Why would you use a foley catheter? Types, uses, care and more!

What is a foley catheter?

The Foley catheter is a sterile, thin tube that is placed within the bladder in a process known as catheterization. The Foley catheter is used as a means of draining urine without the need for urination. Also known as an indwelling catheter, this urinary catheter is able to be used in place for a prolonged period of time without issue. A balloon on the internal end is inflated. This balloon, which is filled with sterile water, prevents the catheter from falling out of the bladder or shifting out of place. Once the urinary catheter is properly situated, it is able to drain urine from the bladder into an attached drainage bag, which can then be emptied as needed.

Why might it be necessary to utilize a Foley catheter?

There are a number of reasons why a Foley catheter might be necessary, either because of a chronic issue or a temporary inability to urinate. Some of the disorders, problems, or procedures that might require the use of a urinary catheter include the:

• Retention of urine due to straining, urinary hesitance or “shy bladder”, a decrease in either size or force of the urine stream, or the sensation of incomplete urination
• Collection of sterile urine for use in diagnosis.
• Monitoring of urine output in an individual who has been injured or is critically ill.
• Collection of urine following surgery.
• Obstruction of an individual’s urethra by a anatomical abnormality that might make it difficult to urinate. Examples include prostate cancer, urethra narrowing, or prostate hypertrophy.
• Dysfunction of the bladder caused by nerve-related damage such as spinal trauma.
• Imaging of the urinary tract for diagnostic purposes.

What are the different Foley catheter sizes?

The Foley catheter, similar to feeding tubes, is measured in terms of French units, each of which is the equivalent of 0. 33 millimeters. Foley catheters are available in a number of Foley catheter sizes, ranging from 5fr to 26fr. The Foley catheter sizes that are used in a particular situation will depend largely upon the age of the individual being catheterized. It’s imperative that the physician be vigilant in choosing the right Foley catheter sizes for you. When a catheter is too large, the result can be irritation and difficulty in placement. On the other hand, when the Foley catheter sizes are too small, the result can be kinking as well as urinary leakage.

Are there any risks associated with the use of the Foley catheter?

As with any medical procedure and technique, there are risks associated with the use of the urinary catheter, although few pose a serious risk to you or your loved one. Some of the most common risks associated with catheter use include:

• The breaking of the balloon within the bladder. If this were to occur, the physician must make sure to retrieve all fragments of the balloon.
• The balloon not fully inflating, making it impossible for the catheter to remain in place. The doctor will always check for complete inflation upon insertion of the catheter and will remove and use a different Foley catheter, if necessary.
• The urine ceasing to flow into the attached bag; if this occurs, the doctor will ensure correct positioning of the urinary catheter and bag and that there is no possible obstruction causing the problem.
• The flow of the urine being blocked due to issues with the bag or the tubing; this will require the change of the bag and/or of the catheter.
• Bleeding of the urethra; this needs to be closely monitored by the physician.
• Infection of the bladder due to the introduction of the urinary catheter; while rare, the risk of this increases with the number of days that the indwelling catheter remains in place.
• Bladder spasms when the indwelling catheter is inserted; the spasm consists of an intense, sometimes painful, desire to urinate. This may cause urine to leak. However, certain medications may be used to prevent these spasms from occurring.
• Damage to the urethra in the event that the balloon is inflated before the indwelling catheter is completely inserted within the bladder; the result of pre-inflation can be anything from mild bleeding to rupture of the bladder. In rare cases, this can result in permanent narrowing of the urethra due to scar tissue.

What does Foley catheter insertion entail?

The means of Foley catheter insertion depends somewhat on whether the procedure is being performed on a man or woman. In either sex, preparation for the Foley catheter insertion consists of:

• Keeping the genital area clean.
• Having the patient switch to loose-fitting clothing.
• Avoiding the use of chemicals and other irritants in the area of the genitals.

In females, the urethra is quite short, especially when compared to that of males. The urethra is located just above the vagina in the region of the pelvis. In order to make the catheter easier to insert, the woman will need to lay on her back with her buttocks at the end of the table. Stirrups and elevation of the legs in a bent manner (similar to gynecological exams) allows for the best possible view of the urethra. Once the ideal position has been reached, Foley catheter insertion is made more possible.

In males, the urethra is significantly longer, meaning that the length of the catheter itself is required to be longer. Males will be required to be in a supine position or in a bent leg position, similar to females. The foreskin, if present, must be retracted as much as possible to facilitate Foley catheter insertion.

Once the patient is in position, the procedure for inserting the indwelling catheter can proceed. To do so, the medical assistant or doctor will:

• Clean the urethra and the skin around it with an antiseptic; the cleaning is performed by wiping with a cotton ball in a circular manner, going from the inside to the outside.
• Lubricate the catheter with a water-soluble lubricant
• Insert the catheter into the bladder via the urethra.
• Ensure that the catheter is completely inserted.
• Gradually inflate the balloon with a syringe; this should not be a painful experience.
• Take note of whether urine is beginning to flow from the bladder, through the catheter, and into the attached bag.

Urinary catheters are all equipped with drainage bags that can be easily emptied as needed. If in the hospital, the bag will typically be hung on the rail of the hospital bed by a hook to allow for easy access by the hospital staff.

What happens if you need to be discharged with a catheter?

If your physician is planning on discharging you from the hospital with a catheter still in place, the drainage bag will need to be replaced. Instead of the hospital-style bag, you will be given a portable drainage bag, or leg bag. This bag is easy to use and is attached to the calf using tape.

How does the physician go about removing Foley catheter devices?

Removing Foley catheter is quite simple and can be performed relatively quickly and painlessly by the physician. When removing Foley catheter, the doctor will:

• Deflate the balloon using a syringe in the valve to retract the saline solution.
• Ensure that the balloon is fully deflated before attempting removal.
• Proceed in removing Foley catheter from the bladder.

What can you expect after removing Foley catheter?

After urinary catheters are removed, you’ll likely feel just as you did before, although it is possible to experience some slight irritation of the urethra. In order to ensure that you experience no negative side effects following the use of urinary catheters, make sure to:

• Wear loose fitting clothing made of cotton.
• Avoid all chemical irritants and products around the genital area.
• Keep your genital area clean.

Along with ensuring that you take care of yourself at home, you’ll also want to make sure to follow up with your doctor as advised. This appointment will typically be scheduled a few days after the removal of the catheter. However, if there are any issues or if you have any questions about urinary catheters or aftercare, make sure to contact your physician at your earliest opportunity.

What signs may indicate that you’re experiencing complications and need to see your physician?

While most people undergo catheterization and removal of said urinary catheters without issue, there are occasionally problems that occur and, when they do, it’s important to pursue medical intervention as soon as possible. Some of these symptoms include:

• Pink or red urine
• Signs of infection
• Burning sensation during urination
• Increased frequency and urgency in urination
• Lower abdominal pain or pain in the genital and/or urethral area
• Discharge from the urethra that has a foul smell
• Fever

In some cases, there are symptoms that may indicate the need for an emergency room visit. If you are at home with a catheter, seek emergency care if you’re experiencing:

• Bleeding
• Vomiting or persistent nausea
• Dizziness
• Symptoms of infection, such as fever or foul discharge
• Urinary hesitancy or straining
• Pain or burning

While the above symptoms may not be common, it’s important that they not be ignored if they occur as they could be signs of a serious issue that requires immediate attention.

