foley insertion - women Flashcards
(10 cards)
foley women 1
check rx for foley
foley women 2
assess (3)
foley women what to assess beginning (3)
allergies
if client can cooperate during procedure
last void/catheterization
foley women 3
prep (11)
foley women prep (12)
equipment (7)
hh
intro + BED UP
id pt
explain + consent
pt comfort/priv
clean glove
supine, knees flexed, feet 50cm apart, hips ext rotated
pericare
remove gloves + hh
clean gloves + 10-15ml xylocaine, wait 5min
remove gloves, hh
foley women 4
insert (20)
foley women insert
open kit
drape under buttocks
drop foley onto field
sterile gloves
attach syringe/check balloon according to pol
lubricate + lock in
container c foley, syringe, swabs between legs
spread labia
swab major, minora, meatus c 3 diff swabs
deep breath + insert on expiration
stop @ urine return
advance 5cm or until bifurc
inflate balloon + ensure all ml are in balloon before dc
pull until resistance
attach to collecting bag
secure cath to inner thigh c hypafix
sipe perineal area
fix to side of bed BELOW BLADDER
discard
remove gloves + hh
BED DOWN
foley women 5
document (4)
foley women document
cath size
aspect/quant of urine
pt response
nbr attempts
foley women mtls (8)
sterile glove
clean glove
foley kit
urine bag
foley
xylo gel
hypafix CUT
pericare supp