VIDEO PRAKTEK - IRIGASI KANDUNG KEMIH

Summary

This instructional video, presented by Hasna, guides healthcare professionals through the process of bladder irrigation (irigasi kandung kemih) with detailed steps on both open and closed catheter techniques. The video covers essential tools, including antiseptic solutions, syringes, and Y-connector catheters, while emphasizing patient identification, hygiene, and post-procedure care. Hasna explains how to properly perform irrigation to clear blood clots and manage urinary drainage, providing clear instructions for continuous and intermittent irrigation methods. This tutorial is aimed at nurses and healthcare providers seeking to enhance their skills in catheter care and bladder irrigation.

Takeaways

• 😀 Proper patient identification is crucial—use at least two identifiers, such as name and medical record number or date of birth.
• 😀 Always explain the procedure and its purpose to the patient before starting the catheter irrigation.
• 😀 Ensure all necessary tools and equipment are prepared, including gloves, antiseptic solution, syringe, and catheter.
• 😀 Hand hygiene is a key step before and after the procedure. Always wash hands according to the 6-step hand-washing technique.
• 😀 Use clean gloves when performing the procedure to maintain hygiene and prevent infection.
• 😀 For open catheter irrigation, clean the irrigation port with antiseptic or alcohol swabs before inserting the fluid.
• 😀 Insert 30-50 cc of antiseptic fluid into the bladder to clean the area, especially in post-surgery patients with blood clots.
• 😀 If needed, clamp the drainage tube temporarily to allow the solution to stay in the bladder as per the doctor’s order.
• 😀 For closed catheter irrigation, continuous irrigation involves adjusting the flow rate for a steady drainage into the urine bag.
• 😀 For intermittent irrigation, clamp the drainage tube, insert the required fluid, and allow it to stay in the bladder for the prescribed time.
• 😀 After completing the irrigation, unclamp the drainage tube and let the fluid drain, then properly dispose of gloves and document the procedure.

Q & A

What is the purpose of bladder irrigation in patients?

Bladder irrigation is used to flush the bladder, usually to remove blood clots or other blockages, especially in patients who have undergone surgery or have post-operative conditions.

What are the essential tools required for the bladder irrigation procedure?

The essential tools for bladder irrigation include clean gloves, antiseptic solution, hand sanitizer, infusion set, urine bag, alcohol swabs, a 50cc syringe (spet), and a catheter with a Y connector.

What are the two main types of catheter irrigation procedures?

The two main types of catheter irrigation procedures are open catheter irrigation (irigasi kateter terbuka) and closed catheter irrigation (irigasi kateter tertutup).

What is the first step in performing the open catheter irrigation procedure?

The first step is to identify the patient using at least two identifiers, such as the patient's full name and either the medical record number or date of birth.

What is the purpose of the antiseptic solution in the irrigation process?

The antiseptic solution is used to clean the port of the catheter or the insertion site to prevent infections during the irrigation process.

How much antiseptic solution should be used during open catheter irrigation?

Typically, 30-50 cc of antiseptic solution is used for irrigation during the open catheter procedure.

What is the function of the clamp in the closed catheter irrigation process?

The clamp is used to temporarily stop the flow of fluid through the drainage tube, allowing for the retention of the irrigating solution in the bladder as per medical instructions.

What is the difference between continuous and intermittent closed catheter irrigation?

In continuous closed catheter irrigation, the fluid flows continuously into the bladder and out through the drainage tube. In intermittent irrigation, the fluid is retained in the bladder for a specified period before being drained out.

What should be done after completing the bladder irrigation procedure?

After completing the procedure, the patient and equipment should be cleaned, gloves should be removed, and hands should be washed according to the 6-step hand hygiene protocol. Finally, the procedure should be documented.

Why is it important to explain the procedure to the patient before performing bladder irrigation?

It is important to explain the procedure to the patient to ensure they understand the purpose and steps involved, reducing anxiety and increasing cooperation during the process.