project
A08
Example.pptxFOLEY CATHETER CARE
PRESENTATION BY:
NAME
INSTITUTION
COURSE
INSTRUCTOR
DATE
Outline
Introduction
Microbes Entry Pathway
Care Before the insertion of the catheter
Glove Use and Hand Hygiene
Drainage Bag Care
Indwelling/ Foley Catheter Care DO’s
Indwelling/ Foley Catheter Care DON'Ts
Constant evaluation for continued use of the catheter
Introduction
Foley catheter is a type of indwelling catheter that is commonly used for urinary retention, to help relieve urinary incontinence, or for people who are unable to empty their bladder on their own (Shaver et al., 2018, p. 68).
The foley catheter is inserted into the bladder via the urethra and drains urine to a urine collection bag.
Foley catheter care is important to prevent infection and other complications.
Microbes Entry Pathway
Breaks found in the urine collection bag or co-catheter tubing.
Entry during insertion (Zurmehly, 2018, p. 373).
Movement of the bacteria up the catheter.
Urine collection bag or catheter tubing contamination.
Care Before the insertion of the catheter
Assess the client and evaluate the indications for catheter insertion.
Assemble your equipment for insertion.
Prepare your client, and inform him about the catheter insertion and the purpose (Shaver et al., 2018, p. 69).
Wash your hands using soap and clean water and don gloves.
Clean the perineal area before inserting the catheter.
Glove Use and Hand Hygiene
Gloves play an important role in the prevention of contamination of the hand—but does not replace the hand hygiene.
Do hand hygiene and put gloves before;
Accessing the urine drainage system (Zurmehly, 2018, p. 374).
Emptying the urine drainage bag.
Collecting a sample of urine.
Glove Use and Hand Hygiene
Remove gloves and wash hands after;
Handling a foley/ an indwelling catheter.
Accessing the urine drainage system.
Emptying the urine drainage bag (Shaver et al., 2018, p. 71).
Collecting a sample of urine.
Drainage Bag Care
Follow the manufacturer's usage instructions before using the urine bag.
Empty urine drainage bags frequently (at least once every shift) (Liang et al., 2019, p. 1262).
Ensure the urine drainage bag and the catheter tubing are stabilized.
Ensure the urine drainage bag is kept below the bladder level and away from the floor all through.
Drainage Bag Care
Keep the catheter fastened to the leg using an elastic strap or sticky tape to prevent it from moving.
The catheter should be fastened to the lower abdomen or upper thigh when used by men (Levine & Sciscione, 2019, p. 1528).
The catheter should be fastened to the thigh by women.
Indwelling/ Foley Catheter Care DO’s
Use water and soap only while performing peri-care.
Ensure the tubing and the catheter are free from obstruction or kinking.
Keep the systems of the catheter closed while using leg bags or urine collection bags (Shaver et al., 2018, p. 68).
Replace disconnected collection bags and catheters.
Ensure that the resident's implementation/ identifier date is placed on their containers for urine collection.
Disinfect the sampling port prior to sample collection.
Indwelling/ Foley Catheter Care DON'Ts
Do not change drainage bags or catheters at routinely, fixed intervals.
Do not administer antimicrobial prophylaxis routinely.
Do not clean the periurethral area with antiseptics while the catheter is in situ/ place (Liang et al., 2019, p. 1262).
Do not vigorously clean the periurethral area.
Do not irrigate the bladder using antimicrobials.
Do not instill antimicrobial or antiseptic solutions into the drainage bags.
Do not screen for asymptomatic bacteriuria routinely.
Do not contaminate the outlet valve of the catheter while emptying the collection bag.
Constant Evaluation for Continued Use of the Catheter
Both physicians and nurses should continually evaluate the indications for the utilization of urinary catheters.
Catheters that are not used should be discontinued (Cutinho & Sheilini, 2018, p. 9).
The catheters should be changed after every two weeks or upon the client’s improvement based on the evaluation.
References
Cutinho, M. C., & Sheilini, M. (2018). Knowledge on Practice of Urinary Catheter Care and Compliance to Urinary Catheter Care Guidelines-A Hospital-based Study. Indian Journal of Public Health Research & Development, 9(11). https://manipal.pure.elsevier.com/en/publications/knowledge-on-practice-of-urinary-catheter-care-and-compliance-to-
Levine, L. D., & Sciscione, A. C. (2019). Foley catheter for outpatient cervical ripening: review of the evidence and a proposed model of care. American Journal of Perinatology, 36(14), 1528-1532. https://pubmed.ncbi.nlm.nih.gov/30674049/
Liang, C. C., Huang, T. J., Yang, S. H., Su, J. Y., Mu, P. F., & Curia, M. (2019). Prevention of catheter-associated urinary tract infection in neurological post-operation patients: a best practice implementation project. JBI Evidence Synthesis, 17(6), 1256-1267. https://pubmed.ncbi.nlm.nih.gov/30994500/
Shaver, B., Eyerly-Webb, S. A., Gibney, Z., Silverman, L., Pineda, C., & Solomon, R. J. (2018). Trauma and intensive care nursing knowledge and attitude of Foley catheter insertion and maintenance. Journal of Trauma Nursing, 25(1), 66-72. https://pubmed.ncbi.nlm.nih.gov/29319654/
Zurmehly, J. (2018). Implementing a nurse-driven protocol to reduce catheter-associated urinary tract infections in a long-term acute care hospital. The Journal of Continuing Education in Nursing, 49(8), 372-377. https://pubmed.ncbi.nlm.nih.gov/30053308/
