NOTE: If the catheter is inadvertently placed in the patient's vagina, leave it in place
temporarily. Insert another catheter properly by repeating the entire procedure using
another sterile set; then remove the catheter from the vagina.
p. Attach the syringe to the balloon port of the catheter. Inject the water slowly
to inflate the balloon. If the water will not inject easily or the patient complains of pain,
deflate the balloon completely and advance the catheter further, then re-inflate.
q. Remove the syringe. To position the balloon correctly, pull on the catheter
r. Connect the drainage bag to the catheter. Secure the catheter to the inner
aspect of the female patient's thigh (figure 3-7).
Figure 3-7. Securing (female) indwelling catheter.
s. Attach the urinary drainage bag to the bed, below the level of the bladder but
off the floor. Coil any extra tubing on the bed.
t. Remove any lubricant or antiseptic on the patient's skin. Remove your
gloves, the drapes and the Chux from around the patient.
u. Discard disposable equipment and return reusable equipment to the
appropriate area.
v. 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 observations to the charge nurse to include:
(1)
The amount, color, and clarity of the urine.
(2)
Any difficulty with the procedure.
(3)
The presence of blood in the urine.
MD0906
3-10