“Foley catheter is a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. It is held in place with a balloon at the end, which is filled with sterile water to prevent the catheter from being removed from the bladder. The urine drains through the catheter tube into a bag and can then be taken from an outlet device to be drained. Laboratory tests can be conducted on the urine to look for infection, blood, muscle breakdown, crystals, electrolytes, and kidney function. The procedure to insert a catheter is called catheterization” (emedicinehealth.com, 2014)
Catheter insertion is not the first step for babies. U bags are the first step for babies, before consideration of a catheter. Before placing the U Bag, position the baby and have someone to hold baby in place. Lift the baby and place sterile drape under baby to catch urine is necessary. Put on sterile gloves and wipe the outside of the Lady Madura with sterile cotton balls. Wipe left side, right side and down the middle, subsequently with different sterile cotton balls. Take the U Bag and place around the vaginal opening. Make certain the closure is secure to the baby’s body. Urine will go into the U Bag. The urine will then be drawn up with a syringe and placed in the sterile cup. The cup is then capped. Remove U Bag, immediately, so baby’s skin will not become irritated.
When inserting a Foley catheter in a child, there should be a coach or support person in the room. The coach is responsible for helping the child remain calm, throughout the procedure. The child should be told about the procedure and that he or she needs to be still; and the coach is there to help keep the child’s mind off the procedure. The child may have something to distract them; book, toy or interesting conversation. The child can blow a pin wheel and practice relaxation techniques, such as non force abdominal breathing.
“Have the child lie in the supine position with legs straight or slightly bent. For males, roll a towel and put under the knee. Females lie in the supine position also, with heels of feet together and knees tilted outward in frog leg position (supine with knees slightly bent). Use roll blankets, towels or pillows to support the knees while in frog leg position. Cover male legs and lower abdomen. Leave only the genital area uncovered. For females cover the abdomen and each leg, exposing only the area for insertion. Encourage the child to keep buttocks down on b
Wearing non sterile gloves cleanse the meatus area with baby wipes or wash cloth with soap and water. For older children the parent or child may assist with this if it is more comfortable for the child. Remove the non sterile gloves and wash hands thoroughly. Open the sterile catheterization tray on the bedside stand or table. The urojet contain either 5or 10 ml of 2 percent Lidocaine gel. Put...