Monday, October 10, 2011

Installation and Catheter Care

Installation and Catheter Care

Installation and Catheter Care

A PRE-INTERACTION PHASE
- Assess patient and check the medical plan
- Define the procedure with a catheter directly or settle
- Determine the type and size of catheter
- Prepare the tool:
• Foley catheter
• Urine Bag
• Disposable Gloves
• sterile gloves
• Kom small, containing a liquid antiseptic
• Jelly
• Spuit 10cc
• Plaster
• Crooked
• Scissors bandage / plaster
• Sterile Tweezers
• Perlak
• perforated Duk
• Cotton sublimate

ORIENTATION PHASE

• Identification of patients
• Explain procedure and purpose of the act of catheterization

PHASES OF WORK

1 Put the cover
2 Put your tools to near patient
3 Set the lamp or torch
4 Adjust the position of
a child patient or the patient is unconscious with the help
b Female patients with a dorsal recumbent position
c Patients with a supine male

PHASES OF WORK

a Washing hands
b Wear disposable gloves
c Opening under clothing
d Attach waterproof below the buttocks
e Juxtapose bent close to the buttocks
f Put down a hole
g Clean the urethral meatus

CLIENTS IN WOMEN
a Use the dominant hand is not to open the labia majora with the thumb of the index finger.
b Then clean the meatus with an antiseptic fluid using tweezers from the top down, dilanjutkandengan labia minora and majora area further.

CLIENTS IN MEN
a Hold the penis by hand is not dominant
b Clean the meatus with an antiseptic liquid using the dominant hand using tweezers.
- Clean the meatus with a circular motion from the inside out
- When you clean the gland penis Peril proceed from top to bottom.

h Remove the disposable gloves
i Hold the tool with clients
j Open sets and keep the area sterile catheter in the catheter
k If the drainage is still a separate part, open and connect to the catheter
l Wear sterile gloves
m Connect the catheter;
CLIENTS FOR WOMEN
- Still using the hand that is dominant, go back to the labia majora to find the urethral meatus
- With the dominant hand, put the catheter in the urethral meatus -7.5 ± 5 cm or until the urine out.
CLIENTS FOR MEN
- Enforce the penis with the 90o position, insert the catheter with dominant hand ± 17.5 - 20 cm or until the urine out.

n If using a permanent catheter, insert aquabidest ± 20cc
o fixation catheter into the patient
- For men under the abdomen
- For women dipah or loose on the leg without fixation
p Fixation urine bag on the bed
q Adjust the position of the patient as comfortable as possible
r Wash hands

C PHASE TERMINATION
Evaluation by using the following criteria:
- Catheter fixed, drainage lancer or catheter directly into and release tanpaketidaknyamanan
- Patients feel comfortable
- Termination

D Documentation
1 Date and time
2 Type and size of catheter
3 Is specimen was filled
4 Number of urine
5 Description of urine
6 The response of patients to the procedure.
 

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