The provided material only describes changing a urine bag, not the catheter itself. Changing an indwelling urinary catheter is a sterile procedure that requires training and should only be performed by qualified healthcare professionals. It is strongly advised NOT to attempt this procedure without proper training and supervision. Here's a general overview of what's involved, but it's not a substitute for professional instruction:
Important Note: This is a simplified overview. The actual procedure may vary based on the specific type of catheter, individual patient needs, and institutional protocols.
Reasons for Catheter Change:
- Blockage
- Damage to the catheter
- As part of routine care based on manufacturer recommendations and institutional policy.
- Infection
Contraindications:
- Lack of appropriate training or experience.
- Active bleeding or trauma in the urethra.
- Known allergy to catheter materials (e.g., latex).
Materials Needed (Sterile):
- Sterile gloves
- Sterile drapes
- Sterile lubricant (e.g., lidocaine gel)
- Sterile water or saline for balloon inflation (if applicable)
- Appropriate size and type of new urinary catheter
- Syringe (usually 10cc) for balloon inflation/deflation
- Sterile collection container
- Antiseptic solution (e.g., chlorhexidine)
- Forceps or clamp (optional)
- Gauze pads
- Biohazard disposal bag
Procedure (General Overview - Do NOT attempt without proper training):
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Preparation:
- Explain the procedure to the patient and ensure privacy.
- Position the patient appropriately (usually supine).
- Perform hand hygiene thoroughly.
- Open the catheterization kit, maintaining sterility.
- Don sterile gloves.
- Organize the sterile field with all necessary supplies.
-
Catheter Removal:
- Gently deflate the balloon completely using a syringe. Ensure the balloon is fully deflated to prevent trauma to the urethra.
- Slowly and gently remove the existing catheter. Stop immediately if resistance is met. Do NOT force the catheter.
- Observe the catheter tip for any abnormalities.
- Dispose of the used catheter in a biohazard bag.
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Catheter Insertion:
- Clean the perineal area with antiseptic solution using sterile technique.
- Apply sterile lubricant to the insertion tip of the new catheter.
- Gently insert the catheter into the urethra. In males, hold the penis perpendicular to the body and gently advance the catheter. Advance until urine flow is observed.
- Advance the catheter a further 1-2 inches after urine flow begins.
- Inflate the balloon with the correct amount of sterile water or saline as indicated on the catheter packaging.
- Gently pull back on the catheter until resistance is felt, confirming the balloon is properly inflated and seated in the bladder.
- Connect the catheter to the drainage bag.
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Post-Procedure:
- Ensure the drainage bag is positioned below the level of the bladder.
- Secure the catheter to the patient's thigh or abdomen to prevent pulling and trauma.
- Document the procedure, catheter size, and any observations.
- Monitor urine output.
Potential Complications:
- Urinary tract infection (UTI)
- Urethral trauma
- Bleeding
- Balloon inflation within the urethra
- Paraphimosis (in uncircumcised males)
Changing the Urine Bag (as described in the provided YouTube transcript):
The transcript describes changing the urine bag, which is a simpler procedure than changing the entire catheter. Here's a summary:
- Perform hand hygiene.
- Position the new urine bag nearby.
- Disconnect the old urine bag from the catheter, maintaining aseptic technique (avoiding contamination).
- Connect the new urine bag to the catheter.
- Ensure the new urine bag is hung securely below the level of the bladder using a urine bag holder attached to the side of the bed.