 Sources

Paruresis (Shy Bladder Syndrome)

Benign Prostatic Hyperplasia

Urinary Tract Imaging

On to you

We hope you have a better understanding of what foley catheters are. Do you have additional questions that are still unanswered? Leave us a question in the comments below or feel free to call us directly at 

1.866.923.1544 and we’ll be happy to help.

-Marc Kaplan

CEO, Save Rite Medical

____________________

CEO of Save Rite Medical by day, educator by night — Marc Kaplan leads a team that delivers the greatest customer service online. Developed from an idea to better serve the medical community, Save Rite Medical is the leading provider of online medical supplies.

Caring for Your Urinary (Foley) Catheter

This information will help you care for your urinary (Foley) catheter while you’re at home.

You have had a urinary catheter (a thin, flexible tube) placed in your bladder to drain your urine (pee). It’s held inside your bladder by a balloon filled with water. The parts of the catheter outside your body are shown in Figure 1.

Figure 1. The parts of your Foley catheter

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Catheter Care

• You need to clean your catheter, change your drainage bags, and wash your drainage bags every day.
• You may see some blood or urine around where the catheter enters your body, especially when walking or having a bowel movement (pooping). This is normal, as long as there’s urine draining into the drainage bag. If there’s not, call your healthcare provider.
• While you have your catheter, drink 1 to 2 glasses of liquids every 2 hours while you’re awake.

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Showering

• You can shower while you have your catheter in place. Don’t take a bath until after your catheter is removed. This is because taking a bath while you have your Foley catheter puts you at risk for infections.
• Make sure you always shower with your night bag. Don’t shower with your leg bag. You may find it easier to shower in the morning.

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Cleaning Your Catheter

You can clean your catheter while you’re in the shower.

You will need the following supplies:

1. Gather your supplies. You will need:
   • Mild soap, such as Dove^®
   • Water
   • 1 Cath-Secure^®
2. Wash your hands with soap and water for at least 20 seconds.
3. Using mild soap and water, clean your genital area.
   • Men should pull back their foreskin, if needed, and clean the area, including the penis.
   • Women should separate the labia, and clean the area from front to back.
4. Clean your urethra (urinary opening), which is where the catheter enters your body.
5. Clean the catheter from where it enters your body and then down, away from your body. Hold the catheter at the point it enters your body so that you don’t put tension on it.
6. Rinse the area well and dry it gently.
7. If you removed your old Cath-Secure, use the new Cath-Secure to attach the catheter to your leg to keep it from moving.

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Changing Your Drainage Bag

You will change your drainage bag 2 times a day.

• In the morning after you shower, change the night bag to the leg bag.
• At night before you go to bed, change the leg bag to the night bag.

You will need the following supplies:

• A clean washcloth (not one already used for bathing) or a 4”x 4” piece of gauze
• Night or leg drainage bag (whichever one you are switching to)
• 2 alcohol pads

1. Wash your hands with soap and warm water for at least 20 seconds.
2. Empty the urine from the drainage bag into the toilet. Make sure that spout of the drainage bag never touches the side of the toilet or any emptying container.
3. Place the clean cloth or gauze under the connector to catch any leakage.
4. Pinch off the catheter with your fingers and disconnect the used bag.
5. Wipe the end of the catheter with an alcohol pad.
6. Wipe the connector on the new bag with the second alcohol pad.
7. Connect the clean bag to the catheter and release your finger pinch.
8. Check all connections. Straighten any kinks or twists in the tubing.

You may also find it helpful to watch the video below that shows you how to change your drainage bags.

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Caring for Your Drainage Bags

Caring for your leg bag

• The tubing from the leg bag should fit down to your calf with your leg slightly bent. If you have extra tubing, you may need to cut it. Your nurse will show you how to do this.
• Always wear the leg bag below your knee. This will help it drain.
• Make sure to place the leg bag on your calf with the Velcro^® straps your nurse gave you. Use a leg strap to secure the tubing to your thigh.
• If the straps leave a mark on your leg, they are too tight and should be loosened. Leaving the straps too tight can decrease your circulation and lead to blood clots.
• Empty the leg bag into the toilet through the spout at the bottom every 2 to 4 hours, as needed. Don’t let the bag become completely full.
• Don’t lie down for longer than 2 hours while you’re wearing the leg bag.

Caring for your night bag

• Always keep the night bag below the level of your bladder.
• To hang your night bag while you sleep, place a clean plastic bag inside of a wastebasket. Hang the night bag on the inside of the wastebasket.

Cleaning the drainage bags

You will need the following supplies:

1. Wash your hands with soap and warm water for at least 20 seconds.
2. Rinse the bag with cool water. Don’t use hot water because it can damage the plastic equipment.
3. To decrease odor, fill the bag halfway with a mixture of 1 part white vinegar and 3 parts water. Shake the bag and let it sit for 15 minutes.
4. Rinse the bag with cool water and hang it up to dry.

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Preventing Infections

Follow these guidelines to prevent getting infections while you have your catheter in place:

• Keep the drainage bag below the level of your bladder and off the floor at all times.
• Keep the catheter secured to your thigh to prevent it from moving.
• Don’t lie on your catheter or block the flow of urine in the tubing.
• Shower daily to keep the catheter clean.
• Clean your hands before and after touching the catheter or bag.

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When to Call Your Healthcare Provider

Call your healthcare provider right away if you have any of the following:

• Your catheter comes out. Don’t try to replace it yourself.
• You have a fever of 101°F (38.3 °C) or higher.
• You’re making less urine than usual.
• You have foul-smelling urine.
• You have bright red blood or large blood clots in your urine.
• You have abdominal (belly) pain and no urine in your catheter bag.

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Recommendations | CAUTI Guidelines | Guidelines Library | Infection Control

Guideline for Prevention of Catheter-Associated Urinary Tract Infections (2009)

Table 1.

Modified HICPAC Categorization Scheme* for Recommendations

* Please refer to Methods for implications of Category designations.

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I. Appropriate Urinary Catheter Use

1. Insert catheters only for appropriate indications (see Table 2 for guidance), and leave in place only as long as needed. (Category IB) (Key Questions 1B and 2C)
   1. Minimize urinary catheter use and duration of use in all patients, particularly those at higher risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity. (Category IB) (Key Questions 1B and 1C)
   2. Avoid use of urinary catheters in patients and nursing home residents for management of incontinence. (Category IB) (Key Question 1A)
      1. Further research is needed on periodic (e.g., nighttime) use of external catheters (e.g., condom catheters) in incontinent patients or residents and the use of catheters to prevent skin breakdown. (No recommendation/unresolved issue) (Key Question 1A)
   3. Use urinary catheters in operative patients only as necessary, rather than routinely. (Category IB) (Key Question 1A)
   4. For operative patients who have an indication for an indwelling catheter, remove the catheter as soon as possible postoperatively, preferably within 24 hours, unless there are appropriate indications for continued use. (Category IB) (Key Questions 2A and 2C)

Table 2.

A. Examples of Appropriate Indications for Indwelling Urethral Catheter Use ^1-4

• Patient has acute urinary retention or bladder outlet obstruction.
• Need for accurate measurements of urinary output in critically ill patients.
• Perioperative use for selected surgical procedures:
  • Patients undergoing urologic surgery or other surgery on contiguous structures of the genitourinary tract.
  • Anticipated prolonged duration of surgery (catheters inserted for this reason should be removed in PACU).
  • Patients anticipated to receive large-volume infusions or diuretics during surgery.
  • Need for intraoperative monitoring of urinary output.
• To assist in healing of open sacral or perineal wounds in incontinent patients.
• Patient requires prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures).
• To improve comfort for end of life care if needed.

