HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section 5-1
Genitourinary: Bladder Instillation __RN
PURPOSE: 5. Thoroughly cleanse Foley catheter where it is
To introduce medicated irrigating solution into the
patient's bladder for a prescribed time, usually to treat
bladder infections. 6. Put on sterile gloves.
CONSIDERATIONS:
1. For the medication to be effective, the bladder must
be empty.
2. If irrigating solution does not flow in by gravity,
gentle force may be used with asepto bulb or
connected to drainage tubing with antimicrobial
solution.
7. Disconnect the catheter from drainage tubing; allow
it to drain into receptacle. Holding the catheter
upright to keep it sterile, cap the drainage tubing
with sterile cap or sterile gauze and rubber band.
8. Insert tip of asepto (without bulb) or disposable
syringe (without piston) into catheter.
syringe piston. 9. Pour prescribed amount of sterile solution into
3. Do not use excessive pressure to force the solution
into the bladder. Stop the procedure and notify
syringe, allow to drain into bladder by gravity.
Remove syringe top from catheter.
physician if resistance is met. 10. Cover end of catheter with sterile gauze and clamp
4. If catheter is obstructed, remove it and insert a new
one.
EQUIPMENT:
Indwelling Foley catheter or sterile catheter (size
ordered by physician)
Prescribed sterile solution for instillation
Glass jar or sterile container
Asepto syringe or 60cc disposable
catheter-tip syringe
catheter proximal to the Y-tube fork. Leave catheter
clamped for prescribed amount of time, usually 15-
30 minutes. (Physician may want catheter removed
and solution to remain in bladder until patient voids.)
11. Unclamp catheter and allow solution to drain into
receptacle. Note amount and appearance of
solution returned.
12. Clean distal end of catheter and end of drainage
tube with antimicrobial solution. Reconnect catheter
and tubing.
13. Discard soiled supplies in appropriate containers.
Tongs
Receptacle for collecting drainage
AFTER CARE:
Catheter clamp
1. Cleanse equipment, rinse well and air-dry.
Protective bed covering
Antimicrobial solution
2. Document in patient's record:
a. Procedure and observations.
b. Solution, amount instilled and returned.
Sterile gauze c. Patient's tolerance to procedure.
Paper bag
d. Instructions given to patient/caregiver.
Drainage tube cap
Gloves, sterile and clean
PROCEDURE:
1. Adhere to Universal Precautions.
2. Explain procedure to patient.
3. Assemble equipment.
4. Catheterize patient (See Insertion of Indwelling
Catheter - Male, No. 5.09 or Insertion of Indwelling
Catheter - Female, No. 5.10, if indwelling catheter
has not already been inserted.
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