VIDEO PRAKTEK - PEMASANGAN KATETER WANITA

Summary

This educational video, presented by Hasna from Askep Indonesia, guides viewers through the process of catheter insertion for both men and women. The procedure includes patient identification, preparation of materials, aseptic techniques, and detailed steps for inserting a urinary catheter while maintaining patient privacy. The video emphasizes correct positioning, sterilization, and the careful handling of medical equipment. It also covers the process of obtaining urine samples and proper documentation. The tutorial concludes with a reminder to sanitize hands and document the procedure. The video is aimed at enhancing nursing knowledge and skills related to catheterization.

Takeaways

• 😀 Proper identification of the patient is essential before starting the catheterization process, using at least two identifiers (e.g., name, medical record number, or date of birth).
• 😀 Always explain the purpose and steps of the procedure to the patient to ensure informed consent and comfort.
• 😀 Prepare all necessary tools and materials before starting the procedure, such as hand sanitizer, catheter, urine bag, gloves, and antiseptic solutions.
• 😀 Maintain patient privacy by covering them with a sheet or drape during the procedure.
• 😀 Position the patient in the dorsal recumbent position, with knees bent, to facilitate the catheterization process.
• 😀 Use sterile techniques throughout the procedure, especially when handling the catheter and other medical tools.
• 😀 Clean the genital area with antiseptic solution to reduce the risk of infection before inserting the catheter.
• 😀 Insert the catheter carefully into the urethra (5-7.5 cm for women), ensuring that urine begins to flow into the collection bag.
• 😀 After the catheter is inserted, fill the balloon with 20 cc of sterile water to anchor the catheter securely in the bladder.
• 😀 Secure the catheter externally by attaching it to the inner thigh and hang the urine bag lower than the patient's body to allow gravity to assist with urine flow.
• 😀 If a urine sample is needed, use clean gloves to collect the sample from the urine bag and document the procedure, including the amount and color of the urine.
• 😀 Always perform hand hygiene after completing the procedure and ensure accurate documentation, including the time of catheterization, urine volume, and any observations.

Q & A

What is the first step in catheter insertion for both men and women?

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

What equipment is needed for the catheter insertion procedure?

The necessary equipment includes hand sanitizer, the appropriate size urinary catheter, a urine bag, jelly, aquades (sterile water), sterile gloves, clean gloves, antiseptic solution with cotton, and a drape or towel.

What is the correct position for the patient during catheter insertion?

The patient should be positioned in a dorsal recumbent position, with their knees bent and elevated.

How should the patient's privacy be maintained during the procedure?

The patient's privacy is maintained by using a drape to cover their body, leaving only the necessary area exposed for the procedure.

What must be done before performing the catheter insertion?

Before performing the insertion, hands must be washed following the six-step hand hygiene protocol, and clean gloves must be worn.

How is the genital area prepared for catheter insertion?

The genital area is cleaned with antiseptic solution applied to cotton pads, followed by drying the area to ensure it is clean and dry.

What is the role of sterile gloves during the catheter insertion procedure?

Sterile gloves are worn after the area is cleaned, and they are used to handle the sterile catheter and other equipment to prevent contamination.

What is done after the catheter is inserted and urine starts to flow?

Once urine starts flowing, a balloon is inflated inside the catheter with 20 cc of aquades to secure the catheter in the bladder.

How is the catheter secured externally after insertion?

The catheter is secured externally by fastening it to the inner thigh and ensuring the urine bag is hung lower than the patient’s body to prevent backflow.

What should be documented after the procedure?

Documentation should include the time of catheter insertion, the amount and color of the urine, and whether any urine sample was collected, along with the patient's condition.