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INSERTING A FOLEY CATHETER ON A FEMALE PATIENT/SKILL DEMO

hi everybody I am that nursing prof and

welcome to my channel in today's video

we're going to talk about how to insert

a Foley catheter into a female patient

so let's head to the lab wash our hands

provide patient privacy

all right mrs. Johnson we're gonna be

inserting a fully catheter into your

bladder today is that all right that's

okay

okay she says it's okay so let's get

started on our female patient so you

want the bed at a nice working height

for you so you don't have to bend over

and hurt your back and then you want to

get your patients set up so roll the

blankets down and have them bend their

knees and open their hips the key to a

good Foley is getting them in a good

position and having good lighting so

let's do a female Foley on this patient

so we're gonna open our package if you

watch the video about the male this is

the same package okay this is just the

same package it's for practice this is

at 12 French and we can put five MLS of

fluid into the balloon so let's open our

package we're gonna open our sterile

package the correct way so away from us

side side towards us and I always do a

little turn like that and remember our

border one inch not sterile I'm gonna

put on my gloves

and I'm trying to do this showing you

what I'm doing but also trying not to

break stability while I'm showing you

what I'm doing so bear with me here for

a second and yes this happens the slobs

like to do this very crinkly so they

like to do that and fold back up on you

so you want to only want to touch this

part of the glove because this is gonna

be the inside that touches your hand now

we're gonna have to put on our second

glove and we're gonna sneak our hand our

sterile gloved hand onto that little

cuff if you can see it here of the other

glove to put the glove on correctly

without actually touching anything okay

so now we have our sterile gloves on we

can pinch this in the middle because

it's part sterile and get rid of it I

now we can prepare all of our items so

the first two things we have are drape

that's going to go underneath the

patient and then our one that's going to

go around the patient covering their

genitals only exposing the area that we

need so shiny side down we're gonna

place this down we're trying not to

touch anything else then we're gonna use

our cover third rape has an opening in

it we're gonna place it right here in

our patient okay now we're gonna prepare

all of our things so we're gonna open

our swab sticks these are our betadine

swabs so you want to make sure that

you're asking your patient if they're

allergic to shellfish or if they're

allergic to latex when you do a Foley

catheter so here our swaps and we have

alternatives we have non latex catheters

and then we also have chlorhexidine

instead of betadine swaps so we got our

betadine swabs out we'll open our

lubricant

and then we can get our catheter

prepared I like to prepare mine ahead of

time so I get my sterile water solution

and put it in some manufacturers will

have you test the balloon prior to

insertion some will say please do not

test the balloon because the idea is

testing the pollutant could cause it to

stretch out making it more difficult to

insert into the patient but I'm gonna

show you what testing the balloon looks

like so we've hooked up our sterile

water and then we're just gonna slowly

push them in and see how it starts to

get bigger so we know the balloon is

intact and it's working and then we'll

just get rid of the water okay before we

put it in the patient now we're ready to

contaminate one of our hands

so since I'm right-handed I'm gonna

contaminate my non-dominant hand which

is my left hand and this is a little bit

trickier on a female patient because you

have to hold it open with your fingers

you have to hold open the labia so we're

gonna hold it open we're gonna take one

swab we're gonna do furthest away from

us first get rid of it then the next one

we're gonna do closest to us get rid of

it and then finally our third one is

gonna go down the middle I think you're

rid of it then we're gonna take our

tubing you can see it here we're gonna

take our catheter dip it in our

lubricant and then we're ready to insert

it into the patient so I have them take

a deep breath tell them I've shown it

her it might be a little bit

uncomfortable and then go ahead and

insert you insert until you see urine

return once you see urinary return you

know you're good we don't have to be

sterile anymore

don't get rid of our things and now we

can inflate our balloon

once our balloons inflated give it a tug

that's how we know we're in it's not

coming out now we can clean up our mess

and then we're gonna put the tubing with

a stat luck on the patient's leg never

under the lake because that can cause a

pressure sore now we need to attach it

to the bed it's very important that we

do not hook this on a movable part of

the bed like a side rail or something

like that okay 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 okay that's gonna cause a back

flow of urine which is going to 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

discontinue a catheter is really quick

and easy it is not sterile and you only

need a couple of supplies so you're

gonna wear gloves of course you're gonna

need an empty syringe and then you're

gonna need a washcloth so what you're

gonna do is you're gonna put your

syringe in the port and then you're

gonna pull back okay what you're doing

here is deflating the balloon okay then

you're gonna take your washcloth and

you're gonna tell your patient okay take

a deep breath one two three pull it's

out done okay then you're gonna dispose

of the used catheter properly you're

gonna perform peri care or assist the

patient to perform peri care one

situation that might occur for a female

patient when you're doing a catheter is

accidentally inserting it into the wrong

spot so inserting it into the vagina so

if this happens what I recommend is

leave that one in leave the one that you

inserted incorrectly in the vagina that

way it serves as a marker so when you go

to do your next one you don't insert it

into the wrong place twice so I'm doing

this not sterile because I'm just trying

to explain so let's insert the new one

while we keep the old one in and it's

easy to go in the right spot because the

wrong spots already being occupied and

then once this one is in and secure and

we're happy then we can just remove the

old one and get rid of it

another trick you might want to use so

that you insert the catheter into the

meatus and not the vagina is rimmer when

we did our swab sticks we did all three

of them the third one goes down the

middle remember so after that maybe go

down the middle and then it's perfectly

safe if you want to stick that into the

vagina just to hold its place that way

we know when we go to insert the

catheter that we're not going into that

same spot and we'll know to go above it

and get the Mutis and then once the

catheter is in place and we're happy we

got it correct we got you're in return

you can go ahead and take that swab

stick out and toss it get rid of it so

those are just some little extra tips

and tricks when it comes to female

patients

female patients can be a little bit more

challenging than male patients when it

comes to fully insertion

not everybody's Anatomy is perfect here

like the mannequin for practice so just

be aware of that if they just had a baby

they've had swelling maybe they're obese

it's gonna be a little bit more

challenging so good technique good

lighting and if you can get your patient

into this position that's really gonna

help you so we hope you found this video

helpful if you have any questions or

comments please let me know and if not

I'll see you on the next one