Female Foley Insertion (Urinary Catheter) [How to Insert Nursing Skills]
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- เผยแพร่เมื่อ 5 ก.ย. 2024
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Female Foley Insertion (Urinary Catheter)- Nursing Skills
In this video, we’re going to look at inserting a Foley catheter in a female. Of course make sure you’ve verified your order and told the patient what’s happening. You’ll also typically want to perform perineal care before you start. Then, you’ll want to assist the patient into the appropriate position. For females, that’s supine with their knees bent and feet close to their hips - allowing their knees to fall to the side. You may need a helper to help hold the patient in this position. We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Female Foley insertion introduction
0.15 Patient positioning
0.27 Opening the sterile kit
1.41 Setting up the sterile field
2.25 Prepping the remaining Foley kit items
2.34 Catheter lubrication
3.00 Saline syringe attachment
3.10 Iodine, swabs and cleansing the area
3.52 Catheter insertion (into urethra)
4.06 Balloon inflation
4.25 Final catheter setting
4.31 Securing the catheter and bag
4.48 Discarding your supplies
5.00 Documentation
5.08 Foley insertion outro
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1. Pt supine, feet closer to hips, knee's apart
2. Remove foley kit out of plastic bag - use plastic bag as trash bag for things ur done w/
3. Open sterile kit on bedside table and place bw pt legs, remind them not to touch (keep sterile)
4. Put on sterile gloves from kit, watching sterile kit to ensure it's still sterile
5. Put drape underneath pts perineum, shiny side down
6. Then fenestrated drape (has hole) over pts perineum
7. Lubricate catheter
8. Attach saline syringe to balloon port
9. Apply iodine to cotton swab. Use non dominant hand to spread labia and clean meatus, swiping from top to bottom
10. Insert catheter into urethral opening till u see a flash of urine into tube - then go 1 inch further. Then inflate balloon, once inflated remove syringe quickly and pull catheter out till u get slight resistance to know ur at base of the bladder
11. Secure catheter to pt thigh via tape, bag on rail of bed. Remove/discard drape/supplies. Note colour/clarity/amount of urine & document insertion.
u a life saver ❤️
Been a nurse 6 years , attempting my first cath now thanks for video
What???!!!! HOW?????? Lol
Wait, what? I thought this is something you need to achieve prior to qualifying. That’s crazy 🤯
@@iamasaint_5727 If you take the associates degree course they have much to teach and quickly and not all students get to do everything. So they truly can go into the nursing work and not be able to do many things. Sometimes it takes experience to really learn about nursing more. Listening to others, watching and you do learn as you go in some ways. Unfortunately, it can happen that you miss doing something here or here.
Whaaaaat??? I remember my first 6 months as a nurse and I was doing Foleys left and right
Why is everyone shocked about this lol it’s common for nurses not to do certain things. It all depends on where you work as a nurse. If you’re working as a psych ward or prison nurse, you’re passing meds, not inserting catheters lol I think a lot of people believe nurses only work in hospitals and nursing homes.
I'm just about to get a catheter for my mom, nearly 100, who is bed bound. This is helpful as I'll watch the procedure being done at home. Thanks for all your tips!
You never want to use a catheter if a person does not need one. She will be put at risk for a CAUTI. Prolonged catheter use can result in a urinary tract infection.
Thanks for the videos!!! I love how short they are and right to the point!
Ghu ga ada yang
Thax mam
I wish the camera gave a better close up view of the procedure. Some steps are hard to see
Blood in catheter tubing blocks the catheter. It occurs when there is an infection or when you insert too fast or too far, causing trauma/ bleeding. If you open the package with your gloves already on, you are contaminating everything. 1. open the package, 2. put sterile gloves on, 3. take care not to cross contaminate. Blood in the catheter tubing blocks the catheter. It occurs when there is an infection or when you insert too fast or too far, causing trauma.
