Indwelling Urinary Catheter
Is the patient allergic to?
Latex
NO
Povidone iodine
NO
Were alternatives to indwelling urinary catheters considered prior to
insertion? Yes
Is there an order for insertion?
Yes
Indication for insertion
Acute urinary retention or bladder outlet obstruction
2nd Verifier: TRISH RN
Time Inserted: 2340PM
Date Inserted
Date: June 12, 2025
Scheduled Replacement
Pre-insertion care
Bladder scan completed prior to insertion
Result: 652 ML
Peri-care performed
Hand hygiene performed
Yes
Insertion care
Sterile peri-urethral cleaning performed
Balloon inflation amount: 10 ML
Any resistance noted?
No
Urine return noted?
YES
Output: 150ml
Urine Character
cloudy, hazy
Material of Foley
Silastic
Type of Foley
Straight
Catheter size (Fr)
16
Tamper seal intact?
Yes
Patient tolerated procedure well?
Yes
Immediate post-insertion care
Catheter properly secured to patient
Position drainage bag below the bladder
Maintain a closed drainage system
Education provided on
Click here for FAQs Catheter Associated Urinary Tract Infection
-indication for use
-importance of securing catheter
-maintaining closed system
-keeping bag below the bladder
-catheter care
-symptoms of CAUTI (fever, chills, new confusion/weakness, new lower
abdominal/flank/testicular/prostate pain, or discharge (pus) around
catheter)
PATIENT/FAMILY EDUCATION: Level of understanding: Good
STAFF NURSE
Receipt Acknowledged By
06/17/2025 19: 13 /es/ ROSBEL IVY AMBAAN
BSN RN