B. Examples of Inappropriate Uses of Indwelling Catheters

• As a substitute for nursing care of the patient or resident with incontinence.
• As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily void.
• For prolonged postoperative duration without appropriate indications (e.g., structural repair of urethra or contiguous structures, prolonged effect of epidural anaesthesia, etc.).

Note: The above indications are based primarily on expert consensus.

2. Consider using alternatives to indwelling urethral catheterization in selected patients when appropriate.
   1. Consider using external catheters as an alternative to indwelling urethral catheters in cooperative male patients without urinary retention or bladder outlet obstruction. (Category II) (Key Question 2A)
   2. Consider alternatives to chronic indwelling catheters, such as intermittent catheterization, in spinal cord injury patients. (Category II) (Key Question 1A)
   3. Intermittent catheterization is preferable to indwelling urethral or suprapubic catheters in patients with bladder emptying dysfunction. (Category II) (Key Question 2A)
   4. Consider intermittent catheterization in children with myelomeningocele and neurogenic bladder to reduce the risk of urinary tract deterioration. (Category II) (Key Question 1A)
   5. Further research is needed on the benefit of using a urethral stent as an alternative to an indwelling catheter in selected patients with bladder outlet obstruction. (No recommendation/unresolved issue) (Key Question 1A)
   6. Further research is needed on the risks and benefits of suprapubic catheters as an alternative to indwelling urethral catheters in selected patients requiring short- or long-term catheterization, particularly with respect to complications related to catheter insertion or the catheter site. (No recommendation/unresolved issue) (Key Question 2A)

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II. Proper Techniques for Urinary Catheter Insertion

1. Perform hand hygiene immediately before and after insertion or any manipulation of the catheter device or site. (Category IB) (Key Question 2D)
2. Ensure that only properly trained persons (e.g., hospital personnel, family members, or patients themselves) who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility. (Category IB) (Key Question 1B)
3. In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment. (Category IB)
   1. Use sterile gloves, drape, sponges, an appropriate antiseptic or sterile solution for periurethral cleaning, and a single-use packet of lubricant jelly for insertion. (Category IB)
   2. Routine use of antiseptic lubricants is not necessary. (Category II) (Key Question 2C)
   3. Further research is needed on the use of antiseptic solutions vs. sterile water or saline for periurethral cleaning prior to catheter insertion. (No recommendation/unresolved issue) (Key Question 2C)
4. In the non-acute care setting, clean (i.e., non-sterile) technique for intermittent catheterization is an acceptable and more practical alternative to sterile technique for patients requiring chronic intermittent catheterization. (Category IA) (Key Question 2A)
   1. Further research is needed on optimal cleaning and storage methods for catheters used for clean intermittent catheterization. (No recommendation/unresolved issue) (Key Question 2C)
5. Properly secure indwelling catheters after insertion to prevent movement and urethral traction. (Category IB)
6. Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma. (Category II)
7. If intermittent catheterization is used, perform it at regular intervals to prevent bladder overdistension. (Category IB) (Key Question 2A)
8. Consider using a portable ultrasound device to assess urine volume in patients undergoing intermittent catheterization to assess urine volume and reduce unnecessary catheter insertions. (Category II) (Key Question 2C)
   1. If ultrasound bladder scanners are used, ensure that indications for use are clearly stated, nursing staff are trained in their use, and equipment is adequately cleaned and disinfected in between patients. (Category IB)

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III. Proper Techniques for Urinary Catheter Maintenance

1. Following aseptic insertion of the urinary catheter, maintain a closed drainage system (Category IB) (Key Question 1B and 2B)
   1. If breaks in aseptic technique, disconnection, or leakage occur, replace the catheter and collecting system using aseptic technique and sterile equipment. (Category IB)
   2. Consider using urinary catheter systems with preconnected, sealed catheter-tubing junctions. (Category II) (Key Question 2B)
2. Maintain unobstructed urine flow. (Category IB) (Key Questions 1B and 2D)
   1. Keep the catheter and collecting tube free from kinking. (Category IB)
   2. Keep the collecting bag below the level of the bladder at all times. Do not rest the bag on the floor. (Category IB)
   3. Empty the collecting bag regularly using a separate, clean collecting container for each patient; avoid splashing, and prevent contact of the drainage spigot with the nonsterile collecting container. (Category IB)
3. Use Standard Precautions, including the use of gloves and gown as appropriate, during any manipulation of the catheter or collecting system. (Category IB)
4. Complex urinary drainage systems (utilizing mechanisms for reducing bacterial entry such as antiseptic-release cartridges in the drain port) are not necessary for routine use. (Category II) (Key Question 2B)
5. Changing indwelling catheters or drainage bags at routine, fixed intervals is not recommended. Rather, it is suggested to change catheters and drainage bags based on clinical indications such as infection, obstruction, or when the closed system is compromised. (Category II) (Key Question 2C)
6. Unless clinical indications exist (e.g., in patients with bacteriuria upon catheter removal post urologic surgery), do not use systemic antimicrobials routinely to prevent CAUTI in patients requiring either short or long-term catheterization. (Category IB) (Key Question 2C)
   1. Further research is needed on the use of urinary antiseptics (e.g., methenamine) to prevent UTI in patients requiring short-term catheterization. (No recommendation/unresolved issue) (Key Question 2C)
7. Do not clean the periurethral area with antiseptics to prevent CAUTI while the catheter is in place. Routine hygiene (e.g., cleansing of the meatal surface during daily bathing or showering) is appropriate. (Category IB) (Key Question 2C)
8. Unless obstruction is anticipated (e.g., as might occur with bleeding after prostatic or bladder surgery) bladder irrigation is not recommended.(Category II) (Key Question 2C)
   1. If obstruction is anticipated, closed continuous irrigation is suggested to prevent obstruction. (Category II)
9. Routine irrigation of the bladder with antimicrobials is not recommended. (Category II) (Key Question 2C)
10. Routine instillation of antiseptic or antimicrobial solutions into urinary drainage bags is not recommended. (Category II) (Key Question 2C)
11. Clamping indwelling catheters prior to removal is not necessary. (Category II) (Key Question 2C)
12. Further research is needed on the use of bacterial interference (i.e., bladder inoculation with a nonpathogenic bacterial strain) to prevent UTI in patients requiring chronic urinary catheterization. (No recommendation/unresolved issue) (Key Question 2C)

Catheter Materials

13. If the CAUTI rate is not decreasing after implementing a comprehensive strategy to reduce rates of CAUTI, consider using antimicrobial/antiseptic-impregnated catheters. The comprehensive strategy should include, at a minimum, the high priority recommendations for urinary catheter use, aseptic insertion, and maintenance (see Section III. Implementation and Audit). (Category IB) (Key Question 2B)
    1. Further research is needed on the effect of antimicrobial/antiseptic-impregnated catheters in reducing the risk of symptomatic UTI, their inclusion among the primary interventions, and the patient populations most likely to benefit from these catheters. (No recommendation/unresolved issue) (Key Question 2B)
14. Hydrophilic catheters might be preferable to standard catheters for patients requiring intermittent catheterization. (Category II) (Key Question 2B)
15. Silicone might be preferable to other catheter materials to reduce the risk of encrustation in long-term catheterized patients who have frequent obstruction. (Category II) (Key Question 3)
16. Further research is needed to clarify the benefit of catheter valves in reducing the risk of CAUTI and other urinary complications. (No recommendation/unresolved issue) (Key Question 2B)

