With one hand, separate the labia. Introduce the catheter. With your other hand, slowly insert the catheter into the meatus. Gently insert the catheter 3 inches into the urethra until urine begins to flow. Push the catheter up another inch and hold it in place until the urine stops flowing. Remove the catheter.
Once the catheter is in place, you can leave it in for up to 24 hours. If it stays in longer than that, you'll need to replace it.
The main risk with keeping a catheter in for a long time is infection. The more time that elapses between inserting the catheter and replacing it, the greater this risk becomes. Make sure to wash your hands before and after handling the catheter and try not to touch the tip of the catheter with unclean fingers.
Other risks include damage to blood vessels or nerves around the bladder, malfunction of the kidneys due to prolonged exposure to urine, painful urination as the result of tissue damage, and incontinence due to the absence of sphincter muscle control.
As you carefully push the catheter tip into the meatus, encourage your patient to breathe deeply. Advance it 7 to 9 inches (17.5 to 22.5 cm) or until urine begins to drain, then another inch (2.5 cm). If you experience any resistance, twist or gently remove the catheter. The goal is to reach the bladder.
For adult men, you should be able to insert the tube all the way into the bladder without needing to pull it out again. However, because of different sizes of urethras, men may need a catheter with several different lengths of tubing. You can switch out the tubes as needed during the day if your patient has multiple events (i.e., accidents).
For adult women, the catheter should be long enough to reach the bladder but not so long that it would be difficult for you to remove it. Generally, this means that you should be able to insert the tube up to 3 feet (1 m) into the bladder without having to re-sheath it. Of course, this depends on the size of your patient's bladder and how much fluid they retain.
The distance that you insert a Foley catheter affects what type of drainage hole it has. A "closed" drainage system has no holes and so any fluid that enters the bladder through the catheter goes directly into the bladder rather than being released into the environment.
Insert the syringe tip into the catheter tube. Push the solution into the bladder gently. *Caution: Do not force fluid into the catheter tube. If you encounter resistance, gently withdraw the catheter syringe plunger and attempt again to pump the fluid in. Repeat this step if necessary until the fluid is flushed out of the catheter tube.
If the fluid does not come out of the catheter after several attempts, contact your doctor or nurse immediately.
You can also use cold water to try to clear your catheter. First, pour some ice-cold water into the toilet to cool it down. Then, hold the catheter in the water for about 30 minutes. Change the water every 10 minutes so it doesn't get too cold.
Finally, do not pull on the catheter tube. This can cause damage to the tube and need to be replaced.
If any of these procedures fail to remove the blockage, contact your doctor immediately.
Only this valve should be severed, not the catheter or any other spot that might enable urine to flow into the bag. Once the valve is closed and the water drains, simply draw the catheter out carefully and discard it. You will usually be requested to remove your catheter at home 8 hours or so before your appointment. If you miss this time frame, you will have to postpone your trip until the catheter can be reinserted.
In the event that the patient suffers from urinary incontinence due to dementia or some other reason, their family members should know how to insert a catheter in order to reduce the risk of injury. Even if the patient is unable to communicate their need for this procedure, it is still important to understand what triggers them to feel the need to go to the bathroom. This information will help care providers determine whether or not they need to perform this procedure.
Taking samples from a catheter valve