Basic Nursing 1 Catheter Installation

CATHETER INSTALLATION A. Expected Competencies 1. Basic Competencies After carrying out practical learning activities, students are able to carry out the procedure of installing a catheter correctly 2. Special Competencies After carrying out practical learning activities students are able to: a. Explain the purpose of catheter placement b. Explain the indications for catheter placement c. Mention the preparation of catheter installation tools d. Demonstrate the procedure 3. Prerequisites 1) Master the anatomy and physiology of the urinary system 2) Master the working procedures for installing Catheters B. Theory and Working Procedures of Urinary Catheterization: Catheterization can cause health problems so it is only done when really necessary and must be done carefully (Brockop and Marrie, 1999). The installation of a urinary catheter can be done for diagnosis or as therapy.Indications for installing a urinary catheter for diagnosis are as follows: 1. To take a urine sample for microbiological culture examination while avoiding contamination. 2. Measure residual urine by carrying out regular catheterization on the client immediately after ending his micturition and then measuring the amount of urine that comes out. 3. For cystography examination, contrast is inserted into the bladder through a catheter. 4. For urodynamic examination, namely cystometry and urethral pressure profile. Indications for installing a urinary catheter as therapy are: 1) Used in several lower urinary tract operations such as seccio alta, vesicourethal reflex repair, prostatectomy as bladder drainage. 2) Overcoming infravesical obstruction such as BPH, blood clots in the bladder, post-surgical strictures and inflammatory processes in the urethra. 3) Treating urinary incontinence with intermittent self-catheterization. 4) During periodic self-clean catheterization (KBMB). 5) Introducing intravesical drugs, including cytostatics / antipyretics for the bladder. 6) As a splint after urethral reconstruction surgery for the purpose of urethral stabilization, Objective 1) Empty the bladder 2) Collect sterile urine for examination 3) Measure the remaining urine in the bladder tools preparation Sterile 1) The catheter to be installed is according to the size required (1) The fruit is placed in a sterile tub. 2) Anatomical tweezers 1 piece 3) 1 pair of gloves 4) 10 -20 cc syringe 5) 2 pieces of gauze 6) Sublimate cotton in place 7) Aquabidest / NaCl 0.9% to taste 8) Xyloxain Jelly 2% or similar 9) Urobag Not Sterile 1) Bent 1 piece 2) 1 piece butt pad 3) Spotlight if necessary 4) 1 piece of slingshot 5) Bath blanket 6) Small sterile bottles for sterile examination materials Client Preparation 1)Give the client an explanation about the procedure and purpose of installing a urinary catheter. 2)Adjust the patient's position (dorsal recumbent, sim), the position depending on the principle can provide a comfortable feeling for the client and nurse when carrying out the urinary catheterization procedure. Nursing Preparation 1) Washing hands includes: 2) Let go of all objects in your hands 3) Using soap 4) Wash your hands for 30 minutes 5) Rinse with clean water 6) Dry with a dry towel/cloth 7) Performed during and after performing urinary catheterization 8) Wear gloves 9) Explain the action procedure to the client Implementation 1) Attach the sash and close the door 2) The brace and base are placed under the gluteus 3) Place 2 bends between the client's legs 4) Wash your hands 5) At the clientman 6) The urine that comes out is collected in a urine bag 7) Fill the urinary catheter balloon with aquabidest / Nacl 0.9% = 10 cc according to the instructions on the urinary catheter packaging. 8) Fixation of the urinary catheter in the groin area. 9) Place the urine bag lower than the bladder or hang the urine bag on the bed. 10) Disinfection of urine bag connection with urinary catheter 11) Tidy up clients, clean tools 12) Nurse washes hands 13) Explain the procedure to the client again