Management of Obstruction

17. If obstruction occurs and it is likely that the catheter material is contributing to obstruction, change the catheter. (Category IB)
18. Further research is needed on the benefit of irrigating the catheter with acidifying solutions or use of oral urease inhibitors in long-term catheterized patients who have frequent catheter obstruction. (No recommendation/unresolved issue) (Key Question 3)
19. Further research is needed on the use of a portable ultrasound device to evaluate for obstruction in patients with indwelling catheters and low urine output. (No recommendation/unresolved issue) (Key Question 2C)
20. Further research is needed on the use of methenamine to prevent encrustation in patients requiring chronic indwelling catheters who are at high risk for obstruction. (No recommendation/unresolved issue) (Key Question 2C)

Specimen Collection

21. Obtain urine samples aseptically. (Category IB)
    1. If a small volume of fresh urine is needed for examination (i.e., urinalysis or culture), aspirate the urine from the needleless sampling port with a sterile syringe/cannula adapter after cleansing the port with a disinfectant. (Category IB)
    2. Obtain large volumes of urine for special analyses (not culture) aseptically from the drainage bag. (Category IB)

Spatial Separation of Catheterized Patients

22. Further research is needed on the benefit of spatial separation of patients with urinary catheters to prevent transmission of pathogens colonizing urinary drainage systems. (No recommendation/unresolved issue) (Key Question 2D)

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IV. Quality Improvement Programs

1. Implement quality improvement (QI) programs or strategies to enhance appropriate use of indwelling catheters and to reduce the risk of CAUTI based on a facility risk assessment. (Category IB) (Key Question 2D)The purposes of QI programs should be:
   1. to assure appropriate utilization of catheters
   2. to identify and remove catheters that are no longer needed (e.g., daily review of their continued need) and
   3. to ensure adherence to hand hygiene and proper care of catheters.

   Examples of programs that have been demonstrated to be effective include:

   1. A system of alerts or reminders to identify all patients with urinary catheters and assess the need for continued catheterization
   2. Guidelines and protocols for nurse-directed removal of unnecessary urinary catheters
   3. Education and performance feedback regarding appropriate use, hand hygiene, and catheter care
   4. Guidelines and algorithms for appropriate peri-operative catheter management, such as:
      1. Procedure-specific guidelines for catheter placement and postoperative catheter removal
      2. Protocols for management of postoperative urinary retention, such as nurse-directed use of intermittent catheterization and use of bladder ultrasound scanners

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V. Administrative Infrastructure

1. 1. Provision of guidelines
      1. Provide and implement evidence-based guidelines that address catheter use, insertion, and maintenance. (Category IB)
         1. Consider monitoring adherence to facility-based criteria for acceptable indications for indwelling urinary catheter use. (Category II)
   2. Education and Training
      1. Ensure that healthcare personnel and others who take care of catheters are given periodic in-service training regarding techniques and procedures for urinary catheter insertion, maintenance, and removal. Provide education about CAUTI, other complications of urinary catheterization, and alternatives to indwelling catheters. (Category IB)
      2. When feasible, consider providing performance feedback to these personnel on what proportion of catheters they have placed meet facility-based criteria and other aspects related to catheter care and maintenance. (Category II)
   3. Supplies
      1. Ensure that supplies necessary for aseptic technique for catheter insertion are readily available. (Category IB)
   4. System of documentation
      1. Consider implementing a system for documenting the following in the patient record: indications for catheter insertion, date and time of catheter insertion, individual who inserted catheter, and date and time of catheter removal. (Category II)
         1. Ensuring that documentation is accessible in the patient record and recorded in a standard format for data collection and quality improvement purposes is suggested. Electronic documentation that is searchable is preferable. (Category II)
   5. Surveillance resources
      1. If surveillance for CAUTI is performed, ensure that there are sufficient trained personnel and technology resources to support surveillance for urinary catheter use and outcomes. (Category IB)

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VI. Surveillance

1. 1. Consider surveillance for CAUTI when indicated by facility-based risk assessment. (Category II)
      1. Identify the patient groups or units on which to conduct surveillance based on frequency of catheter use and potential risk of CAUTI.
   2. Use standardized methodology for performing CAUTI surveillance. (Category IB)
      1. Examples of metrics that should be used for CAUTI surveillance include:
         1. Number of CAUTI per 1000 catheter-days
         2. Number of bloodstream infections secondary to CAUTI per 1000 catheter-days
         3. Catheter utilization ratio: (urinary catheter days/patient days) × 100
      2. Use CDC/NHSN criteria for identifying patients who have symptomatic UTI (SUTI) (numerator data) (see NHSN Patient Safety Manual: [This link is no longer active: https://www.cdc.gov/nhsn/library.html. Current version available on NHSN website.]).
      3. For more information on metrics, please see the U.S. Department of Health & Human Services (HHS) Action Plan to Prevent Healthcare-Associated Infections: [This link is no longer active: http://www.hhs.gov/ophs/initiatives/hai/infection.html. Current version available on HHS’s Overview: Health Care-Associated InfectionsExternal].
   3. Routine screening of catheterized patients for asymptomatic bacteriuria (ASB) is not recommended. (Category II) (Key Question 2D)
   4. When performing surveillance for CAUTI, consider providing regular (e.g., quarterly) feedback of unit-specific CAUTI rates to nursing staff and other appropriate clinical care staff. (Category II) (Key Question 2D)

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Caring for Your Foley Catheter

Overview

What is a Foley catheter?

A Foley catheter is a device that drains urine from your bladder into a bag. The catheter that is in your bladder has a small balloon filled with fluid to hold it in place. You may go home with a Foley catheter in place after your surgery. During the daytime, your catheter will be connected to a leg bag that attaches to your thigh. At night, you can change it to a larger bag.

Procedure Details

How do I care for my Foley catheter?

• Wash your hands thoroughly with soap and water before and after handling the catheter or bag.
• You will need to empty the leg bag every two to three hours; the larger bag only needs to be emptied every eight hours.
• To empty the bag:
  • Wash your hands.
  • Remove the stopper on the leg bag or open the clamp on the large bag and empty the urine into the provided container to measure the urine.
  • After you measure the urine, empty the urine into the toilet.
  • Cleanse the drain port with soap and water.
  • Replace the stopper on the leg bag; or clamp the port of the large bag.
  • Wash your hands again.
• You will change to the larger bag at bedtime so you won’t have to get up during the night to empty the bag. In the morning, you may change back to the leg bag.
• To change the bag:
  • Wash your hands.
  • Empty the bag (make sure to measure the urine before emptying into the toilet).
  • Use soap and water to wipe off the connection between the catheter and the bag and the connection part of the other bag.
  • Clamp the catheter tubing by pinching it with your fingers just above the connection. Then disconnect.
  • Connect the new bag and unpinch the tubing.
  • If your catheter is going to be in longer than a week or if it smells, you can wash the used bag in soap and water. Rinse the bag with solution of 1 ¼ cups white vinegar in two quarts of water. This will reduce the urine odor and help prevent infection.
• The leg bag has adjustable straps that attach the bag to your thigh. Allow for some slack in the catheter so it does not pull and cause discomfort.
• The large bag can be hooked on the bed frame. Do not put it on the floor. When using the large bag, you can tape the catheter to your thigh or use a leg strap to provide slack and prevent pulling on the catheter.
• Always keep the bag below the level of your bladder.
• Cleanse around the urinary opening daily with soap and water. When cleansing the urinary catheter, remember to push germs away from you. This means to start at the urinary opening and wipe down towards the drainage bag with soap and water.
• Call your transplant coordinator if you have any problems or questions regarding the catheter.

