Go Back

External Urinary Catheterization
(Condom Catheter)

List of Necessary Equipment for Foley's Catheterization:

FirstScrub.com
  • Sterile Gloves:
    1. Disposable sterile gloves to ensure hand hygiene and prevent contamination.
  • Foley Catheter:
    1. A sterile Foley catheter of appropriate size and type. Foley catheters have an inflatable balloon near the tip that is used to secure the catheter inside the bladder.
  • Sterile Lubricating Gel:
    1. A sterile lubricating gel to ease the insertion of the catheter and minimize patient discomfort. Water-soluble lubricants are recommended.
  • Antiseptic Solution:
    1. An antiseptic solution, such as chlorhexidine or povidone-iodine, for cleansing the genital area and maintaining aseptic conditions during the procedure.
  • Sterile Drapes:
    1. Sterile drapes to create a clean field and maintain aseptic conditions during the catheterization process.
  • Sterile Syringe:
    1. A sterile syringe of appropriate size for inflating the balloon of the Foley catheter. The syringe should be of a volume recommended by the manufacturer.
  • Sterile Distilled Water:
    1. Sterile water for inflating the balloon of the Foley catheter. The amount of water required for balloon inflation should be as per the manufacturer's guidelines.
  • Adhesive or Tape:
    1. Adhesive strips or tape to secure the catheter in place after insertion. It should be firm enough to prevent accidental dislodgement but not excessively tight.
  • Urine Drainage Bag:
    1. A sterile urine drainage bag with appropriate capacity to collect and measure urine output. The bag may be connected to a leg bag or a larger collection bag, depending on the patient's needs.
  • Sterile Gauze or Cotton Balls:
    1. Sterile gauze or cotton balls for cleaning and drying the genital area, as well as for applying pressure to the puncture site after catheter insertion to stop any bleeding.
  • Waste Disposal Bags:
    1. Plastic bags for the proper disposal of used gloves, swabs, and other non-sharp waste generated during the catheterization procedure.

It is essential to follow local guidelines, protocols, and infection control practices when performing Foley catheterization. Proper selection and preparation of equipment contribute to maintaining patient safety, preventing infections, and ensuring effective urinary drainage.

Foley's Catheter Size Color Guide:

FirstScrub.com
External catheter sizes vary in different manufacturers by 1-2 mm but the commonly sold sizes are listed below:
WidthSize
25 mm Small
29 mmMedium
32 mmIntermediate
36 mmLarge
41 mmExtra Large

Foley's Catheter Insertion: Video

External urinary catheterization, also known as condom catheterization, is a procedure used to manage urinary incontinence in male patients. The National Institute for Health and Care Excellence (NICE) provides guidelines on the recommended steps for using external urinary catheters.

Here's a brief note on external urinary catheterization as per NICE guidelines:

  • Preparation:
    1. Gather all the necessary equipment, including gloves, a condom catheter (of appropriate size), adhesive strips or securement device, cleansing wipes or solution, and a urine drainage bag.
    2. Verify the patient's identification and explain the procedure to them, addressing any concerns or questions.
  • Hand Hygiene:
    1. Perform hand hygiene by using soap and water or an alcohol-based hand rub before putting on gloves.
  • Patient Positioning:
    1. Ensure the patient is lying comfortably in a supine position or sitting upright.
    2. Provide appropriate privacy and maintain a comfortable environment for the patient.
  • Size Selection:
    1. Select a condom catheter size that fits the patient's penis properly, ensuring a snug fit without causing constriction or discomfort.
    2. It is essential to assess and measure the patient's penis size accurately to choose the appropriate catheter size.
  • Cleansing and Preparation:
    1. Cleanse the penis and surrounding area with mild soap and water or a suitable cleansing wipe or solution, following NICE guidelines.
    2. Ensure proper drying of the area to promote adhesion and prevent skin irritation.
  • Catheter Application:
    1. Unroll the condom catheter onto the penis, starting from the base and rolling it down towards the tip, ensuring proper alignment.
    2. Leave a small space (approximately 1-2 cm) at the end of the catheter to allow for any expansion.
    3. Ensure that the catheter is applied securely but not excessively tight to avoid discomfort or impairment of blood flow.
  • Securement:
    1. Use adhesive strips or a securement device to hold the condom catheter in place, ensuring it is securely fastened but not too tight.
    2. Ensure that the securement is comfortable and does not cause skin irritation or damage.
  • Connect the Drainage System:
    1. Connect the condom catheter to a urine drainage bag that is appropriate for the patient's needs.
    2. The drainage bag should be positioned below the level of the bladder to facilitate gravity drainage and prevent backflow.
  • Monitoring and Care:
    1. Regularly monitor the urine drainage, ensuring proper flow and patency of the catheter.
    2. Assess the patient for any signs of skin irritation, discomfort, or catheter-related complications.
    3. Maintain hygiene and cleanliness of the genital area, ensuring regular catheter changes as per NICE guidelines.
  • Documentation:
    1. Document the details of the procedure, including the catheter size, patient's response, urine output, and any complications encountered.
Note:

Following the NICE guidelines for external urinary catheterization helps healthcare professionals perform the procedure safely and effectively. It promotes proper sizing, cleansing, application, and securement of the condom catheter, ensuring patient comfort, urinary management, and prevention of complications. Regular monitoring, appropriate catheter changes, and patient education contribute to maintaining hygiene and optimizing the use of external urinary catheters.

a project of alostmedic.com

Connect with us!

Keep getting latest feature updates on Instagram