Anatomy
Prior to inserting a foley into a male patient this should pulled back and cleaned, if present.
Foreskin
CAUTI stands for __________________________.
Catheter associated urinary tract infection
Prior to inserting a foley, which 2 allergies must be addressed?
Betadine and latex
What is the external catheter used for incontinent males?
Condom catheter
Name two reasons a patient might need a catheter.
Urinary retention
Bladder obstruction
Accurate urine output measurement
Surgical procedures
Healing of a sacral or perineal wound
Prolonged immobilization
End of life comfort
This part of male anatomy may contribute to resistance with foley catheter insertion.
Prostate
CAUTI is an example of what type of infection?
After insertion, the catheter must be secured using what?
A Statlock
What is the external collection device that may be used for incontinent females?
Purewick
A male with an enlarged prostate might require this type of catheter.
Coude
Name two conditions that may cause anatomy to appear different than normal.
Pregnancy, childbirth, obesity, hypospadias, epispadias
Name 2 foley standards of care to prevent CAUTI.
Perineal care for incontinent patients.
ADLS performed and documented ever 2 hours.
Catheter care at a minimum of once a day and following each bowel movement.
Cleanse entire area.
Clean the genitals with the Castille soap wipes.
For patients who cannot void, instead of placing an indwelling foley catheter, the provider might give orders for this instead?
Straight cath
A 3-way catheter will be necessary for a patient receiving what kind of treatment?
Continuous bladder irrigation
The female urethra is shorter, making them more susceptible to ________________.
Infection
Name 2 negative outcomes caused by CAUTI.
Length of stay, morbidity, mortality, antibiotic use, cost.
The arrow of the sterile tray should be pointed in what direction?
Toward the insertion site.
Performing this procedure before a catheterization might reduce how often the patient is catharized.
Bladder scan
Only a urologist can place this type of catheter.
Suprapubic
The balloon of the foley catheter should rest where after insertion?
Neck of the bladder
Name 3 things that can be done to prevent CAUTI.
Use a catheter only when absolutely necessary.
Use an alternative collection method.
Hand hygiene
Sterile technique
Never reuse a catheter if you "miss."
Maintain a closed drainage system.
Empty drainage bag regularly.
Keep drainage bag below level of bladder.
Discontinue as soon as possible.
Upon visualization of urine the next step of insertion should include
Advancing the catheter 1 to 2 more inches.
Taking the patient to the bathroom at regular intervals, even when they do not have the urge to void is referred to as __________________________.
Bladder training
The buildup of this on a catheter may prevent the effectiveness of antibiotics to fight CAUTI.
Biofilm