When to Call the Doctor

When should I call the doctor?

Call your doctor if:

• You have a fever over 100.5 degrees Fahrenheit.
• Your urine becomes cloudy.
• Your urine has a strong odor.
• Urine is leaking around the catheter.
• You have pain or fullness in your abdomen.
• You have clots of blood or have grossly bloody urine.
• You have little or no urine flow into the bag.
• Your catheter comes out.

Do not go more than five to six hours with no urine flow without calling the doctor. You should have at least 100cc (ml ) in three to four hours.

Care for an Indwelling Urinary Catheter

Topic Overview

A urinary catheter is a flexible plastic tube used to drain urine from the bladder when a person cannot urinate. A doctor will place the catheter into the bladder by inserting it through the urethra. The urethra is the opening that carries urine from the bladder to the outside of the body.

When the catheter is in the bladder, a small balloon is inflated to keep the catheter in place. The catheter allows urine to drain from the bladder into a bag that is usually attached to the thigh. Urinary catheters can be used in both men and women. An indwelling catheter is one that stays in for a longer period of time.

A catheter may be needed because of certain medical conditions. These include an enlarged prostate or problems controlling the release of urine. It may be used after surgery on the pelvis or urinary tract. Urinary catheters are also used when the lower part of the body is paralyzed.

If you are helping a loved one with a catheter, try to be as relaxed as possible. Caring for a catheter can be embarrassing for both of you. This may be especially true if you are caring for someone of the opposite sex. If you are not embarrassed or upset, the person may feel more comfortable.

Catheter care

Always wash your hands before and after handling a catheter. Follow all of the instructions the doctor has given. Also:

• Make sure that urine is flowing out of the catheter into the urine collection bag. Make sure that the catheter tubing does not get twisted or kinked.
• Keep the urine collection bag below the level of the bladder.
• Make sure that the urine collection bag does not drag and pull on the catheter.
• It is okay to shower with a catheter and urine collection bag in place, unless the doctor says not to.
• Check for inflammation or signs of infection in the area around the catheter. Signs of infection include pus or irritated, swollen, red, or tender skin.
• Clean the area around the catheter twice a day with soap and water. Dry with a clean towel afterward.
• Do not apply powder or lotion to the skin around the catheter.
• Do not tug or pull on the catheter.
• Talk with your doctor about your options for sexual intercourse while wearing a catheter.
• At night it may be helpful to hang the urine collection bag on the side of the bed.

To empty the urine collection bag

You will need to empty the bag regularly. It is best to empty the bag when it’s about half full or at bedtime. If the doctor has asked you to measure the amount of urine, do that before you empty the urine into the toilet.

• Wash your hands with soap and water. If you are emptying another person’s collection bag, you may choose to wear disposable gloves.
• Remove the drain spout from its sleeve at the bottom of the collection bag. Open the valve on the spout.
• Let the urine flow out of the bag and into the toilet or a container. Do not let the tubing or drain spout touch anything.
• After you empty the bag, close the valve and put the drain spout back into its sleeve at the bottom of the collection bag.
• Wash your hands with soap and water.

When to call a doctor

If the doctor has given instructions about when to call him or her, be sure to follow those instructions. Call your doctor if:

• No urine or very little urine is flowing into the collection bag for 4 hours or more.
• There is new pain in the belly or pelvic area.
• The urine has changed colour, is very cloudy, looks bloody, has a bad smell, or has large blood clots in it.
• The place where the catheter goes into the body (the insertion site) becomes very irritated, swollen, red, or tender, or there is pus draining from the site.
• Urine is leaking from the insertion site.
• There are signs of a kidney infection, such as a fever of 38°C (100.4°F) or higher or back or flank pain.
• Symptoms such as nausea, vomiting, or shaking chills occur.

After the catheter is removed

After the catheter is taken out:

• A person may have trouble urinating. If this happens, try sitting in a few centimetres of warm water (sitz bath). If the urge to urinate comes during the sitz bath, it may be easier to urinate while still in the bath.
• Some burning may happen when urinating for the first few times. If the burning lasts longer, it may be a sign of an infection.
• Drink plenty of fluids. If fluids need to be limited because of kidney, heart, or liver disease, talk with the doctor before increasing the amount of fluids.
• If the catheter causes irritation or a rash, wearing loose cotton underwear may help.

Also, it is important to know when there is a problem and when to call your doctor. After catheter removal, call your doctor if:

• No urine comes out within 8 hours after the catheter is taken out.
• The bladder or belly feels full or is painful.
• You see signs of a urinary infection. Signs include:
  • Blood or pus in the urine.
  • Pain in the back just below the rib cage. This is called flank pain.
  • Fever, chills, or body aches.
  • Pain when urinating.

Credits

Current as of: August 22, 2019

Author: Healthwise Staff
Medical Review: E. Gregory Thompson, MD – Internal Medicine
Adam Husney, MD – Family Medicine
Thomas M. Bailey, MD, CCFP – Family Medicine
Elizabeth T. Russo, MD – Internal Medicine

Current as of: August 22, 2019

Author: Healthwise Staff

Medical Review:E. Gregory Thompson, MD – Internal Medicine & Adam Husney, MD – Family Medicine & Thomas M. Bailey, MD, CCFP – Family Medicine & Elizabeth T. Russo, MD – Internal Medicine

3-Way Standard Specialty Foley Catheters

A 22% Decrease in Foley Catheter Utilization Rates Improves Patient Care in an Intensive Coronary Care Unit

The organization initiated a project identified by the Infection Control Committee to reduce Foley catheter days or prevent catheter use entirely in order to eliminate urinary tract infections. Previously, insertion of a Foley catheter was standard procedure for admission to the intensive coronary care unit (ICCU). A partnership was established between nurses and physicians to identify and initiate specific criteria for the use of Foley catheters. These criteria were used to screen patients upon admission and daily thereafter to determine if a Foley catheter was necessary and discontinue use where appropriate. Order sets and monitoring systems were altered to support the physicians, staff and process enhancements.

The organization initiated a project identified by the Infection Control Committee to reduce Foley catheter days or prevent catheter use entirely in order to eliminate urinary tract infections. Previously, insertion of a Foley catheter was standard procedure for admission to the intensive coronary care unit (ICCU). A partnership was established between nurses and physicians to identify and initiate specific criteria for the use of Foley catheters. These criteria were used to screen patients upon admission and daily thereafter to determine if a Foley catheter was necessary and discontinue use where appropriate. Order sets and monitoring systems were altered to support the physicians, staff and process enhancements.

The project has resulted in a 22 percent decrease in the utilization of Foley catheter days for ICCU patients from a rate of 0.73 to 0.57.

This case study is part of the Illinois Health and Hospital Association’s annual Quality Excellence Achievement Awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals and health systems in continually improving and transforming health care in the state. These organizations are improving health by striving to achieve the Triple Aim—improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of health care—and the Institute of Medicine’s six aims for improvement—safe, effective, patient centered, timely, efficient, and equitable. To learn more, visit https://www.ihaqualityawards.org/javascript-ui/IHAQualityAward/

Foley Catheter Care – How to Flush, How Often to Change, Treatment of Foley Indirect Urinary Catheter

Contents of the article:

In some serious pathologies of the genitourinary tract, after trauma or surgery, against the background of tumor growth, the outflow of urine from the bladder through the urethra to the outside may be impaired. In these cases, it may be necessary to insert an indwelling catheter through which urine will drain. In order to prevent complications associated with finding a foreign object in the bladder (even for medical purposes), you need to follow the rules for caring for an indwelling Foley urinary catheter.This will allow the patient to lead a relatively normal life.