Ok thnx 4 d info
4:17 ....I hope you never have to experience this procedure yourself because you will never refer to it as being "painless"
I don't think anyone would claim the insertion is painless. She was referring to the inflation of the balloon that keeps the catheter in the bladder. There shouldn't be any pain associated with the inflation of the balloon because it should be inside the open cavity of the bladder, not in the tiny urethral tube. If there's additional pain when the balloon is inflated, it most likely means the catheter isn't inserted far enough.
I had one put in, but I was already under anesthesia and was asleep so I did not feel a thing.
@@corrinecorinnekarina463 What the removal painful?
@@lik-- No, because they had already removed it before I woke from surgery.
@@corrinecorinnekarina463 Oh ok, thanks for the reply!
I need a close up of where you actually inserted it
I love how she pushed the bedside table after donning sterile gloves lol
She touches the middle of the sterile gloves package, which is considered sterile. So she actually did not break sterility, nor did she push the table nonetheless.
Helpful video. But for a non medical person it's not clear to see and learn things as most of the procedure captured from far camera.
I remember when I was covid positive, I got hospitalized where there was no GP, and interns didn't know how to insert catheter. They emptied my bladder through syringe. Then referred me yo other hospital. In other hospital also, they discharged me in few hours being covid positive. Then I had to manage catheter and all things by myself at home. TH-cam is helpful.
I got one of these before and it’s painful it’s like three pushes in the first one hurts the most and when your done with it you have to pee it out peeing it outs hurts and is hard.
Why does this video keep cutting to that zoomed out angle where we can't see anything?
I had open heart surgery and awoke with a Foley catheter in place (thank god I was anaesthetized for this procedure!) but I wonder if they started placing it before I was fully anesthetized as I kept feeling like I had to urinate. Any comments on this? Is feeling like you have to pee part of the process?
Yes it's part of the process
When it is inserted, you will get that feeling that you must urinate.
Taking Pain pills often will subside the SPASMS that signal need to pee .
I don’t get it so we swab outside to inner? Or inner to outer? Or all three swabs in the middle
The outer sides of the labia first and then down the middle.
Swab from the right side then discard. Get another swab, swab from left side then discard. Get another one swab from the middle then discard. Always start from top to bottom.
you forgot to change gloves after insertion. you need new regular gloves to dispose materials and attach the tubing to the leg
Why? you don't need new gloves to throw away the materials. Maybe to keep from getting lube or betadine on you or something. But even if you did get it on your hands... isn't that to clean a person anyway?( :
Huh? Why? Once its inserted there's no need to change gloves anymore. Its already in you can become non sterile.
Well, I watched an aide open the cath package lube the cath and insert it somewhere. But, the vlog doesn’t show the important parts, where is the urethra. Maybe the vlog people think that showing the urethra is too sensitive to be shown. Without it this vlog is useless. Get out of the 1950’s, let’s see what I am going to have to do and where!!!
It’s the hole that’s not the vagina??
If you can’t find a urethra by yourself you shouldn’t be inserting a cath in anyone for any reason 😂
I am BSC nursing student in India 😊 I am a brother Nurse 😅
I wish you zoomed in what she was twisting initially. Great video overall
oh good call, thanks for the feedback
No numbing agent for the poor patient. I have this done as I am Bladder Cancer patient & I can tell you this hurts sometimes excruciating if you have an inexperienced nurse 😢
Apparently there's research saying that numbing agent is in efficient for women. For men it's a different story
I did not hear a single word about gaining consent from the patient. She said to explain the procedure to the patient but there was no mention of consent. That's the most important thing of all!
Well the patient has to sign a consent for the cath to begin woth. At least in my hospital..
I think you have to realize they should have done that before she got started? That might be called not outside this teaching, but just done before, she got to the main point of video. as meaning her teaching the insertion of it. i know usually they tell them they are the patient's nurse and give their name and what you will be doing etc, and look at name band, and perhaps scanning it, and ask patient their name, and on and on and on, but think she takes it for granted you are studying nursing and know this? But a patient could be unconscious, and not able to sign or to even know if you did all of that so there would not be any reason. You would get consent ahead if and when possible. The doctor must order it anyway.
