Pain is subjective. For some people this procedure would be seen as uncomfortable and others might rate it a 10/10 on the pain scale. If available I highly recommend using a Lidocaine gel to make this procedure easier for your patient. 🙂
@@hass7245 they will likely put it in before surgery so you will be awake. Taking it out takes a few seconds most people don't report pain but if it is painful it's very quick.
That's true. I've broken my arm twice and dislocated my shoulder but it was only a bit sore. However I am the biggest baby when it comes to my back pain and headaches. When I have migraines I'm a sobbing wreck
I have some advice for those of you preparing to do this. I have done this to myself 5 to 6 times a day for the last 2 years. My catheters do not have the balloon because they do not remain in place. They are used to void my bladder then they are withdrawn. The catheters that I use are typically 14 French, 16" in length and most have coude (curved) tip. For comfortable insertion the complete catheter should be lubricated. Not just the tip. Go slowly and when you reach the prostrate slow down. Continue with slow pressure as the sphincter relaxes. As the catheter goes into the bladder the push gets easier. Telling the patient to relax does not work. Have them exhale as they feel the pressure at the sphincter. Remember go slow. There is no reason this should be painful at all. My first experience with this procedure was in an emergency room and it was a bloody mess. I am an adult male and I was beyond embarrassed. I was mortified! After having it done to me several times it got less embarrassing but it didn't get easier until I started doing it my self. After doing this thousands of times now I believe my experience has given me some insight. For those of you dreading this procedure there is no need to worry. Just prompt your provider to go slowly. Most providers have done this a handful of times and many of them dread it as much as the patient. Remember......Go Slow.
Thanks for the tips, I also plan to do this to myself but for different reasons; and mine will stay in for at least a month. Looks a bit intimidating at first but seems simple enough.
Yes sir, you hit the subject matter greatly. This “nurse”, I guess never puts us, the students on the proper side of the patient to visibly see the procedure. I give her teaching skills a C-. My evaluation comes from my teaching skills, NEVER TALK TO THE CHALKBOARD, TALK TO THE PATIENT, PUT THE STUDENTS IN A POSITION TO SEE AND BE ABLE TO FULLY UNDERSTAND THE TAUGHT PROCEDURE! The matter being taught is difficult to understand if the student has to look around or over the teachers shoulders when an open view is missed by the student!
Agree with geek11 100%. I had the same experience with rehab from a severe bladder infection that put me in the hospital for five days. And the experience with nurse administered Foley catheters vs self-administered single use 14 French coude catheters.....well, there is NO comparison. Nurse administered catheters are too often inserted while the patient is laying down. As I discovered, that is much more difficult and painful. After very unpleasant experiences in the hospital and rehab with Foley catheters, I was SHOCKED to discover how easy self-administration was. And it was all because I was in a standing position. Once early on I had difficulty with self-administration and went to the ER. They insisted on putting in a Foley, and I insisted that they do it while I stood up. The doctor seemed to think that a bit odd, but....whatever. PIECE OF CAKE!! I'm telling all nurses. Whatever catheter you are inserting, if the patient can stand, ENCOURAGE HIM TO STAND. It will be substantially easier for both of you.
You are an OUTSTANDING teacher. Explaining the terms, demonstrating, breaking everything down. I've had many, many teachers in my life & the ability to non-judgmentally break down knowledge into whatever sized bits are required is a skill and talent. Your students are blessed. I mean it. And 5 minutes ago I posted "Why did RUclips send me here?" lol.
When I was in nursing school I was being skill tested for this procedure. The practice patient was one of the older models and had been used a lot. When I started to put the Foley in the penis fell off. Not missing a step I grabbed some tape, tape the penis back on, changed my gloves and preceded with the procedure. I got an A for skill procedure and a bonus B for keeping my composure. My professor kept her cool during the procedure, when it was over she burst out laughing.
One of the best videos on how to insert a foley catheter. Even pointing out the instructions on the packaging. Very helpful for nursing and medical students. 😃
Excellent instruction. I was advised to never reach across sterile field to discard. I was told by urologist, whom I inserted a foley into in his home, that I could insert Foley catheter fully to bifurcation, inflate & then pull back. He advised urethral lengths are variable & foley cannot puncture bladder, but this method eliminates the danger of inflating balloon in urethra. Also, when I use syringe to remove balloon. I remove fluid, then I do it again to completely flatten the balloon, especially larger ones. Jeanne ( retired RN)
I was self-catheterising at home for some weeks before having a TURP operation due to an enlarged prostate. Obviously not this type of catheter. No balloon. Scary at first because of the length of the catheter but becomes routine and pain free. Had to do it three times a day, empty the bladder and then remove the disposable catheter each time. The TURP operation was a success. No after effects. 5 years ago, I think.
Very well done and very professional. Important to keep the patient, especially one that’s the opposite sex, as comfortable as possible, particularly with this procedure. I’m sure most RNs know this and are very sensitive to their patients.
Great technique. I've been at both ends of catheters and I couldn't imagine having this done to me by a male. My gentlemen patients often look so embarrassed and I feel so sorry for them. If a male nurse is available, I offer to get one. If not, I keep the patient covered as much as possible, for as long as possible and recover as quickly as possible. A patient is a person with a sick body. If we're only caring for the body, we're only caring for half the patient.
I like that because I wouldn't let a female do it and I have refused this before. And it doesn't matter how much your covered your thing is still out there and being fondled. And why is there no chaperone in the room
Thank you.. one of the first times ive seen somebody in the medical field talk about the mental aspect of it. I wish nurses and doctors were like that when they did it to me.
