[VIDEO SKILL OSCE - PEMASANGAN KATETER URETRA]

Summary

In this medical procedure, Dr. introduces himself and explains the need to install a catheter due to suspected prostate issues. The process is described in detail, from preparing tools and materials to disinfecting and administering anesthesia. The doctor walks the patient through the steps, including catheter insertion, balloon inflation, and fixation, ensuring the patient is comfortable and informed. Afterward, the patient is educated about care instructions, including catheter maintenance and a referral to a urologist. The procedure ends with the doctor washing hands and thanking the patient for their cooperation.

Takeaways

• 😀 The procedure involves inserting a catheter due to difficulty urinating, potentially caused by prostate abnormalities.
• 😀 The patient will experience some discomfort during the procedure, which involves removing lower clothing and inserting a catheter into the genital area.
• 😀 The procedure is performed in a closed room with a sterile environment, maintaining patient confidentiality.
• 😀 Sterile tools required for the procedure include anatomical tweezers, sterile catheter, urobek, sterile gauze, and various other medical supplies.
• 😀 The catheter insertion process includes disinfecting the area with iodine, applying anesthesia using Siloka, and making sure the medicine works before proceeding.
• 😀 The catheter is inserted after the anesthesia takes effect, with attention to inserting it until urine starts flowing.
• 😀 Once the catheter is inserted, the balloon is inflated with water to secure the catheter in place.
• 😀 After inflating the catheter balloon, resistance is checked to confirm the catheter is in the bladder and properly positioned.
• 😀 The catheter is fixed in place using a fixation method and tape, ensuring it stays securely attached.
• 😀 The patient is educated about the catheter, including how to empty and maintain it, and the need for regular replacement every two weeks.
• 😀 The procedure is concluded by ensuring the patient is informed and that the medical team washes their hands after completing the task.

Q & A

What is the purpose of installing a catheter in this procedure?

The catheter is installed to help with difficulty urinating, which may be caused by abnormalities in the prostate.

Why is the patient asked to remove their lower clothing during the procedure?

The lower clothing is removed so that the doctor can properly insert the catheter into the patient's genitals as part of the procedure.

What types of tools are necessary for this procedure?

The tools include sterile anatomical tweezers, a hole seat, sterile basin, sterile catheters (size 16 French), urobek, kasaseril, antiseptic solutions like COVID-iodine, sterilized gloves, sterile gauze, and KY gel among others.

How is the catheter insertion area disinfected?

The area is disinfected using a 10% COVID-iodine solution with sterile gauze, starting from the center and moving outwards, while avoiding direct contact with the penis until it is properly aligned.

What is the purpose of anesthesia in this procedure?

Anesthesia is used to reduce discomfort during the insertion of the catheter, and it is administered by inserting medication through the genital opening.

What should the doctor do to ensure the anesthesia works properly?

The doctor should press the glans penis lightly to check if the anesthesia has worked and to confirm that the area is numb before continuing with the catheter installation.

How is the catheter inserted?

The catheter is inserted slowly and gently into the patient, lubricated with KY gel to ease the process. The catheter is inserted until urine begins to flow.

What happens once the catheter reaches the bladder?

Once the catheter reaches the bladder and urine begins to flow, the catheter balloon is inflated with a 10cc fluid, and the catheter is secured in place.

How is the catheter fixed in place?

The catheter is fixed by securing it with a craniio-lateral fixation, using a specialized fixation material called hiperfix.

What care instructions are given to the patient after catheter installation?

The patient is advised to empty the catheter regularly, ensure it is positioned correctly (below the genitals), clean the genitals with antiseptic fluid when bathing, and be aware that the catheter should be replaced every two weeks.