Catheter
Description: This policy provides the procedure to ensure the safe, sterile placement and removal of the Foley catheter. It also provides guidelines for catheter care and specimen collection from the catheter.
Accountability: The physician is responsible for writing the order for placement of the Foley catheter. The registered nurse, licensed practical nurse, advanced care partner, emergency medical technician or paramedic is responsible for placing an indwelling urinary catheter (Foley catheter). The above personnel must have demonstrated the knowledge and skills to perform this procedure as evidenced by verification on a competency checklist.
Instructions for Specialty Temperature Sensing Foley: If temperature sensing foleys are clinically indicated, they are to be utilized in the Operating Room, Emergency Department and Critical Care Units only. Temperature sensing foleys are NOT MRI compatible. If a patient is to receive an MRI scan, the temperature sensing foley catheters MUST be removed and a non temperature sensing foley is to replace it prior to leaving the clinical area for the MRI scan.
Policies/Procedures:
1.
Identify the patient using the required two patient identifiers.
2.
Verify that the patient is not allergic to latex, iodine or betadine. If the patient is sensitive or allergic to latex, replace the catheter in the kit with a silicone catheter. If the patient is allergic to iodine or betadine, use an alternate cleanser such as Hibiclens.
3.
Gather equipment: Foley catheter kit (use non-latex for patients with latex allergies). Use the smallest size catheter that is appropriate.
4.
Explain the procedure to the patient and wash your hands or perform hand hygiene. Maintain the patient’s privacy and dignity.
5.
Consider washing the patient’s genital area before the procedure if visibly soiled. Don non-sterile gloves, wash patient’s genital area thoroughly with foam body cleanser (4:1 body cleanser) or Ready cleanse™ wipes Remove gloves and
Accountability: The physician is responsible for writing the order for placement of the Foley catheter. The registered nurse, licensed practical nurse, advanced care partner, emergency medical technician or paramedic is responsible for placing an indwelling urinary catheter (Foley catheter). The above personnel must have demonstrated the knowledge and skills to perform this procedure as evidenced by verification on a competency checklist.
Instructions for Specialty Temperature Sensing Foley: If temperature sensing foleys are clinically indicated, they are to be utilized in the Operating Room, Emergency Department and Critical Care Units only. Temperature sensing foleys are NOT MRI compatible. If a patient is to receive an MRI scan, the temperature sensing foley catheters MUST be removed and a non temperature sensing foley is to replace it prior to leaving the clinical area for the MRI scan.
Policies/Procedures:
1.
Identify the patient using the required two patient identifiers.
2.
Verify that the patient is not allergic to latex, iodine or betadine. If the patient is sensitive or allergic to latex, replace the catheter in the kit with a silicone catheter. If the patient is allergic to iodine or betadine, use an alternate cleanser such as Hibiclens.
3.
Gather equipment: Foley catheter kit (use non-latex for patients with latex allergies). Use the smallest size catheter that is appropriate.
4.
Explain the procedure to the patient and wash your hands or perform hand hygiene. Maintain the patient’s privacy and dignity.
5.
Consider washing the patient’s genital area before the procedure if visibly soiled. Don non-sterile gloves, wash patient’s genital area thoroughly with foam body cleanser (4:1 body cleanser) or Ready cleanse™ wipes Remove gloves and