The anaesthetic gel is essential for a virtually pain free insertion, though it stings a bit on application it also acts as a lubricant all the way through so once you are numbed inside there is a little discomfort. Removal is a different sensation and is likely to be done quickly as there is no more lubricant but well worth the discomfort and relief once out of you body. Had it twice in my life so far pre and post operations and the nurses were so proficient at making the procedure as easy as possible.
There are studies that discourage the use of normal saline to inflate the ballon, and others that say its fine. The kits usually come with sterile water. I recommend using whatever comes with the kit.
@@happykat1795 go with the smallest standard size for an adult. If the patient is petite you may need to use a catheter intended for a child. If their urine has stuff (e.g. blood) in it you may need to use a bigger size. Hope that helps.
An aspiring future registered nurse here. Thank you so much for this very informative video. I am practicing for my return demo and I'm glad I saw your vid. Hi from the Philippines!
This was so helpful and descriptive. It definitely refreshed my memory from the first semester of nursing school. I begin my first job as a nurse tomorrow so this was a nice review!
I have had quite a few of catheters over last 18 months. First one ☝️ nurse caused trauma. But other than that it was okay 👍. I used to change my own bags. Thanks. Great video
When she sticked it in I felt uncomfortable because I’m really starting to think that I have to do this when I get older but this is good to know cause I might be a doctor when I get older. Stay safe doc
You’re so cute when you talk❤️ im a nursing student and I was looking for a Foley catheter insertion video as I just had an exam on this, and I randomly came across your videos and I love them!! Thank you for this
Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks
I just went through this before my ablation. The pain I had from the insertion and the removal was the most difficult part of the experience. It hurt just as much to remove it as it was to put it in. The nurse did use Lidocaine, but it really didn't help.
Where I work (in the UK) we always insert 11ml lidocaine gel (provided in a syringe) and if possible wait a few minutes for it work, much kinder and easier especially on older gentleman with BPH.
Wow, that might have helped me avoid the most painful experience of my life. I went to the ER with Acute Urinary Retention already in a lot of pain, and the guy who did the catheter said he knew what he was doing and had been doing it for 12 years, but I'm usually OK at bearing pain, but I was yelling and cursing. He just told me to wiggle my toes. I had the portable catheter and bag strapped to my leg and the other thing to mention is LEAVE SOME SLACK IN THE TUBE OR YOU ARE TORTURING YOUR PATIENT. When I left I was a wreck and had to drive home. Then the tension on the catheter to my bladder was so great I could barely move to adjust or empty the bag. People need training to do this, and oversight, and probably some feedback until they know what they are doing. So far it's the worst pain I have ever experienced, and I had a kidney stone 20 years ago.
I was taught how to do this on my male resident from his wife, I'd never done one before, I wasn't nervous cause it had to be done right then cause she had her hand bandaged up, it went well, nice and smooth
When i was about 14/15 years old I had a catheter inserted while I was under anaesthetic. The next day my nurse let me pull it out 😬 it was a strange feeling but it didn’t hurt at all surprisingly. That’s my catheter story, thanks for attending my ted talk.
One final point,on inserting the catheter and you feel resistance,perhaps there could be a urethral stricture present and would be unwise to ‘plough’ through with the catheter,as this would cause significant trauma to the urethra.Thus resulting in surgical repair to the urethra or perineum urethroplasty.. ..
Really well done. I have couple of questions. 1. As a patient should I be making sure all these sterile protocols are being followed and what questions should I be asking the nurse about specifics around the procedure. Also what if the patient has a urethra l stricture that has closed but is in retention..is their a protocol.I’m asking these questions because so many people have such horrible experiences being catheterized especially in ER.Thanks and well done and helpful to patients.
I had a enlarged prostate, so they started out with a 14 French could not get past my prostate. Then tried 12 French, same thing. They ended up using a 10 French and they had hard time with that but finally got it through. That was rough and does this happen a lot with enlarged prostates?
All of my year's of nursing , I never inserted a Foley catheter in a man !! Women yes , men no . Don't know how I got out of that ! Lol I have taken care of men who had them in and have taken them out , but never put them in. So , thank you for this very informative video!! 👏👏👏👏👏👏👏👏👏👏
This video needs to go further and provide additional info on preparing and wearing the bag , such as , cutting the hose to proper length, strapping to your leg, what about showering,sleeping etc. the big issue is how to reduce discomfort of long term use lasting over several days , im wearing one now and you can feel mild discomfort with sitting on hard surfaces or irritation from physical activity so i put a large square bandage over the entire area above the clamp because the stiff hose would cause irritation on the sensitive areas as i walked about so that nothing moves or rubs against your underwear or pants as for sitting i use a pillow to reduce the area where the hose goes underneath my bottom.. these things need more comments, ideas and suggestion from all sources so please share
I keep watching this and trying to come to terms with it :( I’m in a psychiatric nursing program, but they’re forcing us to take a semester of medical nursing. I’m honestly not sure if I could ever do it, and will probably have to drop out, which is sad because psych is my love. Thanks for posting this and looking so stress-free about it.
If you dont mind, what country are you in? Ive never heard of that here in the US. To become an RN or LPN, med-surg is covered for majority of the program
PLEASE know that seeing urine return during insertion is not a guarantee that it's reached the bladder. I had one inserted too short, and the balloon was expanded while inside my urethra / prostate (possibly the weak area of the membranous urethra.) This caused a lot of trauma and bleeding. LOTS of bleeding for several days. So much blood. Not to mention the excruciating pain for many days. I was sedated during & after the insertion procedure and no one even noticed for some time. If you insert a catheter, PLEASE be sure it is fully inserted and reaches the bladder before inflation. Other instructions state to insert until closer to the "Y" in the tube before inflation, then it can be pulled back out (gently) as needed.
