Name of the Procedure:

Insertion Tray with Drainage Bag and Indwelling Foley Catheter
Common Names: Foley Catheter Placement, Urinary Catheter Insertion
Technical Terms: Indwelling Catheter Placement, Two-way Latex Foley Catheter Insertion with Coating (e.g., Teflon, Silicone, Silicone Elastomer, Hydrophilic)

Summary

This procedure involves the insertion of a Foley catheter into the bladder for urine drainage. The catheter remains in place and is connected to a drainage bag. The catheter is coated with materials like Teflon, silicone, or hydrophilic substances to reduce irritation and infection risk.

Purpose

The procedure is performed to drain urine from the bladder when a patient cannot do so naturally. It is often used in cases of urinary retention, post-surgery, or severe illness to prevent bladder overdistension and associated complications.

Indications

• Acute or chronic urinary retention
• Postoperative care
• Severe illness or immobilization
• Bladder outlet obstruction
• Monitoring urinary output in critical patients

Preparation

• Patient may need to fast if the procedure coincides with a broader surgical intervention.
• Medication adjustments might be required, as advised by the healthcare provider.
• Initial assessment including a physical exam and possible urinary diagnostics (e.g., bladder scan).

Procedure Description

1. The healthcare provider explains the procedure to the patient and obtains consent.
2. The patient is positioned comfortably, often supine with legs slightly apart.
3. Sterile technique is employed throughout the procedure to minimize infection risk.
4. The genital area is cleaned with an antiseptic solution.
5. A Foley catheter, with the appropriate coating, is inserted through the urethra into the bladder.
6. Once in place, the catheter balloon is inflated with sterile water to keep it securely in the bladder.
7. The catheter is then connected to a drainage bag to collect urine.
8. The drainage bag is usually positioned below the bladder level to ensure proper drainage.

Duration

The procedure typically takes about 10-20 minutes.

Setting

The procedure is usually performed in a hospital, outpatient clinic, or sometimes in a long-term care facility.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Occasionally supervised or conducted by a Physician or Nurse Practitioner
• Medical assistant for support

Risks and Complications

• Urinary tract infection (UTI)
• Discomfort or pain during and after insertion
• Possible urethral trauma
• Catheter blockage or leakage
• Rarely, bladder spasms or injury

Benefits

• Immediate relief from urinary retention
• Continuous bladder drainage
• Prevention of complications associated with urinary retention
• Allows accurate measurement of urine output in critically ill patients

Recovery

• Patients are instructed on catheter care and hygiene to prevent infection.
• Monitoring for signs of infection or complications.
• Follow-up appointments may be scheduled to assess kidney and bladder function.
• The catheter can remain in place for days to weeks, depending on medical advice.

Alternatives

• Intermittent self-catheterization
• Suprapubic catheterization
• Medications to relieve urinary retention
• Prompted voiding or bladder training methods
• Pros and cons vary based on patient condition, comfort, and risk factors.

Patient Experience

• Mild discomfort may be felt during catheter insertion.
• Patients might feel pressure or a need to urinate as the catheter is inserted.
• Post-insertion, discomfort typically subsides. Pain management options are available if needed.
• Keeping the area clean and following care instructions is vital for comfort and preventing complications.