hi everybody I am that nursing prof and welcome to my channel in today's video we're going to talk about how to insert a Foley catheter into a female patient so let's head to the lab wash our hands provide patient privacy all right mrs. Johnson we're gonna be inserting a fully catheter into your bladder today is that all right that's okay okay she says it's okay so let's get started on our female patient so you want the bed at a nice working height for you so you don't have to bend over and hurt your back and then you want to get your patients set up so roll the blankets down and have them bend their knees and open their hips the key to a good Foley is getting them in a good position and having good lighting so let's do a female Foley on this patient so we're gonna open our package if you watch the video about the male this is the same package okay this is just the same package it's for practice this is at 12 French and we can put five MLS of fluid into the balloon so let's open our package we're gonna open our sterile package the correct way so away from us side side towards us and I always do a little turn like that and remember our border one inch not sterile I'm gonna put on my gloves and I'm trying to do this showing you what I'm doing but also trying not to break stability while I'm showing you what I'm doing so bear with me here for a second and yes this happens the slobs like to do this very crinkly so they like to do that and fold back up on you so you want to only want to touch this part of the glove because this is gonna be the inside that touches your hand now we're gonna have to put on our second glove and we're gonna sneak our hand our sterile gloved hand onto that little cuff if you can see it here of the other glove to put the glove on correctly without actually touching anything okay so now we have our sterile gloves on we can pinch this in the middle because it's part sterile and get rid of it I now we can prepare all of our items so the first two things we have are drape that's going to go underneath the patient and then our one that's going to go around the patient covering their genitals only exposing the area that we need so shiny side down we're gonna place this down we're trying not to touch anything else then we're gonna use our cover third rape has an opening in it we're gonna place it right here in our patient okay now we're gonna prepare all of our things so we're gonna open our swab sticks these are our betadine swabs so you want to make sure that you're asking your patient if they're allergic to shellfish or if they're allergic to latex when you do a Foley catheter so here our swaps and we have alternatives we have non latex catheters and then we also have chlorhexidine instead of betadine swaps so we got our betadine swabs out we'll open our lubricant and then we can get our catheter prepared I like to prepare mine ahead of time so I get my sterile water solution and put it in some manufacturers will have you test the balloon prior to insertion some will say please do not test the balloon because the idea is testing the pollutant could cause it to stretch out making it more difficult to insert into the patient but I'm gonna show you what testing the balloon looks like so we've hooked up our sterile water and then we're just gonna slowly push them in and see how it starts to get bigger so we know the balloon is intact and it's working and then we'll just get rid of the water okay before we put it in the patient now we're ready to contaminate one of our hands so since I'm right-handed I'm gonna contaminate my non-dominant hand which is my left hand and this is a little bit trickier on a female patient because you have to hold it open with your fingers you have to hold open the labia so we're gonna hold it open we're gonna take one swab we're gonna do furthest away from us first get rid of it then the next one we're gonna do closest to us get rid of it and then finally our third one is gonna go down the middle I think you're rid of it then we're gonna take our tubing you can see it here we're gonna take our catheter dip it in our lubricant and then we're ready to insert it into the patient so I have them take a deep breath tell them I've shown it her it might be a little bit uncomfortable and then go ahead and insert you insert until you see urine return once you see urinary return you know you're good we don't have to be sterile anymore don't get rid of our things and now we can inflate our balloon once our balloons inflated give it a tug that's how we know we're in it's not coming out now we can clean up our mess and then we're gonna put the tubing with a stat luck on the patient's leg never under the lake because that can cause a pressure sore now we need to attach it to the bed it's very important that we do not hook this on a movable part of the bed like a side rail or something like that okay we want to touch it into a immobile part of the bed so we can attach it right here and we are below the level of the patient's hips if we were to do it like up here or something like that okay that's gonna cause a back flow of urine which is going to cause retention and pain for the patient and possibly infection okay so making sure that when we hook the bag that we're hooking it on a non mobile part of the bag and that we're hooking it below the level of the patient's waist discontinue a catheter is really quick and easy it is not sterile and you only need a couple of supplies so you're gonna wear gloves of course you're gonna need an empty syringe and then you're gonna need a washcloth so what you're gonna do is you're gonna put your syringe in the port and then you're gonna pull back okay what you're doing here is deflating the balloon okay then you're gonna take your washcloth and you're gonna tell your patient okay take a deep breath one two three pull it's out done okay then you're gonna dispose of the used catheter properly you're gonna perform peri care or assist the patient to perform peri care one situation that might occur for a female patient when you're doing a catheter is accidentally inserting it into the wrong spot so inserting it into the vagina so if this happens what I recommend is leave that one in leave the one that you inserted incorrectly in the vagina that way it serves as a marker so when you go to do your next one you don't insert it into the wrong place twice so I'm doing this not sterile because I'm just trying to explain so let's insert the new one while we keep the old one in and it's easy to go in the right spot because the wrong spots already being occupied and then once this one is in and secure and we're happy then we can just remove the old one and get rid of it another trick you might want to use so that you insert the catheter into the meatus and not the vagina is rimmer when we did our swab sticks we did all three of them the third one goes down the middle remember so after that maybe go down the middle and then it's perfectly safe if you want to stick that into the vagina just to hold its place that way we know when we go to insert the catheter that we're not going into that same spot and we'll know to go above it and get the Mutis and then once the catheter is in place and we're happy we got it correct we got you're in return you can go ahead and take that swab stick out and toss it get rid of it so those are just some little extra tips and tricks when it comes to female patients female patients can be a little bit more challenging than male patients when it comes to fully insertion not everybody's Anatomy is perfect here like the mannequin for practice so just be aware of that if they just had a baby they've had swelling maybe they're obese it's gonna be a little bit more challenging so good technique good lighting and if you can get your patient into this position that's really gonna help you so we hope you found this video helpful if you have any questions or comments please let me know and if not I'll see you on the next one