Im with Lucy. As a 71 year old, Ive already had to endure what I would consider embarassing situations in the hospital. But the outstanding nurses helped ease my mind. I may have to go thru this so its good to know what to look forward to . Growing old aint for sissies.
Eons ago when I worked in a hospital a urologist taught me how to do this. Well, it was a demonstration with explanation and then I was on my own. Fortunately there was an LPN that mentored me and she came with when I had to do one the first couple times. But you did just as the Dr told me. I like to talk so I chatted up a storm to distract the patient and calm me. When I had my bypass surgery I was told I would have one, which they did in the OR when I was out. Removal was nothing days later, didn’t even notice. Maybe it’s me, the chest tube removal was nothing either. My surgeon was awesome.
Great stuff. I had this done 3 years ago, but it hurt more coming out than going in, I think because the nurse pulled too quick I am not really sure. Good video
So it sticks/grows into place? I hope they use Teflon if I had to have it, at least coextruded or some coextruded polyolefine. In any case a nice and skilled nurse like here is comforting.
They are supposed to pull it out quickly . .same as a sticky plaster off a wound. Otherwise the patient cant stand to have it done! Painful but harmless!
For me as quadriplegic it is routine. I do it by myself wich is better because you can slow down if you feel uncomfortable. Its pain free even without lidocaine, but to be honest it is uncomfortable when catheter passing prostate and bladder sphincter. Simply it looks more scary than it really is. Just calm down, don't panic and it will be way less scary experience. Deep breaths and relaxed abdominal muscles make the whole process easier because the bladder sphincter will not be blocked by spasm. As i say its pain free but when it's catheter in bladder you will feel weird... its like you constantly need to pee. :D This is due to irritation of the urinary sphincter. I also went through cystography and cystoscopy. Cystography feels pretty same. Only cystoscopy is more unpleasant but it is done under local anesthesia so again nothing terrible. It's about mindset. If you set yourself to agony... well it will be worse.
When inserting the catheter you should go further once you have a urine stream before inflating the balloon. Once inflated it can be pulled back slightly to seal. Mine wasn't in quite far enough and caused minor damage where the urethra joins the bladder. Took a few visits to the urologist and insertion of a camera to diagnose, and a couple of months to heal up. Nothing serious, but could have been easily avoided. At least according to the doctor.
She should pull this video off line until she adds that very important step. The catheter needs to go in approximately another 1.25 inches after urine is seen.
If you don't do well at nursing at any point in your life or feel bored, you should try teaching the art of clear speaking. Your second career may interest you more than your first one. Great talent.
Catheter insertion should be painless if done correctly. I have been catheterized at least 100 times for different reasons and it is no big deal at all. About 10 years ago I was severely injured in a car wreck and since then I have issues with urinary retention. Every so often I develop acute urinary retention requiring being catheterized for a day or two to allow my bladder to return to normal. The first few times I went to the emergency room and I was catheterized and sent home. After seeing a urologist it was determined my best course of treatment was to catheterize myself when retention happens and remove it myself a few days later. I have zero pain on insertion and zero discomfort while it is in or on removal. It is truly not a big deal being catheterized and if you are recovering from major surgery it is nice not having to move around to urinate.
Had nurse ask me to sign a form for surgery all I asked was will I be out cold she said yes so I signed. But this is information that someday might be needed! Thanks for teaching!
Pretty good video. I would recommend setting up your sterile field closer to the patient so that you don’t have to turn your back on it. Also, the wrapper from the sterile gloves and other unnecessary things like the plastic bag the kit comes in can make a great place to discard the betadine swabs so long as you are not crossing over the sterile field during discard. You want to avoid getting betadine anywhere it shouldn’t be since it stains like no one’s business. In this video the discard bag would go near the patients right hip. Great job connecting syringe prior to insertion also. Instead of putting the lube in the tray, you can put it directly on the catheter with the catheter remaining in the sterile field, bag still in paper like box and draped catheter into plastic tray then apply lube to not just the tip of catheter but as much as you can go using the whole packet. Also, changing direction of the urethra from straight up to more towards the feet at the point of resistance can help with the maneuver of anatomy. Your betadine technique and explanation was spot on. Also I loved how you put your gloves on as that is exactly how I learned. Just make sure your wrist area or the cuff or the glove doesn’t bump the supplies in the sterile field. If the patient can’t keep still or has involuntary movements, wouldn’t put sterile field on bed between thighs but that’s where I would normally. And if needed, have an extra set of hands to hold patient in place or position tray table at foot of bed so that field is above the lower legs. And no rings with gems please! Lots of bacteria can collect in there.
So that's how they did it! I was out to it when they put it in,. For a week was wandering around the hospital with a bag of urine attached to my lower leg. Was a bit uncomfortable, but not painful. Having it out was not a problem at all. Interesting. Men are a bit uncomfortable about this sort of thing, and its good to show how easy it is. Thanks for posting.
Yea.. once out of the sleeve, the catheter is floppy and can touch a dirty field if not carefully handled.. I prefer to leave it in the sleeve until I'm ready to insert it.. then I remove the sleeve and carefully lubricate it before inserting.
When did they start this new design with the balloon? I have had catheters several times over the years and not once did they ever pump up a balloon or even use a lubricant, they just shoved the thing in and let it go at that.
You should put lidocaine on the tube and inside the patient. I keep going into the hospital with blood & blood clots in me, so I get a foley every time I go in. I asked the nurse if I could get lidocaine and it made it so less painful. I don’t know why they’ve never done it before.
