the man or the woman, hold the bathroom area, hold the pineal arrow and hold it with the same hand, don't change hands. And then you're going to slowly advance the catheter in. Okay, so we advance events and literally as you're advancing, this bag will begin to start to get full with urine, they'll begin to have urine in it will begin to show you in the back. And and what you should do when you start to see the urine, you want to advance it a couple more inches, this is important too. And then you then you're good to go. Right and then you want to push the water into the syringe.

So I will have a syringe and I will push them onto the syringe to create that balloon. And then I would pull it back just a little bit just to make sure that it's less than tugging there. Okay, and then you will have a clip to clip it to the side of the patient's leg. Right and then you'll have it hanging down below. Okay, so that's the steps of putting in the Foley catheter. You know, it's not hard, you know, it's something that is very common. Okay. It's not it's not uncommon procedures that we would do. Very, very common procedures that we do right when it comes to Foley catheter.