What is an Indwelling (Foley) Catheter?
An
indwelling catheter, commonly known as a Foley catheter, is a flexible tube inserted into the bladder to drain urine. It is held in place by a small balloon inflated with sterile water inside the bladder. The catheter is used when patients cannot urinate on their own due to surgery, injury, or severe illness.
Gathering sterile equipment including the catheter, lubricant, and sterile gloves.
Cleaning the urethral area with an antiseptic solution.
Lubricating the catheter tip before insertion.
Gently inserting the catheter into the urethra until urine flows.
Inflating the retention balloon with sterile water to secure the catheter.
Proper technique and hygiene can minimize these risks.
Ensure the catheter and drainage bag remain below bladder level to avoid backflow.
Regularly clean the catheter insertion site with soap and water.
Empty the drainage bag when it's two-thirds full to prevent tension on the catheter.
Replace the catheter as per the healthcare provider's schedule.
Gathering necessary supplies such as a syringe to deflate the balloon.
Deflating the balloon by withdrawing the sterile water with a syringe.
Gently pulling the catheter out and ensuring the patient is comfortable.
Always document the removal and monitor the patient for any complications post-removal.
Regularly assess the patient's
urine output and characteristics (color, clarity, odor).
Monitor for signs of infection such as fever, chills, or cloudy urine.
Educate patients and caregivers on proper catheter care and potential signs of complications.
Adhere to
infection control protocols to minimize risks.
Conclusion
Indwelling (Foley) catheters are essential tools in nursing care, particularly for patients with urinary retention or those undergoing surgery. Proper insertion, maintenance, and removal techniques, along with vigilant monitoring, are vital to ensure patient safety and prevent complications. Nurses play a crucial role in educating patients and providing comprehensive care during the catheterization process.