I saw some videos have lidocaine inserted into the urethra beforehand. Is this compulsory or not?. There are some people said the catheter should be inserted until it reaches the bifurcation. Then proceed to inflate the balloon and gently pull it back to confirm its functionality. After that push it slightly back in. Mind sharing your opinion on this?
What is the use of a lidocaine gel if it does not reach the whole urethra ? What do you think is left of the lidocaine gel on the catheter when the tube has reached about 10 cm of the urethra, namely nothing!
"SOMETIMES USE NUMBING GET????" MY ANSWER WOULD BE HELL NO!!!!! IT SHOULD NOT BE OPTIONAL. IT SHOULD BE MANDITORY PART OF PROCEDURE. GOOD INFO! THANK YOU!
Well it hurt going in and it hurt being removed. And it is painful while in most of the time. Especially when moving and getting up and laying down. I believe there may be a better method for this purpose now a days. Correct?
No , it dont hurt taking out since I had it done a week ago and a new one put in . They put it in slowly cuz too fast causes friction and till pee comes out.
Some times. Usually it's due to the fact that when a new one is inserted not only is the catheter lubricated but the balloon is brand new. When removing the previous one the balloon has been inflated for awhile so it expands in size even when deflated just like a balloon you blow up then release the air out of.
Tysm your demo is really good and I wanna ask , female and Male catheter are different? And usually or normally how many ml of sterile water is use to inflate??
Males and females can both use these 14French Indwelling catheters, they are not different. The amount of sterile water depends on the manufacturer usually 5-10ml. It says this on the package and the catheter itself.
I have been self-catherising for over two years now and can't think of ever having an indwelling again. (uncomfortable to wear) Always go for intermittent catheters!
I have a bladder stone and currently in a waiting list for it’s removal. This is one of my main concerns. Not sure if they will still do the operation if I refuse consent for a catheter. If they will only do the operation if they insert one I’ll be cutting the valve off to drain the balloon and removing it myself as soon as I’m awake. No way am I keeping a three way catheter in.
Un believable 237 noggins have marked this video down ...informative and good information . Ex caregiver here worked in a CCU unit , knew how to put urodome catherters on and off , but never knew how they were inserted .
Many thanks to the nurse that gave me peyronie’s while inserting my foley. The ladies seems to love it. Yes, it can happen. Squeeze and push down hard enough and tissue damage occurs.
Pain is subjective. For some people this procedure would be seen as uncomfortable and others might rate it a 10/10 on the pain scale. If available I highly recommend using a Lidocaine gel to make this procedure easier for your patient. 🙂
Right it's painful if u r not applying jelly
If you think that is painful, try having flexible cystoscopy. The scope is about twice the diameter of the foley.
I'm having surgery in few days will they put this while I'm sleep and does it hurt when they take it out plz someone answer me
@@hass7245 they will likely put it in before surgery so you will be awake. Taking it out takes a few seconds most people don't report pain but if it is painful it's very quick.
That's true. I've broken my arm twice and dislocated my shoulder but it was only a bit sore. However I am the biggest baby when it comes to my back pain and headaches. When I have migraines I'm a sobbing wreck
I have some advice for those of you preparing to do this. I have done this to myself 5 to 6 times a day for the last 2 years. My catheters do not have the balloon because they do not remain in place. They are used to void my bladder then they are withdrawn. The catheters that I use are typically 14 French, 16" in length and most have coude (curved) tip. For comfortable insertion the complete catheter should be lubricated. Not just the tip. Go slowly and when you reach the prostrate slow down. Continue with slow pressure as the sphincter relaxes. As the catheter goes into the bladder the push gets easier. Telling the patient to relax does not work. Have them exhale as they feel the pressure at the sphincter. Remember go slow. There is no reason this should be painful at all. My first experience with this procedure was in an emergency room and it was a bloody mess. I am an adult male and I was beyond embarrassed. I was mortified! After having it done to me several times it got less embarrassing but it didn't get easier until I started doing it my self. After doing this thousands of times now I believe my experience has given me some insight. For those of you dreading this procedure there is no need to worry. Just prompt your provider to go slowly. Most providers have done this a handful of times and many of them dread it as much as the patient. Remember......Go Slow.
Thanks for the tips, I also plan to do this to myself but for different reasons; and mine will stay in for at least a month. Looks a bit intimidating at first but seems simple enough.
Yes sir, you hit the subject matter greatly. This “nurse”, I guess never puts us, the students on the proper side of the patient to visibly see the procedure. I give her teaching skills a C-. My evaluation comes from my teaching skills, NEVER TALK TO THE CHALKBOARD, TALK TO THE PATIENT, PUT THE STUDENTS IN A POSITION TO SEE AND BE ABLE TO FULLY UNDERSTAND THE TAUGHT PROCEDURE! The matter being taught is difficult to understand if the student has to look around or over the teachers shoulders when an open view is missed by the student!
@@HenauderTitzauf pretentious much?
Agree with geek11 100%. I had the same experience with rehab from a severe bladder infection that put me in the hospital for five days. And the experience with nurse administered Foley catheters vs self-administered single use 14 French coude catheters.....well, there is NO comparison. Nurse administered catheters are too often inserted while the patient is laying down. As I discovered, that is much more difficult and painful. After very unpleasant experiences in the hospital and rehab with Foley catheters, I was SHOCKED to discover how easy self-administration was. And it was all because I was in a standing position. Once early on I had difficulty with self-administration and went to the ER. They insisted on putting in a Foley, and I insisted that they do it while I stood up. The doctor seemed to think that a bit odd, but....whatever. PIECE OF CAKE!! I'm telling all nurses. Whatever catheter you are inserting, if the patient can stand, ENCOURAGE HIM TO STAND. It will be substantially easier for both of you.