I also didn't hear anything about applying an anesthetic numbing gel to the catheter prior to inserting it, which is what they're supposed to do to reduce pain for the patient!
Great. Good video
I know. That's what made me angry. They put it in me in the OR while I was unconscious. I didn't consent to that plus the fact that I'm modest and very private and that has to be respected. 😢😞😠
You didn't use anesthetic gel
Is it better to put kit in the bed or leave it at the table
You have to put it in the bed because you cannot reach over or turn away from the sterile field
My instructor said to place in bed
@@savstrelley you wouldn't be turning away if you place table next to you, in the OR room, a much more sterile environment, the surgical table is usually to the side of the scrubbing nurse and they have to constantly twist facing surgical table or the operating table to pass or take back instruments. the key is not to give your "back" to the sterile field
@@KaituoKid yeah but for catheter insertion you need the container there to catch the urine when it starts pouring out. I always start out on table and bring the kit over to thread catheter through that way
This is the worst worst worst part of c section surgery... Oh i hate recalling this catheter insertion, it was hell
Oh, so we can constantly see the male demonstration, but for the female demo, the cam cuts away so I can’t see anything.
You will feel some pressure… lmao you feel a lot more than some pressure… it hurts pretty bad. They couldn’t get mine in it hurt me so bad.
This was great
Just to let you know, you broke sterile field several times. Including, when putting on sterile gloves and shaking the drape like that is a big no-no.
Also, you opened the labia and then, closed it. Plus, letting swab ends touch both gloved hands.
@@morgancampbell7934 We must not be watching the same video because she barely "shakes" the drape. She definitely didn't shake it like a shaking a floor mat or rug like you seem to make it sound. Letting the labia close, Yes, you are correct! She did do this incorrectly. However, she did not touch the swab ends, it clearly shows he grabbing at least an inch from the end of the swab... C'mon now. Also her hands are still considered sterile so what are you fussing about... She hadn't even touched the patient yet.
You are right, I'm also noticing this
If you know everything, why watch this lol
Do yours
When she first handled the kit, she had on the purple gloves. But the outside of the kit isnt sterile. Didnt she contaminate every item she removed from the kit with those purple gloves?
To answer your question no she did not contaminate the sterile field using the purple gloves because the outside part of the wrapper is not considered sterile only the inside part is sterile and when you open it up as long as you open it using the corners of the 1 inch boarder then you are fine. However you must have sterile gloves on in order to touch the supplies inside the box/kit because if you don’t have your sterile gloves on then you will have contaminated the supplies. That is why the kits we use tend to have the package of sterile glove right on top of the supply box when you go to open the wrap you can grab it without contaminating the items.
@@candacejustus2971 Thank you for the answer!
isn't moving the sterile gloves away from the sterile field back on the side table which is not sterile, a break of sterility? maybe this is my OR experience talking but you must put on your sterile gloves inside the sterile field you just unrwapped from around the kit or else the gloves are contaminated no? or is it cause gloves come wrapped in their own sterile field wrapping too?
I got one In during surgery I was put out thank god I hate getting it oug
Could I borrow your prop for the weekend to practice on😅
😂
Is it a sterile procedure
yes
The number of mistakes made is inversely proportional to the size of the audience observing.😉😀
you should have shown this in zoomed video
0:58 Oh. Thank the gods this demo was on a mannequin. I was watching this clip in the public library. 😂
Do male nurses process this procedure on females often ???
Yes.
I wouldn't without a coworker there also for documentation
Yes- nursing doesn’t discrimination against gender unless the female client does not consent!
Yes
Yeah
lots of things missing like numbing cream and making sure theres pee coming out when after you inserted the cather :(
Thank you 🙏
Getting a c section soon and I absolutely hated every second of this video (I’m scared) 🙃
The most bizarre feeling ever I hated it i shiver from the thoughts of having it inserted 🥶God I hope never again please 🥺
I'm with you. If I had been conscious, I would have refused.
No thanks. Give me anxiety.