Why and how the catheter is placed

This device is a small plastic or silicone tube that is inserted through the urethra into the bladder cavity. In women and men, the length of the urethra is different, there are features of the choice and placement of the catheter, with minimal discomfort for the patient. Having a catheter helps in diverting urine generated in the kidneys that accumulates in the bladder if the person is unable to urinate on their own.However, the Foley catheter communicates with the external environment, urine is separated through it, the product can become dirty, clogged, which requires regular cleaning and proper care.In addition, the patient needs to wash, change clothes and clothes, which requires knowledge of caring for the Foley catheter at home …

Washing, regular replacement of catheters with new products and processing of the Foley catheter are important to exclude the penetration of pathogenic microbes into the urogenital tract and the development of inflammation, severe complications.Infection with the use of a catheter is dangerous for a relapse or complication of the underlying disease, which can lead to re-hospitalization. Regular implementation of Foley catheter care algorithms helps to extend their lifespan, so they do not need to be changed as often.

Placing a catheter

Before starting manipulations, it is necessary to perform all hygienic procedures. The doctor thoroughly washes his hands, puts on sterile gloves, the patient’s perineum is treated with soap and water, antiseptics.The catheter is taken with sterile forceps, the tip is lubricated to facilitate insertion.

A special female catheter is placed for a woman, taking into account the length and width of the urethra. It is inserted in the supine position, with bent knees, legs apart. After treating the perineum, the doctor pushes the labia apart by gently inserting the tip of the catheter into the urethral opening. With the beginning of the separation of the urine catheter, the administration is stopped. After that, sterile water is injected through one of the holes at the other end of the product to inflate the balloon and fix the product in the bladder.A urine bag is attached to the other hole.

For men, a longer catheter is used, taking into account the size of the urethra. It is introduced in the same way, in the supine position, with bent knees, legs apart. The product is led slowly, gently, first holding the penis in an upright position, then tilting it down. With the separation of urine, the movement is stopped.

How often the Foley catheter is changed

If the outflow of urine through the catheter is normal, planned replacements are carried out as directed by a doctor or according to the instructions for the product.So, silicone can be used up to 30 days, latex – up to a week, silver-plated – up to 90 days.

How to care for a Foley catheter

When correctly installed by a doctor, the product does not require frequent cleaning. When urine is separated, the device is flushed naturally. Often, to enhance the cleansing effect of the urine itself, patients are prescribed cranberry fruit drinks, fresh berries, and herbal preparations with antiseptic effects.

Flushing of the Foley catheter may be required in case of cloudy urine, the appearance of flakes, salts on the walls or sediment, with periodic clogging of the lumen of the tubule.

How to flush a Foley catheter at home

You can apply a weak solution of potassium permanganate (1: 10000), “Dioxidin”, which is diluted with water 1:40 or “Furacillin” (1 tablet 0.1 g per 100 ml of liquid). It is possible to rinse the catheter with Miramistin, a ready-made pharmaceutical solution or a product that the doctor recommends. Rinsing is carried out in such a way that the patient is not painful and uncomfortable.

It is important to wash your hands thoroughly, use a sterile syringe that delivers the solution.The urine bag is disconnected from the tube, the end is treated with antibacterial solutions. A syringe is then attached and the rinsing solution is slowly fed. It is necessary to apply first about 20-30 ml, after the introduction of the liquid into the bladder, the syringe is disconnected. Again, it flows out by itself. Washing is repeated three times, then re-attaching the urine bag.

Care of the urine bag

It is important to maintain your drainage bags regularly. If this is a disposable product, as it is filled, it is disconnected and disposed of.Reusable products are washed daily with soap and rinsed with antiseptics. The urine is drained about once every 3-4 hours, or more often when a large volume of urine is excreted.

The urine collection bag must always be below the level of the bladder. Change the reusable product as it wears out, as directed by the doctor.

Taking a shower with catheter and urinal

It is important to maintain good body hygiene by taking a shower regularly. This reduces the risk of infection. Before getting up under the stream of water, the urine bag is disconnected, the catheter is clamped with a special clip.When washing, gently wash the genitals around the catheter using pH neutral baby or liquid soap.

After bathing, the catheter tube is gently dried, the genitals are blotted with a soft cotton towel, and a clean urine bag is put on. You can swim every day, observing these rules.

Prevention of infections

To reduce the risk of urinary tract infection, when using a Foley catheter, follow these simple rules:

• Do not allow water from the shower to enter the tubing.
• it is forbidden to treat the skin near the catheter with cotton pads, the villi can remain on the mucous membrane, provoking inflammation.
• it is important to avoid using powders and similar hygiene products.
• you should not go to the bathhouse, sauna, swim in the bathtub and open reservoirs.

When a specialist call is required

Even if all the rules are followed, inflammation and the development of infection are possible. There are a number of symptoms that require a doctor’s examination.So, this is urine leakage from the catheter, pain in the groin area, blood in the urine, temperature or stagnation of urine, a sharp increase or decrease in the daily volume of urine, redness of the area around the installed catheter, or a change in the color and odor of urine.

90,000 Foley Catheters – Kim Company

Home \ Disposable medical devices \ Foley catheters

Catheter

medical instrument in the form of a tube, soft or rigid. Soft catheters are made of thermoplastic materials such as PVC, rigid ones are made of metal.

Designed for communication of natural channels, body cavities, vessels with the external environment in order to empty them, introduce liquids into them, rinse or introduce surgical instruments through them.

Vascular and cavity catheters are distinguished. The latter include urinary urethral catheters, which are designed to be inserted into the urethra to empty the bladder when this is not possible naturally.

After insertion of the catheter, its fixation is required.In the case of a Foley catheter, the catheter is fixed in the cavity by changing its shape after insertion – an inflatable balloon.

Urological Foley catheters two- and three-way urological latex coated with silicone

are intended for long-term (up to 7 days) bladder catheterization, as well as for the diagnosis and treatment of the bladder.

Foley catheter is made of neutral latex, coated with silicone grease, has a smooth surface. This design allows you to painlessly insert the catheter and leave it to function for up to 7 days.

The closed distal end has two lateral openings.

The connector is color-coded.

Sterile, single use.

The length of a standard Foley catheter is 400mm.

Pediatric catheter length – 330mm.

Foley catheter, two-way size CH12-22 -19.00 CH24-30 -34.00

Alba, USA
Foley catheter, three-way size CH16-26 -45.00
Alba, USA

Catheterization, types of catheters and urological devices

Catheterization is a medical procedure, the essence of which is the introduction of a catheter into the cavities and channels of the human body. There are 2 types of catheterization:

Diagnostic. This method is indispensable when there is no other way to diagnose the presence of urine inside the bladder.

Medical. This is one of the most advanced methods of stimulating the outflow of urine from the bladder in various urological diseases, such as prostate adenoma, prostate cancer, narrowing of the urethra, spinal paralysis, etc. Also, catheterization is used to crush and remove stones from the ureters.

Types of urological catheters

Foley catheter is one of the most popular types of catheters in urology, designed for various types of medical intervention in men and women.Typically made from silicone coated latex. At the distal end of the catheter is a balloon that holds the device in the bladder. It can be made in two- and three-channel versions – for short-term or long-term urine diversion.

Catheter Nelaton is a disposable device designed for short-term or intermittent catheterization, as well as for the installation of drugs into the bladder.

