(2)
Any difficulties with the procedure.
(3)
The presence of blood in the urine.
3-7.
INSERTING THE FOLEY CATHETER IN A FEMALE PATIENT
The following procedures are used to insert the Foley catheter in a female
patient.
a. Wash the area around the meatus with warm soap and water. Rinse and dry.
b. Wash your hands.
c. Open the sterile catheterization kit, using sterile technique.
d. Put on sterile gloves.
e. Place the fenestrated drape on the patient with the hole over the female
genitalia.
f. Apply sterile lubricant liberally to the catheter tip. Lubricate at least three
inches of the catheter for the female. Leave the lubricated catheter over the cotton
balls.
g. Place the urine specimen collection container within reach.
h. Place the thumb and forefinger of your nondominant hand between the labia
minora, spread and separate upward. The gloved hand that has touched the patient is
now contaminated.
i. Using the forceps, pick up a cotton ball saturated with antiseptic solution.
Use one cotton ball for each stroke. Swab from above the meatus downward toward
the rectum.
j. Keeping the labia separated, cleanse each side of the meatus in the same
downward manner (figure 3-5). Do not go back over any previously cleansed area.
k. Deposit each cotton ball into the disposal bag. After the last cotton ball is
used, deposit the forceps into the bag as well.
l. Continue to hold the labium apart after cleansing. Insert the lubricated
catheter into the female patient's urinary meatus (figure 3-6).
m. Angle the catheter upward as it is advanced. If the catheter will not advance,
instruct the patient to inhale and exhale slowly. This may relax the sphincter muscle.
Do not force the catheter.
MD0906
3-8
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