Condom catheters!! Getting them to stay on !!! - page 3

How do you get these things to stay on? What do you think of the ubber band thing with a button on it and holes in it??... Read More

  1. 0
    First of all:
    External catheters are great for some clients!
    How active is your patient?
    Do they move in such a way that will pull at the external cath?
    Why do they have to wear an external cath?
    Medicaid will usually only pay for about 35 per month and most men will probably need to change it about twice a day!
    Are you using {extension tubing} to ensure that urine is not backing up into the cath disolving the adhesive and backing up into the bladder promoting UTI's?
    Extension tubing is very important!
    Here's the technique I've found to work the best!
    Prepare the area! That means shave it or trim it short with a beard trimmer! Next WASH and DRY thoroughly!
    Most importantly be sure the skin is DRY!
    Use skin prep over the shaft of the penis and let that dry.
    *consider circumcized vs uncircumcized...
    for the uncircumcized client I would wash and dry as you normally would but I'd pull the foreskin back over the glans penis before skin prepping...
    Now you're ready to apply the "external catheter"
    Keep in mind that size does count here!
    External catheters come in "sizes" Try not to use one that is too big or you won't get a good seal.
    So take out your external cath and stuff the glans penis into the tip and start rolling it down.
    Once it's on give it a squeeze to make sure it is well adhered to the shaft of the penis.
    Insert your extension tubing and then hook that to the leg bag.
    There are a lot of elements that have an effect on the external cath...
    How clean is the area?
    What is the temperature like? Hot and humid?
    Does your patient get erections? It'll expand it and loosen the adhesive.
    Is the tubing secured to the leg to allow gravity drainage or are you going to deal with backflow?
    I hate that two way tape stuff and best of luck trying to apply it with gloves on... maybe you could wear gloves for the first part of the procedure, the cleaning? even with all that they still come off! Gotta look into that dermabond stuff...

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  2. 0
    Touching some ones d#$% without gloves...OMG, I am so used to wearing gloves for everything I feel strange touching my DH's weenie w/o gloves.....LOL, that is gross!!!!!!! I would rather my pt pee the bed and change them than put on some silly condom cath w/o gloves. BTW, the only time I have seen condom caths work really well is when the pt had a penile prosthesis.
  3. 0
    I had a guy once who was exceptionally small in the Mr. Willie zone. I asked once if he got stimulated when the nurse was applying the catheter condom. He said no beacuse he was trained on a island to be a monk. And there were only males there, they didnt even let chickens on the island only roosters!!!! The eggs were actually brought in on boats. He said he had trained himself against any reaction to stimulation there.
    I did wonder though, if his training could withstand a woman who knew what she was doing in the "Mr. Willie Zone"....
    sorry ....just a thought.
  4. 0
    Originally posted by portland_guy
    I am still just doing my pre-reqs, but somehow I find it hard to imagine not being able to find "that little varmit", aka the button. Please least on the anatomy that I am familiar with it is right there.
    Some guy's wee willies are tiny to say the uhhhh least. There some that a finger cot would work for.

    In patients with extensive abdominal ascites, generally secondary to liver failure (hepatitis, drug abuse, ETOH abuse as well as other problems), the penis literally shrinks up and retracts into the abdomen. Pair that up dependant edema in the pelvis and neither regions, and it makes the penis difficult to find, apply adequate grasp and unroll the condom cath onto the nonexistant penis. You really can't unroll something onto a button that won't peek out of an opening in the edema.
  5. 0
    A few points...

    YES, as a man I can honestly say that we CAN make a certain body part retract at will.

    As far as prepping... If a nurse came in with a razor for "trimming". I would be going out the window "leaving". Trimming I can understand. We mow our lawns, we cut the hair on heads (not a word) so logic says other things need trimmed. I know we men don't like to breach this subject, but fact is most of us (well, alot of my... you get where I'm going) do this. Trimming and shaving... BIG DIFFERENCE.

    Finally. DEARMABOND? Ouch! Paging Dr. Bobbit to the floor for cath removal.

    Dave, who says ya'll are some of the best nurses I've had the pleasure to talk to. But ain't a none of you'ins condom cathing me.
  6. 0
    Our best CNA swears by good ole' body heat- she gently sqeezes for about 20 seconds to get it to adhere to the Skin Prep...sound warped, but when she puts 'em they stay put!
  7. 0
    In our facility you can't even find a condom catheter..and when I mentioned it to one of the RNs, she had to even think about what it was! She thought and thought, I explained and then she called a Texas something-or-other....! Anyway, small place, we don't seem to have much use for them. A few of our outpatients tend to self-cath. But I have used them in clinicals, and yes, putting them on the dummies is not realilistic. But then again, practising cathing a women dummie is definately not realistic either..........real women are HARD to catheterize. The opening is never as big as that dummies! LOL!

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