ProcessAdvanced
What procedural steps should be taken when discontinuing an indwelling catheter as outlined in the urinary elimination chapter?
When discontinuing an indwelling catheter, the following steps should be taken: identify and explain the procedure to the patient, perform hand hygiene and wear clean gloves, empty the urinary collection bag, measure urinary output, obtain a urine specimen if needed, remove the catheter from the anchoring device, deflate the balloon, and then slowly withdraw the catheter while ensuring it is intact. After removal, clean the perineal area, dispose of the catheter, and monitor the patient's output closely.
Key points
- Identify the patient and explain the procedure.
- Perform hand hygiene and wear clean gloves.
- Empty the urinary collection bag and measure output.
- Deflate the catheter balloon before removal.
- Monitor the patient for urinary retention after removal.
Source:Fundamentals of Nursing: Active Learning for Collaborative Practice· Urinary Elimination· p. 2962–2988
Fundamentals of Nursing: Active Learning for Collaborative Practice
Barbara L Yoost & Lynne R Crawford
2E