Ppt.removing an indwelling ursinary catheter

2. PURPOSES
To promote normal bladder function.
To prevent trauma to the urethra.
To prevent infection.
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3. ARTICLES
Syringe without needle (10 ml)
Clean gloves
Protective pad
Soap, towel & washcloth
Container for waste disposal
Urinal or bedpan
Kidney tray.
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4. PROCEDURE
Wash hands & don gloves
If bladder conditioning is to be
performed:
a.10 hours before removal, clamp
indwelling catheter for 3 hrs.
b.Unclamp & drain urine for 5 minutes
c.Repeat clamping for 3 hours &
draining for 5 minute two more times.
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5. Count…
Wash hands
Check the doctor’s order
Identify the patient & explain procedure
Provide privacy & position patient on
back.
Remove covers & drape so as to expose
catheter but do not overly expose
perinealarea.
Place protective pad under patient’s
thighs
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6. Count…
Empty urine in tubing into urobagfor
prevents leakage from catheter onto
patient, when the catheter is removed.
Remove any tape that may be holding the
catheter to the leg for allows for easy
removal of catheter.
Insert syringe end into balloon port &
remove all the air or fluid from the
balloon, generally 5-10cc. Do not cut the
port, because removal of fluid from balloon
prevents damage to urethra, while removing
the catheter.
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7. Count…
Ask the patient to take a deep breath if able
& gently & smoothly remove the catheter on
expiration. Stop if you meet resistance &
recheck the balloon port, because damage
to urethra may occur if the balloon is not
fully deflated.
Note any sediment, mucus or blood that
may be on the catheter. if needed, culture
the trip of catheter by cutting it off with
sterile scissors & placing in appropriate
container for assesses for any indications
of infection or trauma related to the
catheter.
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8. Count…
Cleanse the patient’s perinealarea or
provide a warm, moist cloth with
instructions for self-cleaning. Provide
comfort & reduces transmission of
micro-organism.
Remove gloves & wash hands for
reduce transmission of microorganism.
Cover patient & position comfortably for
provide for privacy & comfort.
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9. Count…
Instruct the patient to drink oral fluids as
tolerated & to call when he/she needs to
void. Because determines that patient
has returned to usual voiding pattern.
Record time & amount of first voiding.
Offer bedpan/ urinal every 2-4 hours.
If the patient is unable to void within 8
hours, report to the physician.
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10. SPECIAL CONSIDERATION
Instruct patient to inform the nurse, if
experiencing any pain, or symptoms of
bladder infection, after the catheter is
removed.
Check if physician has ordered bladder
conditioning before removal of catheter.
Keep track of intake & output for at least
24 hours after removal of catheter.
If patient has not voided within 8 hours
after catheter removal, the catheter may
have to be reinserted.
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11. INTAKE-OUTPUT CHART
intake output
oral I.V Urine Stool Vomiting
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