NOTE: Never force the catheter to advance. Discontinue the procedure if the catheter
will not advance or the patient has unusual discomfort. Get assistance from the charge
nurse or physician.
m. When the catheter has passed through the prostatic sphincter into the
bladder, urine will start to flow into the collection bag if it is preconnected. If it is not
preconnected, collect a specimen if required, then place the end of the catheter into the
tubing of the sterile receptacle.
n. Attach the syringe to the balloon port and inject the water slowly to inflate the
balloon. Connect the urine collection bag if it is not preconnected.
o. Anchor the catheter tubing to the lateral abdomen with tape (figure 3-4).
Figure 3-4. Anchoring (male) indwelling catheter.
p. Secure the urinary collection bag below the level of the bladder and off the
floor. Coil any extra tubing on the bed.
q. Remove your gloves, the drapes and protectors from around the patient, and
any lubricant or antiseptic on the patient's skin.
r. Discard disposable equipment and return reusable equipment to the
appropriate area.
s. Record the time that the procedure was done and by whom, the patient's
reaction to the procedure, all patient teaching done and the patient's level of
understanding. Report any significant observations to the charge nurse to include:
(1)
The amount, color, and clarity of the urine.
MD0906
3-7