Chapters Transcript Closed System Coudé Foley Tray System Urinary catheterization is a common procedure in hospitalized patients with over 25 million Catheters sold each year to hospitals. Catheterization can often be a difficult procedure in male patients due to the complex structure of the male urethra and the prevalence of benign prostatic hyperplasia. When clinicians encounter patients who are difficult to categorize, it's been found that insertion is attempted an average of three times before urology consult. Older males can have a higher risk of difficult catheterization due to the high prevalence of benign prostatic hyperplasia or BPH. In this population, According to the NIH, 50% of males between the ages of 51 and 60 have bph and this number increases to 90% for patients older than 80 years old. Foley catheters are designed to aid with difficult catheterization and males they have a slight bend near their tip which is designed to help navigate around the male prostatic curve. Catheters are inserted much like any other urinary catheter, except the curved tip must be facing upward in the direction of the urethral curve. Prior to gathering supplies needed for insertion, confirmed the patient meets the CDC guidelines for appropriate indications for indwelling urethral catheter. Use C. D. C. Guidelines for the prevention of kati recommend maintaining a closed drainage system for foley catheters. Therefore, when gathering supplies for a code foley insertion, it's recommended to use a closed system tray. Once you have the code closed system tray follow the product specific directions for use of aseptic trade preparation and catheter insertion. Be sure to aseptic lee set up the tray Before touching the patient, remove the foley catheter from the rap and lubricate the catheter. If hospital policy permits, it's possible to inject lubricant directly into the urethra with your non dominant hand. Elevate the penis, holding it perpendicular to the body without compressing the urethra. If the patient is not circumcised, retract the foreskin, prepare the patient with three foam swabs saturated in providence iodine. Using each swab for one swipe only cleanse the penis in a circular motion, starting at the urethral metis and working outward. Catheter insertion. You're now ready to insert the catheter before insertion, ensure the catheter tip is oriented with the curve facing upward, insert the catheter tip into the media status with the curve facing upward. Make sure the patient's penis is held perpendicular as the catheter is inserted in advanced as the catheter is advanced within the urethra, the marker or bump on the drainage funnel should continue to face upward. Some resistance may be felt as the catheter tip meets the external sphincter, slightly twisting the catheter from side to side while advancing it may help the catheter pass beyond this point. It may be necessary to withdraw the catheter a short distance and attempt to re advance it slowly when the catheter tip has entered the bladder urine will be visible in the drainage tube, insert the catheter to the bifurcation to ensure the balloon is within the bladder inflate the catheter balloon. Using the entire volume of sterile water provided in the pre filled syringe. Use of less than the required volume can result in an asymmetrically inflated balloon. Once inflated, gently pull the catheter until the inflated balloon is snug against the bladder neck. If the patient is not circumcised, pull the foreskin back over the metis to prevent swelling. Foley catheters are intended for the use in the drainage and or collection and or measurement of urine cautions. Latex. Foley catheters contain natural rubber latex, which may cause allergic reactions. Federal USA law restricts these devices to sail by or on the order of a physician warnings on the catheter. Do not use ointments or lubricants that have a petrol Edem base. They will damage the catheter and may cause the balloon to burst. Do not use if allergic to iodine. After use this product may be a potential biohazard handle and dispose of in accordance with accepted medical practices and applicable local state and federal laws and regulations, visually inspect the product for any imperfections or surface deterioration prior to use if packages opened or if any imperfection or surface deterioration is observed. Do not use. Please consult the product label and insert for any indications. Contra indications, hazards warnings cautions and directions for use Created by
