University:
Loyola University Chicago
Course:
Gnur 383 | Nursing Leadership
Academic year:

2022
Views:

420

Pages:

1
Author:

Elsie W

Urinary Catheter Care Urinary Catheters are used in many clinical situations for patients who are unable to void or need constant fluid status monitoring. It also requires a provider's order. Types of urinary catheter: ❏ Straight catheter: one time use, remove immediately after the insertion and drainage of urine. Drain the urine directly from the catheter into a basin or other container. ❏ Indwelling catheter: short-time, provides a closed drainage system for urine. ❏ Retention catheter: used for postoperatively because it has multiple lumens that allow the drainage of urine, irrigation of the bladder and instillation of medications into the bladder. ❏ Coude catheter: used for patients who have prostatic hyperplasia (enlargement), has a curved tip to allow for easier insertion. ❏ Suprapubic catheter: similar to indwelling except that they are placed through a surgical opening in the abdomen rather than through the urethra. ❏ Condom catheter: has a latex or silicone sheath to place over the penis. Catheters come in different sizes and materials (silicone and latex). A patient’s size, age, pathology, and potential allergies to materials are all considerations when selecting a catheter. Assessments such as allergies, mental status, urine quality, voiding patterns, vital signs, skin assessment, and abdominal assessment are all essential before and after catheterization. Perform catheter care a minimum of every shift, according to institution policy, regardless of the type of catheter the patient has. The care varies with the patient’s gender. Always use warm water, a clean washcloth, and an approved perineal wash solution. Avoid alcohol or irritants that may hurt the sensitive genital skin. It is also better to have an additional staff in the room to avoid any allegations of abuse. For female patients, use a front-to-back cleansing method in the perineal area. Clean catheters in a circular motion directly around them. For male patients, uses a circular motion from the center outward. Clean down the shaft of the penis and then clean the scrotum. A vital consideration when performing perineal care is to safeguard the patient’s safety, dignity, and privacy. Catheter care should be done at least once per shift (every 8 hours).