Then you have straight caths. Not indwelling.
Give this young lady an A+. She was very professional. An did an excellent job of explaining the procedure, step by step as she want along.
Yes but the insertion was a little more than gentle.
Wrong... she is was not right
You are an OUTSTANDING teacher. Explaining the terms, demonstrating, breaking everything down. I've had many, many teachers in my life & the ability to non-judgmentally break down knowledge into whatever sized bits are required is a skill and talent. Your students are blessed. I mean it. And 5 minutes ago I posted "Why did RUclips send me here?" lol.
When I was in nursing school I was being skill tested for this procedure. The practice patient was one of the older models and had been used a lot. When I started to put the Foley in the penis fell off. Not missing a step I grabbed some tape, tape the penis back on, changed my gloves and preceded with the procedure. I got an A for skill procedure and a bonus B for keeping my composure. My professor kept her cool during the procedure, when it was over she burst out laughing.
👍🏾👍🏾👍🏾👍🏾👍🏾🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
I kept my composure while reading this until complete. Like your professor, I burst out laughing with tears out of my eyes at the very end.
😂😂😂😂😂 Love it!
LMAO definitely laughed at the end of the too 😭😭
😂😂😂
One of the best videos on how to insert a foley catheter. Even pointing out the instructions on the packaging. Very helpful for nursing and medical students. 😃
Excellent instruction. I was advised to never reach across sterile field to discard. I was told by urologist, whom I inserted a foley into in his home, that I could insert Foley catheter fully to bifurcation, inflate & then pull back. He advised urethral lengths are variable & foley cannot puncture bladder, but this method eliminates the danger of inflating balloon in urethra. Also, when I use syringe to remove balloon. I remove fluid, then I do it again to completely flatten the balloon, especially larger ones. Jeanne ( retired RN)
This Nurse is amazing. She is very explanatory and reasons of. Why or what you do. 10 out of 10
I was self-catheterising at home for some weeks before having a TURP operation due to an enlarged prostate. Obviously not this type of catheter. No balloon.
Scary at first because of the length of the catheter but becomes routine and pain free. Had to do it three times a day, empty the bladder and then remove the disposable catheter each time.
The TURP operation was a success. No after effects. 5 years ago, I think.
How long was your hospital stay following the TURP? Much post Op bleeding. I am on the waiting list. Cheers
I do like how you were professional and not childish about it. And you explained quite thoroughly. Thank you. Stay safe during this pandemic.
Why should she be childish about it? I do not understand
Very well done and very professional. Important to keep the patient, especially one that’s the opposite sex, as comfortable as possible, particularly with this procedure. I’m sure most RNs know this and are very sensitive to their patients.
Great technique. I've been at both ends of catheters and I couldn't imagine having this done to me by a male. My gentlemen patients often look so embarrassed and I feel so sorry for them. If a male nurse is available, I offer to get one. If not, I keep the patient covered as much as possible, for as long as possible and recover as quickly as possible. A patient is a person with a sick body. If we're only caring for the body, we're only caring for half the patient.
Well said.
I like that because I wouldn't let a female do it and I have refused this before. And it doesn't matter how much your covered your thing is still out there and being fondled. And why is there no chaperone in the room
Thank you.. one of the first times ive seen somebody in the medical field talk about the mental aspect of it. I wish nurses and doctors were like that when they did it to me.
Your delivery was concise. You displayed many good points such as the right patient. Hand washing and the unfolding of the package.
Your great at teaching. Even though I'm already a nurse. You've just given me some hints and tricks. Thank you.
She is very professional and clear with her instructions....Good job!
The anaesthetic gel is essential for a virtually pain free insertion, though it stings a bit on application it also acts as a lubricant all the way through so once you are numbed inside there is a little discomfort. Removal is a different sensation and is likely to be done quickly as there is no more lubricant but well worth the discomfort and relief once out of you body. Had it twice in my life so far pre and post operations and the nurses were so proficient at making the procedure as easy as possible.
There are studies that discourage the use of normal saline to inflate the ballon, and others that say its fine. The kits usually come with sterile water. I recommend using whatever comes with the kit.
hi, can you give an advise on how to chose the correct catheter size for both male and female
@@happykat1795 go with the smallest standard size for an adult. If the patient is petite you may need to use a catheter intended for a child. If their urine has stuff (e.g. blood) in it you may need to use a bigger size. Hope that helps.
What is the proper way to remove the cover after the catheter is inserted?
@@tiadee3921 just rip it down the middle for easy cleanup
Thank you very much for your professionalism!! You definitely know what you are talking about!!! Sweet girl, God bless!
thank you so much for all your videos. I’m a new nurse and watching these to review really helps me so much. 💖
U are more talented among the doctor's I hv seen
😊 thank you
An aspiring future registered nurse here. Thank you so much for this very informative video. I am practicing for my return demo and I'm glad I saw your vid. Hi from the Philippines!
Thank you for this amazing video. Honestly, this is the best video i saw for catheterization in the whole youtube and helped me much in my exams 😊😊
That's so nice! Thank you for watching
This was so helpful and descriptive. It definitely refreshed my memory from the first semester of nursing school. I begin my first job as a nurse tomorrow so this was a nice review!
Good luck 🙂
I’ve had this procedure done twice but I’ve never had this perspective, thanks.
I love how you show documentation info at the end. So very helful!
I have had quite a few of catheters over last 18 months. First one ☝️ nurse caused trauma. But other than that it was okay 👍. I used to change my own bags. Thanks. Great video
Mind if i ask about the first one? Im in a similar situation and i want to find out more about it but i dont really remember as i was a kid
With all due respect it is one of the funniest videos for a procedure😄
When she sticked it in I felt uncomfortable because I’m really starting to think that I have to do this when I get older but this is good to know cause I might be a doctor when I get older. Stay safe doc
Many thanks, if the patient has an enflamed urethra, should a thinner catheter be used?