Lubricated catheter features a hydrophilic coating that reacts with water to become slippery and therefore does not require additional lubricants.Thanks to this, the risk of infection of the patient is significantly reduced.

Ureteral catheter is used to diagnose the area of ​​the kidney responsible for the accumulation and excretion of urine, as well as for long-term external drainage of the urinary tract.

Other urological products

Other effective modern means have been developed to solve delicate problems.

Urine container – a device for collecting urine.

There are two types of drainage bags. The bedside bag is used in inpatient and outpatient conditions when the patient is in a supine state. Attaches to the bed and draws urine from the bladder through the catheter tube.

The wearable bag allows the patient to move freely throughout the day without experiencing any discomfort. Attaches to the leg and hides under clothing, remaining completely invisible. The leg drainage bag does not restrict movement, is easy to use and is equipped with a urine return flow control system.

Urocondoms are devices that help men manage moderate to severe urinary incontinence effectively. Visually, they are similar to conventional condoms, but they are equipped with a special drain port, which is connected to the urine bag through a drainage tube. This allows urine to be diverted without contact with the skin of the perineum.

Trocar catheter. Used for prompt and safe drainage of the pleural cavity in order to remove pathological fluids or air through the drainage tube.

Modern manufacturers of urological products

Coloplast is a Danish company that has been one of the world leaders in the production of medical products for solving delicate problems for over 50 years. The core business of Coloplast is the production of care products for elimination dysfunctions, as well as for wounds and ostomy.

All products are subject to the strictest quality control and undergo multi-stage testing in a clinical setting.The manufacturer constantly monitors the opinions of consumers in order to offer only the best solutions.

The Conveen System is a Coloplast development specially designed for men with urinary incontinence. The Conveen system includes uro-condoms, urine collection bags and straps that secure the bag under the garment on the leg. Today, this device is one of the most convenient and effective in this class of medical products.

Covidien is a world renowned manufacturer of medical products.The company has developed a wide range of surgical equipment, consumables and other products. Including male catheters, both one-way and two-way.

Company LLC “M.P.A. medical partners ”offers a wide range of urological products, as well as many other types of medical equipment, consumables and instruments from the world’s leading manufacturers. You can contact us by phone

+7 (495) 210-79-36

or via the feedback form on our website.90,000 Replacement of the Foley catheter at home. Prices in St. Petersburg

Prolonged bladder catheterization requires constant medical supervision. The urologist not only replaces the catheter in a timely manner, but also treats inflammation of the urinary tract, provoked by prolonged catheterization. Most patients with a catheter find it difficult to move, so replacement of the catheter at home is especially important. To receive this service, you need to call 779-10-39 and discuss the time of arrival of the urologist.

Here are some real examples from our clinical practice.

A common situation is when a relative returns from the hospital with a urinary catheter. None of the relatives know the rules of catheter care, which inevitably leads to a rapid clogging of the latex tube. A blocked urinary catheter causes urine to flow spontaneously and causes severe abdominal pain. As a result, the air of the apartment is saturated with the smell of urine and drugs.Meanwhile, all this could be prevented with the correct adherence to simple rules of catheter care.

Sometimes, even following the rules of catheter care leads to its premature clogging. In an attempt to prolong the functioning of the urinary tube, relatives gradually increase the diameter of the catheter, bringing it to the maximum possible values. The average catheter diameter ranges from 16-18F, where “F” is a special measure of the catheter diameter, equal to 0.33mm. The persistent blockage prompts relatives to enlarge the catheter diameter to 24F, 26F, and even 28F.However, the gigantic size of the tube only aggravates the situation and accelerates the onset of the blockage, since the real cause of the blockage lies in the growing inflammation of the urinary tract.

Timely consultation with a urologist allows you to relieve inflammation, achieve normal catheter function and save time for more important things.

Consumer Dictionary

If you have a urinary catheter, you need to understand the medical terminology. Understanding certain terms will make it easier to interact with doctors and save money when buying consumables.

There are basically two types of catheters:

• urethral – passes in the urethra
• suprapubic – located in the lower abdomen and inserted surgically.

There are two operations:

• trocar cystostomy – performed in 5 minutes under local anesthesia: the skin is anesthetized with novocaine, the bladder wall is pierced with a thick needle and a catheter is inserted together with the needle.
• epicystostomy – performed under intravenous anesthesia and takes about half an hour in time. After epicystostomy, a postoperative suture remains about five centimeters long.

Each of the operations has its own advantages and the range of patients to whom it is indicated.

Types of urinary catheters

Foley and Pezzer catheters are available at the pharmacy. They differ in the way the catheter is fixed in the bladder. Foley catheters are most often used: firstly, they are easier to install, and secondly, they are sold in sterile packaging.Pezzer catheters are more difficult to install and require sterilization before insertion. Placement of Pezzer catheters is a necessary measure that has to be resorted to in some patients with reduced bladder capacity.

Foley catheter can be latex and silicone. The cheapest and most common option is a latex catheter. Some patients prefer to use an expensive silicone catheter because it is more pleasant to the touch and lasts a little longer.

Catheter care

A 150 ml Janet syringe is used to flush the urinary catheter. Some patients complain about the difficulty of using this syringe. In fact, the syringe is very convenient, and difficulties arise due to the acquisition of the wrong type of device. The syringe itself is made in two modifications: for a catheter and for a needle. When buying from a pharmacy, you should pay attention to the “nose” of the syringe: it should be long (35 mm) and elongated. The short 10 mm nose is designed for needles and should not be purchased.For accelerated interaction with the pharmacist, you can immediately ask “Janet’s syringe for 150 ml with a catheter nozzle.”

Home call

Our specialists have extensive experience in managing patients with urinary catheters, so they can 100% help you in solving both medical and organizational problems. Please contact us by phone or through the feedback form.

Replacement of a Foley catheter in Zelenograd at a bargain price

Installation of a urinary Foley catheter is one of the most popular manipulations in urology.It helps to quickly and gently solve urinary problems that could arise after injuries, the formation of stones in the bladder, tissue neoplasms, prostate adenoma and more. This solution is effective for both men and women. But when it comes to long-term catheterization, it requires constant medical supervision and periodic replacement of the Foley catheter. Often, the services of a doctor are needed at home when it comes to patients with mobility difficulties, which means that you have to find an experienced specialist from a good clinic.

In Zelenograd, if you need a Foley catheter replacement service at home, you can contact the KDC24 medical center. We provide a full range of services in the field of urology and are ready to help you.

Comprehensive catheter replacement and flushing service, features 90 100

Foley catheter is designed for long-term and repeated use. However, it should be remembered that the narrow tube quickly clogs up, and it requires regular flushing, and a complete replacement may also be necessary.

The maximum use of the catheter without cleaning is 5 days, then special treatment is required:

• the doctor’s hands, as well as external parts and tubes are treated with an antiseptic;
• the site of insertion of the catheter into the urethral canal is also subject to treatment with Chlorhexidine;
• The catheter is then disconnected from the tube and flushed with saline, which is drained;
• , several flushing manipulations must be done.

For washing, the urinary catheter is removed only from the outside, those elements that are inserted inside are not removed. Therefore, the procedure does not cause pain and anguish.

There are different types of catheters, and if a rather long catheterization is to be done, it is better to use silicone ones. They are not subject to deformation during heat treatment.

Price of home service 90 100

The price of services for replacing the Foley catheter includes:

• home visit by a doctor;
• examination of the patient;
• carrying out washing manipulations;
• cost of used medicinal and hygienic products;
• prescription of special treatment in case of detection of an inflammatory process provoked by catheterization.

