Definition
Urinary catheter is a tube that is place inside a man or women to drain or collect the urine from the bladder. A urine bag is attached to the drainage system to collect the urine. There are several different types, and sizes of urinary catheters that are used for many reasons such as leaky urine, cannot urinate when you want to, or for medical reasons such as dementia.
Goal
- Eliminating bladder distension
- Obtain a urine specimen
- Assessing the amount of residual urine, if the bladder is not able to fully emptied.
Preparation
Preparation of patients
- Saying hello therapeutic
- Introduce yourself
- Explain to the patient and family about the procedure and purpose of actions to be implemented.
- Explanations given to understand the patient / family
- Communication using language that is clear, systematic and non-threatening.
- Patients / families are given the opportunity to ask for clarification.
- Respect the privacy of patients during communication.
- Shows patience, empathy, politeness, and attention and respect for communicating and taking action.
- Make a contract (time, place and actions to be taken).
Inserting Urinary Catheter on Male Procedures
- Patients were given an explanation of the procedures to be performed, then the tools brought near to the patient
- Close the door
- Wash hands
- Replace the pedestal below the buttocks of patients
- Open the tray of instruments, wearing sterile gloves, then clean the genitalia with cotton sublimat tool by using tweezers.
- Clean the genitalia with a way: The penis is held by non-dominant hand of the penis is cleaned by using cotton sublimat by the dominant hand in a circular motion from the meatus out. Actions can be done several times until clean. Put the tweezers in crooked.
h. Take the catheter and then spread with jelly. Insert the catheter into the urethra approximately 10 cm slowly with tweezers until the urine out. Enter the Fluid Nacl / aquades 20-30 cc or appropriate size written. Withdraw the catheter slightly. If at the catheter was withdrawn restrained mean catheter has entered the bladder. - Connect the catheter with a urine bag. Then tie the side of the bed
- Catheter fixation
- Remove gloves
- Washing hands
- Implement documentation :
- Record actions taken and results, and client response in the patient record sheet.
- Record the date and hour of taking action and the name of the nurse who did and signature / initials on the patient's record sheet.