Indwelling Foley Catheter Insertion on a Female Patient

Pre-Procedure Steps

• Doctor's Order: Ensure there is a doctor's order for the procedure.
• Confirmation:
  • Validate the right patient and the right procedure type (indwelling or in-and-out catheter).
  • Assess for allergies, specifically latex and iodine.
• Patient Communication: Explain the procedure to the patient and ensure they consent.
• Gather Supplies:
  • Check the kit for necessary items.
  • Ensure availability of pericare supplies, sterile gloves, clean gloves, PPE, and alcohol prep.
  • Consider a helper for the procedure, possibly a nursing assistant.

Patient Positioning

• Dorsal Recumbent Position: Legs flexed and apart.
• Sims Position: For patients with mobility issues.
• Waterproof Pad: Place under the patient for cleanliness and comfort.

Opening and Preparing the Foley Kit

• Open Foley Kit: Lift plastic covering and organize the contents.
• Cleanser and Educational Material: Ensure these are ready for use.

Periurethral Care

• Hand Hygiene: Wash hands and don clean gloves.
• Visualize Anatomy: Identify urethral meatus.
• Labia Spread: Use non-dominant hand to spread labia.
• Use Towelettes: Clean labia minora and urethral meatus from top to bottom.
• Doff Gloves and Perform Hand Hygiene

Setting Up Sterile Field

• Drape Patient: Use under pad and fenestrated drape.
• Open CSR Wrap: Follow a specific method to maintain sterility.
• Don Sterile Gloves: Ensure sterility is maintained.

Foley Catheter Preparation

• Prepare the Kit: Set up iodine swabs, connect water syringe without testing the balloon, and lubricate the catheter.
• Insert the Foley:
  • Guide using non-dominant hand.
  • Instruct patient to breathe and bear down.
  • Insert catheter until urine appears, then advance an additional 2 inches.
• Inflate Balloon: Using the syringe, ensuring no patient discomfort.

Securing and Positioning

• Clean Up: Dispose of used materials.
• Secure Catheter: Use StatLock device on the inner thigh.
• Position Drainage Bag:
  • Keep below bladder level.
  • Ensure no kinks in tubing.
• Documentation: Place stickers and document the procedure.

Final Steps

• Make Patient Comfortable: Ensure patient comfort and privacy.
• Perform Hand Hygiene: Conclude with documentation and cleaning.