Catheter Lab Flashcards
(14 cards)
When would a patient need a foley catheter?
- When they can’t void (retention)
- Need fluid monitoring
- Post surgical recovery
How often should a catheter drainage bag be emptied? How should you position the drainage bag in relation to the patient’s bladder? Why do you positioned it there?
- Empty every 8 hours, even if not full
- Keep below bladder
-> prevent reflux/backflow
What type of technique is required for all catheter insertions?
- Sterile Technique
Do you need sterile technique for external catheter placements?
No, clean technique is utilized for external catheters
Does urinary catheterization always require a provider’s order?
- Yes, urinary catheterization is a proedure that always requires a provider’s order
Why do women have a higher risk of developing a UTI compared to men?
- women have a shorter urethra compared to men
-> short distance = increase the risk of infection
What are indwelling catheters at a high risk for? How do you prevent that risk?
- Developing UTI
-> Use sterile whenique when inserting catheter
-> Discontinue catherters ASAP
-> Provide perineal care daily
What should be done before inserting a catheter?
- Cleanse the perineal area
When cleansing the female perineal area, what hand should you use? What direction should you cleanse in?
- Use nondominant hand
- clean front to back
When cleansing the male perineal area, what hand should you use? What direction should you cleanse in? What if the patient is uncircumcised?
- Hold the penis with nondominant hand
- clean in circular motion from meatus outward (3x)
- if uncircumcised:
-> retract foreskin, clean it, replace after catheter insertion
A client has had an indwelling catheter for 3 days. What care do you provide daily to reduce infection risk?
- Perform daily and after bowel movements
- Use mild soap and water, no harsh cleansers
- Clean from front to back (female) or meatus outward (male)
- Inspect skin for irritation or breakdown
You’ve draped the patient and are preparing to clean the perineal area. Can you use your non-dominant hand to spread the labia and keep it in place throughout the procedure? Why or why not?
- Yes, the non-dominant hand becomes intentionally non-sterile and is used to maintain separation of labia throughout insertion.
You accidentally touch the catheter tip to the outer labia before insertion. Can you still use the catheter? Why or why not?
- No you can not use the catheter. The outer labia is not sterile. Discard the catheter and start over with a new sterile one.
- The outer The catheter tip must remain sterile up to and during insertion.
While placing the sterile drape, your gloved finger accidentally touches the client’s gown. What has happened, and what should you do next?
- Sterile technique is broken.
- Remove contaminated glove(s) and reglove using sterile technique.