Thank you! I’m in PN school and we have check offs Friday! This has helped so much
I am a retired nurse excellent tutorial one thing only do not cross over the sterile field with a used swab 👍🇬🇧
You’re so cute when you talk❤️ im a nursing student and I was looking for a Foley catheter insertion video as I just had an exam on this, and I randomly came across your videos and I love them!! Thank you for this
Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks
Great demonstration and explanation! Thank you so very much! ❤
Casually watching because of curiousity but this is really informational
Hi thank you for Demonstration i refreshed my knowledge regarding the insertion of foley cath. I am a nurse from philippines
I just went through this before my ablation. The pain I had from the insertion and the removal was the most difficult part of the experience. It hurt just as much to remove it as it was to put it in. The nurse did use Lidocaine, but it really didn't help.
Where I work (in the UK) we always insert 11ml lidocaine gel (provided in a syringe) and if possible wait a few minutes for it work, much kinder and easier especially on older gentleman with BPH.
Wow, that might have helped me avoid the most painful experience of my life. I went to the ER with Acute Urinary Retention already in a lot of pain, and the guy who did the catheter said he knew what he was doing and had been doing it for 12 years, but I'm usually OK at bearing pain, but I was yelling and cursing. He just told me to wiggle my toes.
I had the portable catheter and bag strapped to my leg and the other thing to mention is LEAVE SOME SLACK IN THE TUBE OR YOU ARE TORTURING YOUR PATIENT. When I left I was a wreck and had to drive home. Then the tension on the catheter to my bladder was so great I could barely move to adjust or empty the bag.
People need training to do this, and oversight, and probably some feedback until they know what they are doing. So far it's the worst pain I have ever experienced, and I had a kidney stone 20 years ago.
I was taught how to do this on my male resident from his wife, I'd never done one before, I wasn't nervous cause it had to be done right then cause she had her hand bandaged up, it went well, nice and smooth
I can feel the pain of insertion while watching.
Bro I cringed while she inserted.
When i was about 14/15 years old I had a catheter inserted while I was under anaesthetic. The next day my nurse let me pull it out 😬 it was a strange feeling but it didn’t hurt at all surprisingly. That’s my catheter story, thanks for attending my ted talk.
One final point,on inserting the catheter and you feel resistance,perhaps there could be a urethral stricture present and would be unwise to ‘plough’ through with the catheter,as this would cause significant trauma to the urethra.Thus resulting in surgical repair to the urethra or perineum urethroplasty.. ..
SO how tdo you distinguish between BPH and urethral stricture
I've had this done a half dozen times suggest you ask for liquid pain meds be applied down there. Have Dr squirt IL down there first.
What
Thanks for this video have my skills competency test today and needed this review !
Really well done. I have couple of questions. 1. As a patient should I be making sure all these sterile protocols are being followed and what questions should I be asking the nurse about specifics around the procedure. Also what if the patient has a urethra l stricture that has closed but is in retention..is their a protocol.I’m asking these questions because so many people have such horrible experiences being catheterized especially in ER.Thanks and well done and helpful to patients.
GRATE JOB YOUNG LADY IVE HAD A INDWELLING CATHATER FOR 13,YEARS, GOD BLESS ,.YOU,.
I had a enlarged prostate, so they started out with a 14 French could not get past my prostate. Then tried 12 French, same thing. They ended up using a 10 French and they had hard time with that but finally got it through. That was rough and does this happen a lot with enlarged prostates?
thank you so much for doing this! my father has been having this procedure for years now. i wish i'd known of a supra pubic catheter years ago.
Just having another catheter fitted and scared; you reassurred me. Thank you.
All of my year's of nursing , I never inserted a Foley catheter in a man !! Women yes , men no .
Don't know how I got out of that ! Lol
I have taken care of men who had them in and have taken them out , but never put them in.
So , thank you for this very informative video!!
👏👏👏👏👏👏👏👏👏👏
That you Lear a lot me to 🤗🤗🤗
That's the way it should be
This video needs to go further and provide additional info on preparing and wearing the bag , such as , cutting the hose to proper length, strapping to your leg, what about showering,sleeping etc. the big issue is how to reduce discomfort of long term use lasting over several days , im wearing one now and you can feel mild discomfort with sitting on hard surfaces or irritation from physical activity so i put a large square bandage over the entire area above the clamp because the stiff hose would cause irritation on the sensitive areas as i walked about so that nothing moves or rubs against your underwear or pants as for sitting i use a pillow to reduce the area where the hose goes underneath my bottom.. these things need more comments, ideas and suggestion from all sources so please share
Succinct, and supremely informative. Thank You.
I keep watching this and trying to come to terms with it :( I’m in a psychiatric nursing program, but they’re forcing us to take a semester of medical nursing. I’m honestly not sure if I could ever do it, and will probably have to drop out, which is sad because psych is my love. Thanks for posting this and looking so stress-free about it.
You can do it ! 🥳💕 we need you
If you dont mind, what country are you in? Ive never heard of that here in the US. To become an RN or LPN, med-surg is covered for majority of the program
What about taking a pain killer , before the procedure.....
Many of the males commenting about pain proves there are many whimps
Thank you for this! I have my performance exam Friday. Wish me luck. Just subscribed!
Good Luck!
