Page 264 - 2023 SMOG Digital

FOLEY CATHETER PLACEMENT

CLINICAL INDICATIONS:
• Bladder distention in an unconscious person, or for blockage/inability to urinate in 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 appropriate catheter (16-18 for adults) and ready equipment.
• Position patient. Females in supine position with legs abducted. Cleanse urethra and surrounding
area with antiseptic solution. Isolate area with drapes provided.
• Insert xylocaine jelly provided into urethra with the syringe provided.
• Insert catheter into urethra. For females advance the catheter approx. 3 inches. For males, pass
catheter into the bladder the full length to the junction of the catheter and inflation port for
balloon.
• Once urine is obtained, inflate balloon with 5cc NS, then pull catheter outward until balloon against
bladder neck. If no urine return is given and procedures to induce urine return (bladder palpation)
do not work, DO NOT inflate the balloon.
• Secure catheter to leg with tape to prevent trauma to urethra. Document procedure.
Document procedure, results, and vital signs.

264