Pre-practicum 4 Catheterization Assessment Procedure

Catheterization Assessment Procedure 1. Installation of an indwelling catheter a. Prepare the tools and bring them near the client: - One (1) catheter to be installed according to the required size is inserted in a sterile tub. - Anatomical tweezers 1 piece 59 - 1 pair of gloves - Syringe 10 -20 cc 1 piece - 2 pieces of gauze - Sublimate cotton in place - Aquabidest / NaCl 0.9% to taste - Xyloxain Jelly 2% or similar - Urobag - plaster - Bent 1 piece - Butt pad 1 piece - Spotlight if necessary - Cover 1 piece - Bath blanket - Small sterile bottles for sterile examination materials b. Washing hands c. Wear gloves 2. ORIENTATION STAGE a. Greet and smile to clients (BHSP) b. Introduce myself c. Inform clients about the actions and goals that will be carried out d. Explain to the client the time allocation that will be needed e. Maintain client privacy, if necessary install curtains f. Adjust the client's position according to indications 3. WORK STAGE a. Attach the sash and close the door b. The brace and base are placed under the gluteus c. Place 2 bends between the client's legs d. Washing hands e. On clientsman - The client lies in a supine position - Place the catheter set between the patient's lower legs with a minimum distance of 45 cm from the patient's perineum 60 - Open the catheter set - Use sterile gloves - Place a hollow duct in the patient's genital area - Opening the meatus area: hold the area under the glans penis with the thumb and forefinger, the prepuce is pulled downwards - Clean the meatus area with sublimate cotton and tweezers - Clean in a circular direction from the meatus out, minimum 3 times - Lubricate the tip of the catheter with xylocaine jelly - Insert the catheter, 18 – 20 cm long until urine comes out, erect the penis at a 90 degree angle - If there is pressure to insert the catheter, do not continue - During catheter placement, encourage the patient to breathe deeply - Fill the catheter balloon with the specified amount of NaCl solution using a syringe - Fix the catheter using plaster - Hang the urobag in a lower position than the urinary bladder - Provide a comfortable position for the patient f. On clientswoman - The client lies in the dorsal recumbent position - Place the catheter set between the patient's lower legs with a minimum distance of 45 cm from the patient's perineum - Open the catheter set - Use sterile gloves - Install perforated ducts in the area 61 patient's genitalia - Opening the meatus area: open the labia using the index finger and thumb of the left hand and then slightly pull upwards - Clean the meatus area with sublimate cotton and tweezers - Clean the outer labia area and lastly the meatus, use cotton only once - Lubricate the tip of the catheter with xylocaine jelly - Insert the catheter, 5 to 7 cm long until urine comes out - If there is pressure to insert the catheter, do not continue - During catheter placement, encourage the patient to breathe deeply - Fill the catheter balloon with the specified amount of NaCl solution using a syringe - Fix the catheter using plaster - Hang the urobag in a lower position than the urinary bladder - Provide a comfortable position for the patient 4. TERMINATION STAGE d. Tidy up patients and equipment e. Opening windows and screens f. Washing hands g. Provide an explanation that the action has been completed h. Pay attention to the client's general condition i. Document the actions that have been taken 5. ATTITUDE e. Take action with confidence f. Be polite at work 62 g. Work carefully and meticulously h. Work systematically according to action procedures