PLEASE know that seeing urine return during insertion is not a guarantee that it's reached the bladder. I had one inserted too short, and the balloon was expanded while inside my urethra / prostate (possibly the weak area of the membranous urethra.) This caused a lot of trauma and bleeding. LOTS of bleeding for several days. So much blood. Not to mention the excruciating pain for many days. I was sedated during & after the insertion procedure and no one even noticed for some time. If you insert a catheter, PLEASE be sure it is fully inserted and reaches the bladder before inflation. Other instructions state to insert until closer to the "Y" in the tube before inflation, then it can be pulled back out (gently) as needed.
Question, why didn’t you go to the base of the tubing? I thought we were supposed to, then tug a bit until we feel resistant?
Explain how you inflated the balloon with what air or water, what kind of water
The syringe comes pre filled with sterile water, we connect it to the port and push in the fluid.
@@thatnursingprof2661 not all companies provide this , it is different in Europe !
@@MrJOHNMICHAELVEGA plain water can be used. Just depends on what is ordered and what country you are in. Check in your own area.
@@eileenmcdonald1599
"Plain water..?"
It definitely needs to be sterile water..
I wish you were on you tube when I was in school! Great video!
Im with Lucy. As a 71 year old, Ive already had to endure what I would consider embarassing situations in the hospital. But the outstanding nurses helped ease my mind. I may have to go thru this so its good to know what to look forward to . Growing old aint for sissies.
Keep on trucking, Matt, love from Oregon
Eons ago when I worked in a hospital a urologist taught me how to do this. Well, it was a demonstration with explanation and then I was on my own. Fortunately there was an LPN that mentored me and she came with when I had to do one the first couple times. But you did just as the Dr told me. I like to talk so I chatted up a storm to distract the patient and calm me. When I had my bypass surgery I was told I would have one, which they did in the OR when I was out. Removal was nothing days later, didn’t even notice. Maybe it’s me, the chest tube removal was nothing either. My surgeon was awesome.
Great stuff. I had this done 3 years ago, but it hurt more coming out than going in, I think because the nurse pulled too quick I am not really sure. Good video
Me too, she drew blood, guess a lot of nurses are man-haters.
So it sticks/grows into place? I hope they use Teflon if I had to have it, at least coextruded or some coextruded polyolefine.
In any case a nice and skilled nurse like here is comforting.
They are supposed to pull it out quickly . .same as a sticky plaster off a wound. Otherwise the patient cant stand to have it done! Painful but harmless!
@@stevenholton438 I think smoothly and quickly, not yanked out like mine was. Blood oozing through my shorts for the next hour while I travelled home.
Just like starting a lawnmower.
Not a nursing student, but I found this very interesting.
For me as quadriplegic it is routine. I do it by myself wich is better because you can slow down if you feel uncomfortable. Its pain free even without lidocaine, but to be honest it is uncomfortable when catheter passing prostate and bladder sphincter. Simply it looks more scary than it really is. Just calm down, don't panic and it will be way less scary experience. Deep breaths and relaxed abdominal muscles make the whole process easier because the bladder sphincter will not be blocked by spasm. As i say its pain free but when it's catheter in bladder you will feel weird... its like you constantly need to pee. :D This is due to irritation of the urinary sphincter. I also went through cystography and cystoscopy. Cystography feels pretty same. Only cystoscopy is more unpleasant but it is done under local anesthesia so again nothing terrible. It's about mindset. If you set yourself to agony... well it will be worse.
Thanks for explaining it that way. I guess thats why my experience was so terrible and why i suffer because of it
When inserting the catheter you should go further once you have a urine stream before inflating the balloon. Once inflated it can be pulled back slightly to seal. Mine wasn't in quite far enough and caused minor damage where the urethra joins the bladder. Took a few visits to the urologist and insertion of a camera to diagnose, and a couple of months to heal up. Nothing serious, but could have been easily avoided. At least according to the doctor.
Hi
Hi
She should pull this video off line until she adds that very important step. The catheter needs to go in approximately another 1.25 inches after urine is seen.
Wow!!amazing job there,helping me learn quickly as I progress with my career.
I have a question: do ER nurses have to do this as well?
Yes
Very informative and professional presentation) thanks alot))
This is very helpful! Thank you for walking through step by step!!
If you don't do well at nursing at any point in your life or feel bored, you should try teaching the art of clear speaking. Your second career may interest you more than your first one. Great talent.
Catheter insertion should be painless if done correctly. I have been catheterized at least 100 times for different reasons and it is no big deal at all. About 10 years ago I was severely injured in a car wreck and since then I have issues with urinary retention. Every so often I develop acute urinary retention requiring being catheterized for a day or two to allow my bladder to return to normal. The first few times I went to the emergency room and I was catheterized and sent home. After seeing a urologist it was determined my best course of treatment was to catheterize myself when retention happens and remove it myself a few days later. I have zero pain on insertion and zero discomfort while it is in or on removal. It is truly not a big deal being catheterized and if you are recovering from major surgery it is nice not having to move around to urinate.
Had nurse ask me to sign a form for surgery all I asked was will I be out cold she said yes so I signed.
But this is information that someday might be needed!
Thanks for teaching!
Pretty good video. I would recommend setting up your sterile field closer to the patient so that you don’t have to turn your back on it. Also, the wrapper from the sterile gloves and other unnecessary things like the plastic bag the kit comes in can make a great place to discard the betadine swabs so long as you are not crossing over the sterile field during discard. You want to avoid getting betadine anywhere it shouldn’t be since it stains like no one’s business. In this video the discard bag would go near the patients right hip. Great job connecting syringe prior to insertion also. Instead of putting the lube in the tray, you can put it directly on the catheter with the catheter remaining in the sterile field, bag still in paper like box and draped catheter into plastic tray then apply lube to not just the tip of catheter but as much as you can go using the whole packet. Also, changing direction of the urethra from straight up to more towards the feet at the point of resistance can help with the maneuver of anatomy. Your betadine technique and explanation was spot on. Also I loved how you put your gloves on as that is exactly how I learned. Just make sure your wrist area or the cuff or the glove doesn’t bump the supplies in the sterile field. If the patient can’t keep still or has involuntary movements, wouldn’t put sterile field on bed between thighs but that’s where I would normally. And if needed, have an extra set of hands to hold patient in place or position tray table at foot of bed so that field is above the lower legs. And no rings with gems please! Lots of bacteria can collect in there.
