a nurse is preparing to insert an indwelling urinary catheter

Inserting an indwelling urinary catheter is a medical procedure that involves the insertion of a catheter into the bladder through the urethra. This catheter is designed to remain inside the bladder, providing continuous drainage of urine. The procedure is typically performed when necessary, such as before, during, or after surgery, for investigations, to accurately measure urine output, to relieve retention of urine, or to relieve urinary incontinence when no other means are practical.

Preparation for this procedure involves several steps, including:

1. Gain consent from the patient or their family caregivers, ensuring他们也 understand the procedure and the need for it.
2. Prepare the environment and equipment, ensuring the patient's privacy is maintained throughout the procedure, and that they are kept warm. The preparation of the environment and equipment is crucial to minimize the risk of infection and ensure the procedure is performed correctly.
3. Choose the appropriate-sized catheter, considering the age, weight of the child, and other medical conditions.
4. Cleanse the client's meatus with an antiseptic solution to minimize the risk of bacterial contamination and infection.
5. Lubricate the catheter with an appropriate lubricant, which helps to facilitate smooth insertion.
6. Perform hand hygiene to reduce the risk of transmission of germs.
7. Position the sterile drape, leaving the perineum exposed, to maintain the sterility of the procedure area.

During the procedure, the nurse will:

1. Open the dressing pack and prepare the equipment needed, using an aseptic technique.
2. Pour sterile normal saline onto the tray and perform aseptic hand wash and don sterile gloves.
3. Apply sterile drapes or towels to create an aseptic field.
4. Separate the labia with one hand and expose the urethral opening.
5. Use a swab to clean the urethral opening and the labial folds from above the urethral opening down towards the rectum.
6. Remove any excess urine from the urethral opening using a catheter, avoiding kinking or twisting.
7. Inflate the balloon slowly using sterile water to the recommended volume, checking that the child feels no pain.
8. Record the procedure details, including the type of catheter used, length, and size of the balloon, the amount of water instilled into the balloon, and any complications that may arise.

After the procedure, the nurse will:

1. Disinfect the catheter insertion site.
2. Document the procedure in the Lahey Disability and Acuity Scale (LDA) activity, including the type of catheter, length and size of the balloon, the amount of water instilled into the balloon, and all procedures and cares involving the IDC care.
3. Monitor the patient's urine output and assess the color and concentration, recording any variation from the normal output, and reporting any concerns to the admitting team.
4. Record the amount of water used to inflate the IDC balloon and dispose of used articles into a yellow biohazard bag.
5. Follow up within 48 hours to assess for any issues and to determine whether the IDC can be removed.