You did not apply K Y Jelly
Oh my gosh do not let go of catheter when inserted! Keep holding it with sterile hand and with non-sterile hand, inflate balloon.
Actually, you have it backwards. There's no way you could reach with your non-dominate hand and inflate the balloon. You'd be reaching so far across your body. Once inserted, the sterility of the skill is complete and you can use either hand to do whatever it is that you need to do. However, what you said is most definitely backwards.
I'm I correct the bag should be placed on the side that the tubing is taped on the keg?
yes
That's what I was saying
Camera person is like 5 miles away from procedure
TH-cam University for the simple minded.
If female Patient is obese, please ask 1 or 2 co-workers to help🖖😎
I was going to say this. It can be difficult to find the urethral opening when there is extra folds to consider. It really helps to have another person holding the legs open and folds up, to enable you to execute the procedure correctly.
Life
Painless? Yeah says the person inserting it! It’s NOT painless and I’d rather deal with labor.
Exactly most bizarre feeling I hate hate hate it I shiver just remembering it God I hope ever again 🤧🤧
@@salmanamallamibrahim3822 dude right? These Fn people lying through their teeth. I’ll never forget when they catheterized me before having a c-section. I kept telling them I’m peeing on myself, and she’s like, “oh then I have to push it further in.” I told her not to touch me! I said you can do it when I’m numbed up.
I couldn’t feel it after m c section. It was uncomfortable for sure but generally speaking was ok
Supposed to be a lot worse for a male from what I’ve heard.
Come on don't exagerate! Nothing compares to labor pain. That's the worst pain ever without anesthesia.
hi my mdm was 90 yo , yesterday nurse help her to change urinary catheter but she insert at the wrong way go to vagina , after that nurse remove it n insert to the right one , but today god blood from the vagina is it normal ? thank you
After I woke from surgery, I was BLEEDING FROM THE VAGINA (and it stung, that skin between the vaginal and anal opening, to pee after they removed it) I haven't had a period in years. I think they violently violated me with the swab. 😢
@@tracycherrad4708if that happened to me, I'd raise hell.
I can hardly see where the catheter went! It was all covered! Definitely not for beginners lol
Will i have to get one if i give labor?
If you get the epidural you would need one as well
Definitely for c-section but not if you have a natural labour
You messed you everything its not sterile at all
U r not supposed to touch the tip
Camera angle is worst not seeing property
If there's iodine on the swabs it usually makes Foley insertion messier.
Too bad her hands really prevented you from seeing the actual insertion as to location
👍👍
✅
Doctors are God 🙏🙏🙏🙏
Most doctors don't even know how to insert a Foley 😂 stop giving undue credit to them. It really minimizes the hard work of other healthcare workers.
@@laricasolomom6189 As a nurse myself I absolutely agree. I have worked for doctors as a travel nurse that literally fall apart without their prefered nurses because they get used to doing so very little.
They are God's creation, with God-given wisdom 🙏🏼
@@LifewithBreanna_ OK and how does this comment relate to my reply? Original commenter literally called them God which we both know is blasphemy. Don't cherry pick religion please, its gross.
@@lisa-m-jennings man they drive me crazy at work all time time. If people really knew what when on behind the scenes they'd stop Brown nosing these doctors so much😂
This Girl looks nervous.
Watch her other videos
Ok
My daughter gets a Foley cath every night, and a straight cath every 3 hours. She loves kicking me lol, she's 5!!! Been doing this since she was born.
I know that junk hurt😣i only had a insert 1 time
🖐️
Video quality is very bad
other than louching all sufff with used gloves lol duh but cool
That didnt look gentle
@@godisfraud Oh please. If they were purposefully doing that, they'd be paying out the ass in malpractice suits for it.
Right 😂 I am not nervous for myself doing that procedure for my patients but nervous for them going through that pain 🤕
My mother have a catheter but it still her panty wet..
حجم القسطرة مش مناسب
size of catheter isn't suitable
F all of this. External catheter all the way!
WRONG
Do not put the covers back over the patient with your dirty gloves
Broke sterile field.
First
Over exaggerating vocal. Dislike