1. Non-Sterile Preparation

2. Sterile Preparation

3. Placement of Foley Catheter

Foley catheterization is a frequently-employed medical procedure to treat urinary retention, aid in bladder drainage/decompression, and facilitate measurement of urine output. This article provides an overview of the indications for Foley catheterization, the steps involved in its insertion, proper care guidelines, and potential complications associated with its use. It is of utmost importance for healthcare practitioners to be comfortable with catheterization procedures to guarantee the comfort, safety, and general welfare of the patients.

<h4>CHAPTER 1</h4>

<p>So every Foley kit comes with
hand sanitizer
and either wipes for the perineal area
or Castile soap wipes.
Start hand hygiene.
I'm going to get non-sterile gloves.
Begin with my towelettes.
Cleanse the area of where I'm working.</p>

<h4>CHAPTER 2</h4>

<p>Opening my kit,
starting with the flap that is furthest away from me.
Side, side, closest.
So I don't contaminate the inside of my kit opening it.
Switch out my non-sterile gloves,
only touching the area
of my gloves.
I've draped out my area where I'm working.
I'm gonna start setting up the kit, finding the lube.
I like to pull the plunger out
because I think it creates less mess
and a nice space for your Foley to sit.
Hook up the water that will blow up my balloon,
and make sure nothing is stuck
so it won't be difficult to do the Foley
once I start with one hand,
loosen it up.
Take my Betadine kit.
I like to do that last,
so I don't make a big mess in the beginning,
because it's very messy.</p>

<h4>CHAPTER 3</h4>

<p>My non-dominant hand -
I'm right-handed, so I'll take my left hand.
And begin starting in the middle and pinwheeling out.
Once you've begun, you cannot go back, so...
New swab - start in the middle, pinwheel out.
I'm ready to do my insertion.
If at any point you meet resistance: stop.
For males, you'd want to take it
all the way to the hub of the catheter,
and wait for urine return.
I see urine return,
I take my non-dominant hand,
blow up the balloon.
Disconnect.
Pull back until I meet resistance.
And then I break down my kit.</p>


Watch this full-length, narrated video of a Foley catheter placement in a preoperative male patient.

DOI
Publication Date	2023/11/20
Article ID	417
Production ID	0417
Volume	2023
Issue	417
https://doi.org/10.24296/jomi/417

Foley Catheter Placement: Indications, Maintenance, Complications, and Demonstration on a Preoperative Male Patient

Procedure Outline

Table of Contents

1. Non-Sterile Preparation

2. Sterile Preparation

3. Placement of Foley Catheter