Catheters and Sterile Field

Question 1

Tell me about the sterile field

Answer 1

DRY, above WAIST, do NOT turn BACK, 1” is NON STERILE, open AWAY form you, do NOT reach OVER, THROW it OUT

Question 2

Tell me about pouring sterile liquid onto the sterile field

Answer 2

Put in sterile BOWL, 6” ABOVE field, pour AWAY from LABEL

Question 3

What are some situations you use sterile gloves for

Answer 3

Urinary CATH, TRACH SUCTION/ CLEANING, WOUND care, CENTRAL line

Question 4

What are the EVB indications for urethral catheter

Answer 4

ACUTE urinary OBSTRUCTION or RETENTION, prevent CONTAMINATION during surgery, accurate MEASUREMENT, perineal WOUND, IMMOLBIZED pts, END of LIFE

Question 5

What are the 4 types of catheters

Answer 5

Straight (in and out)
Indwelling
Triple-,umen
Coude

Question 6

What is a CAUTI

Answer 6

Catheter-associated UTI

Question 7

What are the risks of catheterization

Answer 7

CAUTI, trauma, erosion

Question 8

What do you do for sizing

Answer 8

Smallest size

Question 9

Tell me about a straight cath

Answer 9

In and out, UA, DIAGNOSE, DRAIN, empty a POUCH, chronic RETENTION
NO BALLOON, less RISK

Question 10

Tell me about the indwelling

Answer 10

Double-lumen (fill balloon, urine), LEFT in place

Question 11

Tell me about the coude

Answer 11

STIFFER CURVED tip, used for BPH, LEFT in place

Question 12

Tell me about the triple lumen

Answer 12

balloon, urine, bladder iirigation, allow IRRIGATION fluid to wash out CLOTS or give ABX

Question 13

What to do if you are met with resistance

Answer 13

PULL BACK, LUBE, PENIS STRAIGHT

Question 14

Trouble shooting when no urine is seen

Answer 14

DONOT INFLATE balloon untill there is URINE, LEAVE in place, COUDE

Question 15

Trouble shoot if you break sterile feild

Answer 15

NEW equipment

Question 16

What is scheduled catheter care

Answer 16

SOAP and WATER or CHG

Question 17

Where does the bag go

Answer 17

Below the bladder, anchor tubing to thigh

Question 18

When do you empty the bag

Answer 18

2/3 full

Question 19

What do you need to do with uncircumcised penises

Answer 19

Pull foreskin back and clean then PUT IT BACK

Question 20

What is phimosis

Answer 20

The foreskin can’t go away

Question 21

What is paraphimosis

Answer 21

The foreskin can’t go back over

Question 22

What is a suprapubic catheter

Answer 22

Surgical placement through abdomical wall

Question 23

What are the indications for suprapubic

Answer 23

Catheter is CONTRA, after bladder SURGERY, NEUROGENIC bladder

Question 24

What is the maintence for a suprapubic cath

Answer 24

DRINK fluids, DAILY cleanin around SITE, NO LOTIONS, ASSESS site, CHANGE 4-6 WEEKS

Question 25

What do you use for incontience management of a female

Answer 25

External female cath

Question 26

What are the contraindications for a purewick

Answer 26

UNCOOPERATIVE, frequent POOPS, skin BREAKDOWN, MENSTRATION, RETENTION

Question 27

How often should an external female cath be replaced

Answer 27

8-12 hours, or when soiled

Question 28

What are the risks of external male catheters

Answer 28

SKIN death, STRANGULATION, INFECTION

Question 29

How often to replace

Answer 29

DAILY, PRN

Question 30

How do extrenal male caths work

Answer 30

Most are GRAVITY other than PRIMOFIT