BLADDER CATHETERISATION- Skill Lab- OSCE
#bladdercatheterisation #foley’scatheter #surgicaleducator #babysurgeon #skilllab #osce
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Dear viewers,
• Greetings from “Surgical Educator”
• Today I am uploading one more video on Skill Lab procedure for your OSCE exam.
• In this episode, I am talking about the Bladder Catheterisation by Foley’s catheter , the skill which should be mastered by all medical students.
• I hope you can master the skill by watching this video and can do all the steps in the correct sequence.
• You can enjoy all my videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
2. BLADDER
CATHETERISATION
DEFINITION
Insertion of Foley’s catheter into the
urinary bladder through urethra
INDICATIONS
1. Acute retention of urine in BOO
2. To monitor urine output
3. Neurogenic bladder
4. Urinary incontinence
5. Instilling dye into bladder to take Cystogram or
Micturating Cysto Urethrogram- MCU
6. Instilling topical chemotherapy in Ca Bladder
5. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
1.Introduction & Informed
consent
Introduce yourself to the
patient
Tell the patient why and
what you are going to do?
Tell the possible
complications also and then
obtain the informed consent.
2. Chaperone & Privacy
Ask for a chaperone
Maintain privacy by putting
the curtain
7. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
4. Patient’s position
Place the patient in the
supine position with legs
extended and flat on the bed.
5. Put absorbent pad under
patient
Place absorbent pad under
patient
8. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
6. Clean genitalia properly
Retract the prepuce in un
circumcised patients and
clean glans with Povidine-
iodine or Chlorhexidine
7. Apply sterile drape
Drape patient with sterile
fenestrated towel
9. BLADDER
CATHETERISATION
SEQUENTIAL STEPS
8. Inject lignocaine jelly
into urethra
Inject 10ml lignocaine jelly
into bladder
9. Wait for 5 minutes
Compress urethral meatus
for 5 minutes to avoid back
flow
16. NASO-GASTRIC TUBE
INSERTION
SEQUENTIAL STEPS-RECAP
1. Introduce yourself ,Explain the procedure
and take informed consent
2. Ask for a chaperone &Provide privacy
3. Don apron/ wash hands/ don gloves
4. Position patient
5. Put absorbent pad under patient
6. Clean genitalia properly
7. Apply sterile drape
8. Inject lignocaine jelly into urethra
9. Wait for 5 minutes
10 Place sterile receiver
11. Select appropriate catheter
12. Insert catheter gently into urethra
13. Fully insert the catheter until urine
drains
14. Inflate balloon with sterile water
15. Attach Urobag
16. Pull catheter to conform self-retaining
status
17. Replace prepuce if appropriate
18. Clean the area & cover it
19. Fix urobag below the level of the patient
20. Thank the patient and throw the glove
into yellow color bin