Pemasangan Kateter Urin

Summary

This video provides a step-by-step guide on how to perform a urinary catheterization procedure for male patients. The process includes preparing the necessary equipment, maintaining hygiene, and carefully inserting the catheter while ensuring patient comfort and safety. Detailed instructions cover the sterilization techniques, use of lubricants, cleaning of the genital area, and correct positioning for the procedure. The video emphasizes patient care, proper documentation, and the handling of potential complications, making it a valuable resource for healthcare professionals performing catheterizations.

Takeaways

• 😀 Hand hygiene is crucial before starting the urinary catheterization procedure to prevent infection.
• 😀 The patient should be positioned in a supine position with legs spread apart and covered with a sterile drape, leaving only the genital area exposed.
• 😀 Essential tools for the procedure include sterile gloves, catheter (size 18 for male patients), antiseptic solution, lubricant, and a sterile urine bag.
• 😀 The insertion area should be cleaned with antiseptic in circular motions from the urethra outward, repeating the cleaning process three times for thoroughness.
• 😀 The catheter should be lubricated before insertion to ease the process and minimize discomfort for the patient.
• 😀 The catheter should be inserted into the urethra gently until urine starts to flow, typically inserting 18-23 cm for male patients.
• 😀 If there is resistance while inserting the catheter, it should not be forced; check for obstructions or reposition if necessary.
• 😀 If a retention catheter is used, the balloon should be inflated with sterile saline to secure the catheter in place within the bladder.
• 😀 The catheter should be connected to a sterile urine collection bag, which should be positioned below the bladder to ensure proper drainage.
• 😀 After the procedure, ensure the patient is comfortable, clean the area, and dispose of all used equipment appropriately while performing hand hygiene.

Q & A

What is the purpose of inserting a urinary catheter for patient Tuan B?

The urinary catheter is being inserted because the patient, Tuan B, is unable to use the bathroom or toilet independently.

What are the essential tools required for inserting a urinary catheter?

The essential tools include non-sterile gloves, a sterile drape, lubricant, antiseptic solution, sterilized gloves, saline solution, surgical and anatomical forceps, a catheter of appropriate size, a sterile urine bag, and a large towel to cover the patient.

What is the first step in preparing to insert a urinary catheter?

The first step is to wash your hands thoroughly before preparing the equipment.

What is the proper position for the patient when inserting a urinary catheter?

The patient should be placed in a supine position with their thighs slightly spread apart, ensuring that only the genital area is exposed.

What type of gloves should be used during the procedure?

Non-sterile gloves should be used for cleaning the perineal area, while sterile gloves are used when handling the catheter and related sterile equipment.

How should the perineal area be cleaned before inserting the catheter?

The perineal area should be cleaned using a circular motion from the meatus urethra towards the base of the penis. This process should be repeated three times with clean wipes each time.

What is the purpose of lubricating the catheter before insertion?

Lubricating the catheter helps to ease the insertion process and prevent discomfort or injury to the urethra.

How do you know when the catheter has been inserted properly?

The catheter is inserted properly when urine begins to flow through the catheter. The catheter should be inserted 18-23 cm into the urethra, or until urine flows.

What should be done if resistance is encountered while inserting the catheter?

If resistance is encountered, do not force the catheter. Gently try again, or if the resistance persists, reconsider the insertion technique or seek assistance.

How is the catheter secured after insertion?

Once the catheter is correctly inserted, the balloon is inflated with sterile water to secure the catheter in place, and the catheter is then connected to a sterile urine bag.