b. Explain the Procedure to the Patient. Advise the patient that he may feel a
burning sensation and pressure as the catheter is inserted, and that he will feel that he
needs to void after the catheter is in place. Do not suggest to the patient that he may
feel pain; however, introducing a catheter in swollen or injured tissue may cause
c. Provide for Privacy and Adequate Lighting.
(1) Close the door or pull the curtain surrounding the patient's bed and
position the flashlight or lamp at the end of the bed.
(2) Position the female patient in a dorsal recumbent position with the knees
flexed and the feet about two feet apart. Place Chux under the patient's buttocks.
Cover the upper body and each leg. Place the catheter set between the female
(3) Position a male patient in a supine position. Place Chux under the
patient's buttocks. Drape the patient so that only the area around the penis is exposed.
Place the catheter set next to the legs of the male patient.
INSERTING THE FOLEY CATHETER IN A MALE PATIENT
The following procedures are used to insert the Foley catheter in a male patient.
a. Cleanse the genital and perineal areas with warm soap and water. Rinse and
b. Wash your hands carefully.
c. Open the sterile catheterization kit, using sterile technique.
d. Put on the sterile gloves.
e. Open the sterile drape and place on the patient's thighs. Place fenestrated
drape with opening on the penis.
f. Apply sterile lubricant liberally to the catheter tip. Lubricate at least six inches
of the catheter. Leave the lubricated catheter on the sterile field.
g. Pour the antiseptic solution over the cotton balls.
h. Place the urine specimen collection container within easy reach.
i. Grasp the patient's penis between your thumb and forefinger of your
nondominant hand. Retract the foreskin of an uncircumcised male. The gloved hand
that has touched the patient is now contaminated.