Catheterization procedure for female patients

Catheterization for female patients is a surgical method to assist female patients in urinating. This surgical method requires the patient to clean the vulva and is for patients who cannot get up to urinate. The operation of catheterization for female patients is to insert a tube into the patient's vagina to discharge the waste in the body through the catheter. The specific surgical operation process requires the patient to cooperate with the doctor and pay attention to the hygiene of the vulva.

Catheterization procedure for female patients:

1. Bring the supplies to the bedside and explain the purpose of catheterization to the patient to gain cooperation.

2. For patients who can take care of themselves, ask them to clean their vulva. For those who cannot get up, the nurse will help them clean it.

3. The operator stands on the right side of the patient. The patient lies on his back with his knees bent and his legs slightly spread outward. The operator takes off the opposite trouser leg and covers it on the proximal leg. The opposite thigh is covered with a blanket to expose the perineum.

4. Place a small rubber sheet and treatment towel under the patient's buttocks, place the curved tray near the perineum, place the dressing bowl and curved tray between the patient's legs, wrap a sterile gauze around the left thumb and index finger in an "8" shape, hold the hemostatic forceps in the right hand, and use a 0.1% Sanisol cotton ball to scrub the vulva (mons pubis and labia majora), then use the left thumb and index finger to separate the labia majora, scrub the labia minora and urethral opening from outside to inside and from top to bottom. Each cotton ball can only be used once. When scrubbing the urethral opening, gently rotate it downward and scrub it twice in total. The second time, use the cotton ball to scrub down to the anus, place the dirty cotton ball in the curved tray, remove the gauze from the left finger and place it in the dressing bowl, remove the dressing bowl, and place the curved tray at the end of the bed.

5. Take out the sterile catheterization bag and place it between the patient's legs. Open the catheterization bag, pour 0.1% Sanisol into a small cup filled with dry cotton balls, wear sterile gloves, and spread a perforated towel to form a sterile area with the perforated towel and the catheterization bag cloth.

6. Take a curved tray and place it next to the patient's left drape opening. Lubricate the front end of the catheter with a paraffin oil cotton ball and place it in the curved tray next to the drape opening. Use your left hand to separate and fix the labia minora. Use your right hand to hold the Sanisol cotton ball with hemostatic forceps and disinfect the urethral opening from top to bottom and from inside to outside (gently rotate the urethral opening to disinfect it and then wipe downwards, twice in total) and the labia minora. Each cotton ball can only be used once. After cleaning, throw the hemostat into the dirty tray.

7. Use another hemostatic forceps to hold the catheter, aim it at the urethral opening and insert it into the urethra about 4-6 cm. When urine flows out, insert it about 1 cm further. Release your left hand, fix the catheter, and direct the urine into the sterile tray.

8. If urine culture is required, use a sterile specimen bottle and cover the bottle cap.

9. After catheterization, pull out the catheter, take off the gloves, put them in the curved tray, remove the towel, wipe the vulva, and help the patient put on pants. Make the bed, clean up the belongings, make records and then send the specimens for testing.

Precautions for catheterization of female patients

1. The equipment must be strictly disinfected and sterilized, and aseptic operation must be performed to prevent infection.

2. If the catheter is accidentally inserted into the vagina, it should be replaced and reinserted.

3. Choose a smooth and appropriately thick catheter. Insertion should be done slowly and gently to avoid damaging the urethral mucosa.

4. If the bladder is highly distended and the patient is extremely weak, the first urination should not exceed 1000 ml. Due to large amounts of urination, the intra-abdominal pressure may suddenly decrease, and a large amount of blood may be retained in the abdominal blood vessels, causing a sudden drop in blood pressure and resulting in collapse. In addition, sudden decompression of the bladder can cause rapid congestion of the bladder mucosa and hematuria.

5. The first disinfection order: from outside to inside, from top to bottom, first the opposite side and then the proximal side. Each cotton ball can only be used once. Disinfection again: Disinfection order: from inside to outside, from top to bottom, first the opposite side and then the proximal side. Each cotton ball can only be used once.