FOLEY

CATHET
ER
INSERTI
• Foley catheter is a thin, sterile tube inserted into the
bladder to drain urine. Because it can be left in place
in the bladder for a period of time, it is also called an
indwelling catheter.

• It is held in place with a balloon at the end, which is

filled with sterile water to prevent the catheter from
being removed from the bladder. The urine drains
through the catheter tube into a bag, which is emptied
when full. The procedure to insert a catheter is called
catheterization.
DIFFERENCE OF MALE
AND FEMALE
URETHRA
0
INDICATIONS
Management of 0
Post prostate surgery
1 urinary retention 5
Accurate monitoring of urine
0 Hematuria with clots 0
output in the following
2 6
situations
• Critically ill patients Prolonged 0
• During prolonged surgery immobilization
• Patients requiring fluid monitoring 7
during surgery
Neurogenic bladder 0
0 8
Urinary Incontinence
3
Daily urine output Improve comfort for 0
0 end of life care 9
used for diagnostic
4
purpose
CONTRAINDICATIONS

Presence of urethral
injury
 MATERIALS NEEDED
● Foley catheter with urine bag
● Drapes
● 10cc syringe ● Rubbing alcohol
● 1 vial sterile water ● Povidine-iodine
● Clean (non-sterile) gloves ● Lubricant (KY jelly)
● Sterile gloves ● Micropore
● Cotton ● Sterile specimen bottles if for
urine collection
 PROCEDURE
1) Prepare hand hygiene
2) Prepare materials
3) Identify patient by name and introduce self to patient
4) Explain nature of procedure
5) Provide as much privacy as possible
6) Position patient properly
7) Water and rinse urethral area
8) Open Foley catheter package, put aside but maintain sterile zone
around Foley catheter
 PROCEDURE
9) Wear clean gloves.
10) Clean urethral opening aseptically
- A. For males: in circular motion inside and out
- B. For female: follow a “7” figure then drop
11) Change to sterile gloves
12) Lubricate tip of catheter liberally
13) Attach drainage end of Foley catheter to urine bag
14) Insert lubricated end of catheter into the urinary meatus gently then
push gently up until you are sure you are inside the bladder (usually
up to the port where you inject water and there is urine backflow)
 PROCEDURE
15) Observe for urine flow.
16) Infuse 5-10 ml of sterile water to inflate balloon
17) Pull Foley catheter slowly until with some resistance
18) Secure Foley catheter with tape
19) Dry patients perineum
20) Instruct patients on catheter care
21) Remove gloves
22) Perform hand hygiene again
 COMPLICATIONS

• The main complications are tissue trauma and infection. After 48

hours of catheterization, most catheters are colonized with bacteria,
thus leading to possible bacteruria and its complications. Catheters
can also cause renal inflammation, nephron-cysto-lithiasis, and
pyelonephritis if left in for prolonged periods.
 COMPLICATIONS

• The most common short term complications are inability to inert

catheter, and causation of tissue trauma during the insertion.

• The alternatives to urethral catheterization include suprapubic

catheterization and external condom catheters for longer durations.