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INSERTING A FOLEY CATHETER ON A MALE PATIENT/SKILL DEMO

hi everybody I am that nursing prophet

and welcome to my channel

in today's video we're gonna be talking

about how to insert a Foley catheter

into a male patient so let's go to the

lab wash our hands provide patient

privacy verify our patient using to

identify errs excuse me sir can you

please state your name and date of birth

for me name and date of birth and then

it matches what's on the wristband so

this is the right patient so explain to

the patient that you're gonna be

inserting a Foley catheter today you

want to get them in a good position so

get the bed up to a working height for

you so you're not bending over and

hurting your back pull down their covers

if they're capable of doing so have them

bend their knees not every patient is

gonna be able to do this if they just

had like a hip replacement or a knee

replacement or something like that

they're gonna have a hard time with this

but it's gonna be much easier for you if

they're able to bend their knees and

spread their legs a little okay then

you're gonna expose their area you want

to get everything ready beforehand

because once you start opening your kit

you're gonna have to be sterile and you

don't want to accidentally have to touch

something like a gallon or a blanket so

we have our fully kicked and if you can

read on there it says that this is a 12

French so that's the size of this

catheter standard size catheters for an

adult are 14 to 16 this is a practice

one we do actually have a size 12

catheter that's usually for like younger

girls so let's open it up

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another thing I wanted to point out on

here is it also says 5e melts so that's

how much the balloon should be inflated

to now I know this kit comes with the

syringe that goes to ten MLS but that

doesn't mean you need to use all 10 MLS

so go to whatever it says it says it on

the packaging and it'll also say it on

the catheter tubing and I'll point that

out so when we open a sterile package we

first want to open away from ourselves

then side other side and then towards

ourselves and then I always give it a

little spin this one inch border here

okay this is considered not sterile now

we can get our things out so we can take

our gloves our sterile gloves and

they're trying not to break sterility

but also try to show you everything I'm

doing up close

we'll open our third

without touching the outside right and

when we touching the bottom then put on

our second glove we're gonna sneak our

fingers in here see how I did that okay

so I'm not actually touching anything

okay now we have our sterile gloves

finish this in the middle because this

part still sterile get rid of it now we

can get all our supplies ready I highly

recommend getting your supplies ready so

that way you don't find yourself in a

predicament where your non-dominant hand

is dirty and you're stuck using one hand

so we can take our sterile drape we want

shiny side down so that's bad side then

we'll take our cover and cover the

patient okay making sure that we're not

accidentally touching anything now we're

gonna get all of our things set up and

prepared before we put it in so we're

gonna open our swab sticks now these are

practice ones okay so you don't actually

have betadine on them but in the real

world they would have betadine on them

very important that when we do a Foley

catheter on our patients that we are

assessing for a shellfish allergy or

latex allergies so we have our betadine

swabs ready I'm just gonna scooch this

stuff like this this is our lubricant

sometimes it comes in a little package

like this sometimes it comes in like a

little syringe and you can just squirt

it onto your tray so we're just gonna

open it then put it on our tray let me

go to the side now this part is optional

but I highly recommend it because it's

gonna be easier for you later on so take

this part off

okay

get rid of this and then attach your

syringe some kits will even tell you

that they want you to attach the syringe

so that you can test the balloon and

then some kids say don't do that because

they're worried that if you inflate the

balloon prior to insertion it's going to

be more difficult and more painful to

insert so read your instructions it'll

let you know should you test the balloon

or not when I say test the balloon this

is what I mean let me show you so we're

gonna take our normal saline attach it

to our tubing and then let me just hold

this up for you so you see what I'm

doing and then it's gonna press it in

you see how it's inflating so that's

testing the balloon okay

and again just always follow the

directions and then what I like to do is

I just like to leave this in here I like

to leave it all the way set up so that

way when I'm ready to go all I got to do

is grab it now we can actually touch the

patient and at this point I'm gonna take

my dime dominant hand which is my left

hand and I'm going to contaminate it by

touching the patient so with a male what

you want to do is you want to take the

penis and then you want to stick it

straight up towards the ceiling okay in

a comfortable manner for the patient of

course but ideally you want it to point

straight up then you're gonna take your

three swaps you're gonna take one and

then go around the closest part and

you're only gonna go one so you're not

gonna go a bunch of times like this

right you're just gonna go one time done

get rid of it now it's dirty take your

second one go slightly lower slightly

beneath where you just went go around

one time get rid of it it's dirty and

then finally one more all the way down

and then get rid of it now if this

patient was not circumcised you would

have to pull back the foreskin to do

this so don't forget that

now we're gonna insert our catheter so

I'm gonna take this I'm gonna dip it in

our lubricant that we opened okay take

this little box with us we can put it

down here it doesn't matter it's not

gonna hurt the patient gonna have the

patient take a deep breath let them know

the shouldn't hurt but it might be

slightly uncomfortable we're gonna in

the catheter so how far do we insert it

how do we know how far to insert it so

you want to insert it until you see a

urine return here in the tubing now you

might encounter some resistance on a

male patient because of an enlarged

prostate if you do encounter resistance

I want you to keep pushing through it

past the resistance until you see urine

resistance doesn't necessarily mean

you're in the right spot especially if

they've had an enlarged prostate so keep

pushing till you see urinary return in

the tubing that's how you know that

you're in the right spot so let's have

we've done that now we're going to

inflate our balloon by pressing 5 MLS in

our syringe now we can disconnect and we

don't need to be sterile anymore at this

point clean up our little mess here that

we've made now the tubing since it's in

we're gonna attach it with a stat lock

on top of the leg we don't want to put

it under the leg we don't want the

tubing under the person and that they're

lying on top of it because this could

cause pressure sores on their leg so

we're gonna attach it here now we need

to attach it to the bed it's very

important that we do not hook this on a

moveable part of the bed like a side

rail or something like that ok we want

to touch it into a immobile part of the

bed so we can attach it right here and

we are below the level of the patient's

hips if we were to do it like up here or

something like that

ok that's gonna cause back flow of urine

which is gonna cause retention and pain

for the patient and possibly infection

okay so making sure that when we hook

the bag that we're hooking it on a non

mobile part of the bag and that we're

hooking it below the level of the

patient's waist so one thing I wanted to

show you here just like I said on the

packaging it says that it's a 12 French

and that we put five MLS in the balloon

it also says it on the tubing so every

catheter should say this when you go to

document you want to make sure you're

documenting what size French so 12 14 16

whatever you're using you want to make

sure that you're putting that in your

documentation as well and if you're not

sure where

find that information it's on the tubing

here and that it's also on the packaging

what happens when it's time to

discontinue the catheter that's actually

a much easier task than putting in the

catheter so you only need two supplies

for this you'll need an empty syringe

and then you'll need a washcloth and of

course you should definitely leave

wearing gloves the patient might ask is

this gonna hurt it should not hurt to

remove the catheter and it should only

take a couple seconds so what we do is

we take our syringe and attach it and

then we're gonna pull back because what

we're doing is we're deflating the

balloon we're getting the water out of

there so we'll take our water out all

right that's good tell him take a quick

breath put the washcloth underneath one

two three done it's out we're gonna

dispose of this we're gonna provide

Perry care to our patients now and let

them know if they have to go to the

bathroom if they have to have that first

void that we will help them so to put on

their call light for that first void we

want to see it we want to know the color

the consistency of the odor and the

amount

you