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Foley's Catheterization

List of Necessary Equipment for Foley's Catheterization:

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Foley catheterization is a common procedure used to insert a Foley catheter into the urinary bladder to facilitate drainage and monitoring of urine output. The National Institute for Health and Care Excellence (NICE) provides guidelines on the recommended steps for performing Foley catheterization.

  • 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:

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ColorWidth
Light Green6 Fr2.0 mm
Light Blue8 Fr 2.7 mm
Black10 Fr 3.3 mm
White12 Fr4.0 mm
Dark Green14 Fr4.7 mm
Orange16 Fr5.3 mm
Most commonly used in adults
Red18 Fr6.0 mm
Yellow20 Fr6.7 mm
Purple22 Fr7.3 mm
Dark Blue24 Fr8.0 mm
Pink26 Fr8.7 mm

Foley's Catheter Insertion: Video

Male Patient:

Female Patient:

Foley catheterization is a common procedure used to insert a Foley catheter into the urinary bladder to facilitate drainage and monitoring of urine output. The National Institute for Health and Care Excellence (NICE) provides guidelines on the recommended steps for performing Foley catheterization.

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

  • Preparation:
    1. Gather all the necessary equipment, including sterile gloves, a sterile Foley catheter (of appropriate size), sterile lubricating gel, antiseptic solution, sterile drapes, 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 with their legs slightly apart and knees flexed.
    2. If needed, provide appropriate privacy and use drapes to maintain a sterile field.
  • Sterile Technique:
    1. Use aseptic technique throughout the procedure to minimize the risk of infection.
    2. Prepare a sterile field using sterile drapes and maintain sterility during the catheterization process.
  • Catheter Lubrication:
    1. Lubricate the catheter tip with a sterile lubricating gel to facilitate smooth insertion and minimize patient discomfort.
  • Catheter Insertion:
    1. Cleanse the genital area with an appropriate antiseptic solution, following the manufacturer's instructions and NICE guidelines.
    2. Gently insert the lubricated Foley catheter into the urethra, advancing it until urine flows.
    3. Ensure the catheter is not excessively tensioned or pulling on the urethra.
  • Securement and Drainage:
    1. Secure the catheter in place using adhesive or tape, ensuring it is not excessively tensioned.
    2. Connect the catheter to a sterile urine drainage bag to collect the urine.
  • Post-Catheterization Care:
    1. Ensure proper positioning and comfort of the patient.
    2. Monitor urine output and assess for any signs of complications or adverse reactions.
    3. Provide appropriate education to the patient and caregivers regarding catheter care, hygiene, and potential complications to watch for.
  • Documentation:
    1. Document the details of the procedure, including the catheter size, balloon inflation volume, patient's response, urine output, and any complications encountered.
Note:

Following the NICE guidelines for Foley catheterization helps healthcare professionals perform the procedure safely and effectively. It promotes the use of sterile techniques, minimizes the risk of infection, and ensures patient comfort and care. Adhering to proper hand hygiene, catheter insertion techniques, and regular monitoring can help prevent complications and ensure the appropriate management of urinary drainage.

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