Page 219 - 2026 SMOG

FOLEY CATHETER PLACEMENT
Clinical Indications
• Bladder distention in an unconscious person, or blockage/inability to urinate in a conscious
person.
• Allows for accurate monitoring of output for fluid management.
Contraindications
• Known or suspected urethral disruption resulting from pelvic trauma.
• Combative or uncooperative patient.
Procedure
• Choose an appropriate catheter (16G-18G for adults) and ready the equipment.
• Position patient. Females in supine position with legs abducted. Cleanse the urethra and
surrounding area with antiseptic solution. Isolate the area with the drapes provided.
• Insert the Xylocaine jelly provided into the urethra with the syringe provided.
• Insert a catheter into the urethra. For females, advance the catheter approximately 3 inches. For
males, pass the catheter into the bladder the full length to the junction of the catheter and the
inflation port for the balloon.
• Once urine is obtained, inflate the balloon with 5mL NS, then pull the catheter outward until
the balloon is against the bladder neck. If no urine return is obtained and procedures to induce
urine return (bladder palpation) do not work, DO NOT inflate the balloon.
• Secure the catheter to the leg with tape to prevent trauma to the urethra.
**Document procedure, results, and vital signs.**

BLOOD GLUCOSE ANALYSIS
Clinical Indications
• Suspicion of blood glucose abnormalities—hyperglycemia/hypoglycemia
Contraindications
• None
Procedure
• Gather and prepare equipment
• Obtain blood samples for analysis as per the manufacturer’s recommendations
• Place the blood sample onto the reagent strip and place it into the machine for analysis as per
the manufacturer’s recommendations
• Record the result and treat any glucose abnormalities per the appropriate protocol
• Perform quality assurance on glucometers weekly. If any suspicious recordings are noted,
follow the manufacturer’s recommendations
**Document procedure, results, and vital signs.**

2026 Standard Medical Operating Guidelines (SMOG) • 211