Consequently, the amount may vary depending on the distance of the patient’s residence, and what additional procedures and services will need to be provided. But these issues are agreed and discussed individually.

Services for replacing the catheter at home from KDC24

If you need high-quality and professional services for replacing the Foley catheter at home, the price of which is adequate and affordable, we suggest using the help of urologists from CDC24. The participation of an experienced and attentive specialist is a guarantee that everything will be done correctly and accurately, which means that it will not lead to complications.

Call a doctor, clarify the exact prices, ask questions – all this you can to our administrator right now!

You can sign up for a consultation and find out more at the administrator by phone +7 (495) 356-30-03.

Initial Graduate Accreditation

Schedule of primary accreditation 2021 GAPOU RB “Birsk Medical and Pharmaceutical College”

Dear graduates 2018 and 2019 The accreditation certificates are ready and we ask you to pick them up urgently! Contact phone: 8-987-058-76-03

DEAR 2020 GRADUATES!

From 19 October 2020it is planned to conduct primary accreditation of specialists (PAV-2020).

Schedule of PAV-2020

In order to prepare for the accreditation procedure (first stage), a graduate who completes secondary vocational education programs can pass a rehearsal test-test.

The number of attempts is not limited.

Before passing the rehearsal exam, read the Instructions on the SITE fmza.ru Primary Accreditation of Specialists (SPO).Rehearsal exam

To prepare for the passage of the 2nd stage (practical skills), it is necessary to prepare for the professional assignment:

List of practical skills for the second stage of primary

accreditation of specialists with secondary vocational education in 2020

in the specialty 33.02.01 Pharmacy

1. Sale of an over-the-counter drug for fungal skin infections

2.Making infusions using standardized liquid extracts

3. Basic cardiopulmonary resuscitation

List of practical skills for the second stage of primary

accreditation of specialists with secondary vocational education in 2020

in the specialty 31.02.02 Obstetrics

1. Examination of the cervix in the mirrors of a pregnant woman
2. Auscultation of the fetus with an obstetric stethoscope
3. Basic cardiopulmonary resuscitation

List of practical skills for the second stage of primary

accreditation of specialists with secondary vocational education in 2020

in specialty 31.02.03 Laboratory diagnostics

1. Blood smear preparation
2. Elimination of an emergency related to a puncture of the skin of a finger with a used needle
3. Basic cardiopulmonary resuscitation

List of practical skills for the second stage of primary accreditation of specialists with secondary vocational education in 2020 in specialty 34.02.01 Nursing

1. Caring for an indwelling Foley urinary catheter

2. Intravenous administration of a medicinal product (jet)

3. Basic cardiopulmonary resuscitation

Initial alumni accreditation

Order of the Ministry of Health of the Russian Federation of May 20, 2020 No. 475 “On approval of the composition of the accreditation commissions of the Ministry of Health of the Russian Federation for the accreditation of specialists with higher pharmaceutical education (specialty, residency) or secondary pharmaceutical education”

Order of the Ministry of Health of the Russian Federation of June 17, 2020 No.No. 594 “On approval of the composition of the accreditation commissions of the Ministry of Health of the Russian Federation for the accreditation of specialists with secondary medical education”

Order of the Ministry of Health of the Russian Federation of August 24, 2020 No. 891n “On the specifics of the accreditation of a specialist in 2020”

Minutes No. 1 dated June 10, 2019 of the Accreditation Commission “On the appointment of the Deputy Chairman and Executive Secretary”

Minutes No. 2 dated 14.06.2019 of the Accreditation Commission “On the formation of accreditation subcommissions”

Minutes No. 3 dated 02.07.2019 of the Accreditation Commission “On the results of the accreditation of specialists”

Minutes No. 4 dated 02.07.2019 of the Accreditation Commission “On the results of the accreditation of specialists”

Minutes No. 3 dated 07/08/2019 of the Accreditation Commission “On the results of the accreditation of specialists”

Laboratory diagnostics

Minutes No. 1 dated 23.06.2021 [LABORATORY DIAGNOSTICS]

Protocol No. 2 dated 06/23/2021 [LABORATORY DIAGNOSTICS]

Protocol No. 3 dated 06.24.2021 [LABORATORY DIAGNOSTICS]

Protocol No. 4 dated 06/25/2021 [LABORATORY DIAGNOSTICS]

Protocol No. 5 dated 06/26/2021 [LABORATORY DIAGNOSTICS]

Protocol No. 6 dated 06/26/2021 [LABORATORY DIAGNOSTICS]

Protocol No. 7 dated 06/26/2021 [LABORATORY DIAGNOSTICS]

Protocol No. 8 dated 06/27/2021 [LABORATORY DIAGNOSTICS]

Medicine

Minutes No. 1 dated 23.06.2021 [MEDICAL CASE]

Minutes No. 2 dated 06/23/2021 [MEDICAL CASE]

Minutes No. 3 dated 06.24.2021 [MEDICAL CASE]

Minutes No. 4 dated 06/25/2021 [MEDICAL CASE]

Minutes No. 5 dated 06/26/2021 [MEDICAL CASE]

Minutes No. 6 dated 06/27/2021 [MEDICAL CASE]

Nursing

Minutes No. 1 dated 06/23/2021 [NURSING]

Minutes No. 2 dated 06/23/2021 [NURSING]

Minutes No. 3 dated 24.06.2021 [NURSING]

Minutes No. 4 dated 25.06.2021 [NURSING]

Minutes No. 5 dated 06/28/2021 [NURSING]

Obstetrics

Minutes No. 1 dated 06/23/2021 [Midwifery]

Minutes No. 2 dated 06/23/2021 [Midwifery]

Minutes No. 3 dated June 24, 2021 [OBSETTING]

Minutes No. 4 dated 06/25/2021 [Midwifery]

Minutes No. 5 dated 06/26/2021 [Midwifery]

Minutes No. 6 dated 06/25/2021 [Midwifery]

Minutes No. 7 dated 25.06.2021 [Midwifery]

Minutes No. 8 dated 06/26/2021 [Midwifery]

Minutes No. 9 dated 06/26/2021 [Midwifery]

Pharmacy

Minutes No. 1 dated 06/15/2021 [PHARMACY]

Minutes No. 2 dated 06/15/2021 [PHARMACY]

Minutes No. 3 dated 06.21.2021 [PHARMACY]

Minutes No. 4 dated 06/22/2021 [PHARMACY]

Minutes No. 5 dated 06/22/2021 [PHARMACY]

Minutes No. 6 dated 06/23/2021 [PHARMACY]

Minutes No. 7 dated 23.06.2021 [PHARMACY]

Minutes No. 8 dated 24.06.2021 [PHARMACY]

Minutes No. 9 dated 06/25/2021 [PHARMACY]

Minutes No. 10 dated 06/26/2021 [PHARMACY]

Minutes No. 11 dated 26.06.2021 [PHARMACY]

Minutes No. 12 dated 06/27/2021 [PHARMACY]

Minutes No. 13 dated 06/27/2021 [PHARMACY]

Minutes No. 14 dated 06/28/2021 [PHARMACY]

Minutes No. 15 dated 06/28/2021 [PHARMACY]

Dear graduates 2018 and 2019 The accreditation certificates are ready and we ask you to pick them up urgently!

Contact phone: 8-987-058-76-03

Dear graduates of 2020, for accreditation, you urgently need to submit the following documents: application, copy of passport, copy of SNILS.