I did a search before I started this thread . . I'm a student and had to put one of these on a pt today. In class we saw a video where you put an adhesive strip around the body part in a spiral pattern and then apply the catheter. Today in hospital I was given a packet that looked like an alcohol prep and had an adhesive substance on it. I was to rub it on the skin, then wait for it to dry and then apply the catheter so that it would stick to the adhesive. This pt did not have much tissue to work with if you know what I mean, and it was very very difficult to make a secure fit. The cath had a green hard plastic ring around it that I was supposed to use to help extend the catheter upwards but it was useless, and actually went over the edge of the rolled up part, and onto the patient's skin and might have pinched him. The end of the catheter was also made of a harder type of plastic-- not like the traditional kind I saw in class that look like a regular condom but with the tube on the end. I asked the RN for help and she also had a hard time and the pt was uncomfortable and embarrassed as we struggled with this. The way it looked, it probably would just fall off again soon. I want to prevent this in the future. The RN said they are not that common. Maybe this pt was just not shaped right, I dunno much about that kind of thing.
Another pt was using one last week but was able to apply it himself and seemed to be okay with using them. I really just want to know if there are any tips to applying these more smoothly next time. Are some people just not able to wear these? Thanks!
ETA: I found the kind they were using at the hospital today
Should be studying for my pharm exam . . not posting so much on this board.
Jan 29, '10
No adhesive should be put on a penis, that can impair skin integrity, the condom cath alone is enough to cause some skin issues, don't use adhesive!! I usually have no problem with condom caths staying on as long as I have the right size, unless the genital is super small it's hard for them to stay on. I've never used an adhesive. I've seen genitals with very bad skin irritation just from the condom cath alone, I can just imagine what an adhesive could do.
The plastic ring helps extend the catheter downwards, over the penis....not upwards. The only reason the plastic ring is there is to keep an opening there for you until you get it rolled down in place. You probably should have use a size small. You need to get a good grasp on the penis and hold it as erect as you possibly can in the palm of your hand, the bottom part of your hand (the same hand your using to firmly grasp the penis with) can be used to push down the fatty tissue at the base to help make the penis a little taller. And with your dominant hand you place the catheter on.
You'll learn not to be shy and just get it done. If you act embarrassed or hesitant, that in turn makes the pt embarrassed as well. Once you've done a few, it gets a lot easier.
Last edit by RedhairedNurse on Jan 29, '10