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

CHAPTER 1

So every Foley kit comes withhand sanitizerand either wipes for the perineal areaor 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.

CHAPTER 2

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 areaof 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 outbecause I think it creates less messand a nice space for your Foley to sit.Hook up the water that will blow up my balloon,and make sure nothing is stuckso it won't be difficult to do the Foleyonce 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.

CHAPTER 3

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 itall 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.