Chapters Transcript 3 BD SureStep™ Foley Catheter Insertion, Female Catheterization mm. Hmm. After thoroughly washing hands. Don clean gloves and preparation for pre cleansing of the perennial area, ensure adequate lighting, arrange for extra nursing personnel to assist as necessary. The female patient is best categorized in the dorsal recumbent position. An alternate position for the female patient is side lying sims position. The knees must be adequately separated to obtain a clear view of the peri urethral area, open outer packaging of the foley catheter tray, remove the tray, remove the label, directions for use brochure and orange sticker sheet from the top of the tray and set aside. Place it between the patient's legs. The first step of the catheterization procedure should be a soap and water, perennial cleanse. A perry care kit is provided on top of the wrap of the foley tray with simple instructions. Open the kit and remove the soap wipes and hand sanitizer. Open the packet of soap, wipes, remove and unfold them cleanse the peri urethral area and discard whites. After use, remove and discard your soiled gloves. Perform hand hygiene with the provided alcohol, hand sanitizer gel physician. The tray so that the arrow is pointed towards the insertion site, remove the band by lifting near the adhesive and unfold the outer wrap. Don the sterile gloves while maintaining sterile technique in an area outside of the outer wrapping. Place the under pad beneath the patient, plastic or shiny side down. Use caution not to contaminate your sterile gloves while positioning the under pad, position the administrative drape over the perineum, exposing the urethral status. Advanced the tray toward the patients so the outer wrap and under pad overlap the sure step fully tray is labeled. To walk you through each step of the catheterization procedure. Step one, open the packet of providian iodine. Step two Pour the solution onto the three foam swabs, sticks to saturate them. Step three attach the syringe filled with sterile water to the inflation report. Please note that it is not necessary to pretest the foley catheter balloon. Step four, locate the green syringe with lubricant and deposit the lubricant into the tray, remove foley catheter from the blue wrap and place it in the lubricant. Step five. With your non dominant hand, carefully retract the labia to expose the urethral. This hand is now contaminated and committed to non sterile activity. Step six. Using your dominant hand, twist the first swab stick to remove it from the tray and cleanse the labia Menorah furthest from you With a downward stroke and discard, repeat on the labia menorah closest to you and the area between the labia menorah. Step seven remove the catheter from the lubricant, insert the catheter into the urethra me status using gentle downward pressure until you're in a scene in the drainage tube. Advance the catheter two more inches or around five centimeters and inflate the catheter balloon with the entire 10 mL of sterile water provided in the syringe only sterile water should be used to inflate the balloon, remove syringe when inflating the balloon, observed the patient. If the patient complains about pressure, immediately stop deflate the balloon gently advance the catheter and inflated again. Once the balloon is inflated, gently pull the catheter until the inflated balloon is snug against the bladder neck. If successful, catheter insertion is not completed, including breaks in aseptic technique, replace the catheter and collecting system using aseptic technique and sterile equipment. If proper catheterization is not accomplished, use a new catheter system after inserting the catheter, Discard all materials in accordance with hospital policy, and remove contaminated gloves. Created by
