Male Foley Catheter Insertion Nursing Skill | How to Insert an Indwelling Urinary Catheter Male

Introduction

This tutorial provides a step-by-step guide on how to insert an indwelling urinary catheter (Foley catheter) for male patients. This procedure is an essential nursing skill that is commonly performed in clinical settings. Understanding the correct technique is crucial for patient comfort and safety. Before starting, always verify and follow your facility's protocols, as practices may vary.

Step 1: Gather Required Equipment

Ensure you have all necessary supplies ready before beginning the procedure. This includes:

• BARD Foley catheter kit
• Sterile gloves
• Antiseptic solution (e.g., Betadine or chlorhexidine)
• Lubricant (water-soluble)
• Sterile drape
• Securement device
• Collection bag

Step 2: Prepare the Patient

• Explain the Procedure: Inform the patient about the catheterization process to alleviate anxiety.
• Position the Patient: Place the patient in a supine position with their legs slightly apart.
• Provide Privacy: Use curtains or screens to ensure the patient’s privacy during the procedure.

Step 3: Perform Hand Hygiene

• Wash your hands thoroughly with soap and water or use an alcohol-based hand sanitizer before putting on gloves.

Step 4: Open the Catheter Kit

• Open the BARD Foley catheter kit using sterile technique to maintain a clean environment.
• Arrange the supplies on a clean surface, ensuring everything needed is within reach.

Step 5: Prepare the Genital Area

• Don Sterile Gloves: Put on sterile gloves to prevent infection.
• Clean the Area: Use antiseptic solution to clean the genital area. Follow these steps:
  • Start at the tip of the penis and move in a circular motion outward.
  • Use a new antiseptic swab for each stroke to prevent contamination.

Step 6: Insert the Catheter

• Lubricate the Catheter: Apply a generous amount of lubricant to the catheter tip.
• Insert the Catheter:
  • Gently hold the penis and insert the catheter into the urethra.
  • Advance the catheter until you reach the bifurcation (about 6-8 inches for most males).
• Inflate the Balloon: Once urine begins to flow, inflate the balloon with the sterile water as per kit instructions.

Step 7: Secure the Catheter

• Attach the Securement Device: Secure the catheter to the patient's thigh or abdomen to prevent movement and discomfort.
• Connect to the Collection Bag: Ensure the catheter is connected to the drainage bag correctly.

Step 8: Document the Procedure

• Record the procedure details in the patient's chart, including:
  • Date and time of insertion
  • Type and size of catheter used
  • Patient's response to the procedure

Conclusion

Inserting a male Foley catheter requires careful preparation and attention to aseptic technique. By following these steps, you can ensure the procedure is performed safely and effectively. Always review and adhere to your institution's protocols, and consider additional training if needed. Practice is key to mastering this essential nursing skill.