THANK YOU LORD 💖👏
finally a doctor that doesn't show real private parts on screen
So that's how they did it! I was out to it when they put it in,. For a week was wandering around the hospital with a bag of urine attached to my lower leg. Was a bit uncomfortable, but not painful. Having it out was not a problem at all. Interesting. Men are a bit uncomfortable about this sort of thing, and its good to show how easy it is. Thanks for posting.
God bless you nurses for everything you do, you're very professional very kind and very sweet thank you for a very informative video
10:57
Was that the tip of the catheter that hit the table? Or maybe that 1” non-sterile border?
She stuffed it back into the box without comment.
Yea.. once out of the sleeve, the catheter is floppy and can touch a dirty field if not carefully handled.. I prefer to leave it in the sleeve until I'm ready to insert it.. then I remove the sleeve and carefully lubricate it before inserting.
thanks for the good demonstration of the procedure😊😊😊
When did they start this new design with the balloon? I have had catheters several times over the years and not once did they ever pump up a balloon or even use a lubricant, they just shoved the thing in and let it go at that.
There are different types of catheters, not all have balloons. This one is the most commonly used.
I don't know if lubrication on just the tip is enough.
God bless you! Great work!!! Really helped me
I still wouldn't let a young girl do mine. Don't forget it was a dummy
You should put lidocaine on the tube and inside the patient. I keep going into the hospital with blood & blood clots in me, so I get a foley every time I go in. I asked the nurse if I could get lidocaine and it made it so less painful. I don’t know why they’ve never done it before.
Well done baby girl.....loud and clear.
I saw some videos have lidocaine inserted into the urethra beforehand. Is this compulsory or not?. There are some people said the catheter should be inserted until it reaches the bifurcation. Then proceed to inflate the balloon and gently pull it back to confirm its functionality. After that push it slightly back in. Mind sharing your opinion on this?
It was a good video.I now know what to expect.❤️.
At 9:47, he sure does not look happy. LOL!
no he doesn't !
What is the use of a lidocaine gel if it does not reach the whole urethra ? What do you think is left of the lidocaine gel on the catheter when the tube has reached about 10 cm of the urethra, namely nothing!
"SOMETIMES USE NUMBING GET????" MY ANSWER WOULD BE HELL NO!!!!! IT SHOULD NOT BE OPTIONAL. IT SHOULD BE MANDITORY PART OF PROCEDURE. GOOD INFO! THANK YOU!
Buck up
Well it hurt going in and it hurt being removed. And it is painful while in most of the time. Especially when moving and getting up and laying down. I believe there may be a better method for this purpose now a days. Correct?
Nope.
Does it hurt taking out the existing one ? Before sticking in new one ? Old one isnt lubricated like a new one .
No , it dont hurt taking out since I had it done a week ago and a new one put in . They put it in slowly cuz too fast causes friction and till pee comes out.
Some times. Usually it's due to the fact that when a new one is inserted not only is the catheter lubricated but the balloon is brand new. When removing the previous one the balloon has been inflated for awhile so it expands in size even when deflated just like a balloon you blow up then release the air out of.
Tysm your demo is really good and I wanna ask , female and Male catheter are different? And usually or normally how many ml of sterile water is use to inflate??
Males and females can both use these 14French Indwelling catheters, they are not different. The amount of sterile water depends on the manufacturer usually 5-10ml. It says this on the package and the catheter itself.
@@thatnursingprof2661 thank you so much I wanted to know that, you're doing great job and well done keep it up 💛
@@thatnursingprof2661 size cath depends on what has been ordered. And amount in balloon also what is needed to prevent leakage
Thank you for these amazing videos. Can you do one on IV insertion if possible.
Yes if I can find a willing patient I will
I have been self-catherising for over two years now and can't think of ever having an indwelling again. (uncomfortable to wear) Always go for intermittent catheters!
I have a bladder stone and currently in a waiting list for it’s removal. This is one of my main concerns. Not sure if they will still do the operation if I refuse consent for a catheter. If they will only do the operation if they insert one I’ll be cutting the valve off to drain the balloon and removing it myself as soon as I’m awake. No way am I keeping a three way catheter in.
Questionnnnnn why does the catheter kit say non-sterile yet you have to be completely sterile?
because its a practice kit
Un believable 237 noggins have marked this video down ...informative and good information . Ex caregiver here worked in a CCU unit , knew how to put urodome catherters on and off , but never knew how they were inserted .
Lol thank you 😊
Really good explaination... It is very helpful for nursing students as I am too a nursing student from India..
when you remove the air from the balloon do you do the same amount? like 5ml of what you put in from the beginning
Yes take out what you put in
Sterile water is usually used. And you always check what the amount was used to inflate the balloon then make sure that is what you remove.
very well explained skill and super helpful. Thanks
Many thanks to the nurse that gave me peyronie’s while inserting my foley. The ladies seems to love it. Yes, it can happen. Squeeze and push down hard enough and tissue damage occurs.
That's why I insisted on a male doing mine
Thank you for being honest and mentioning that it's not too comfortable.
That expression on the "patient", is the exact same that I had!