I feel like ranting a little bit here.
I am appalled at the amount of times I come on after a nurse who put in a urinary catheter and I have to do it over. Let me go over the main reasons this happens.
1. They didn't see urine when putting it in.
Duh, if there is no urine, its probably not in the right spot. I cannot tell you how many catheters are in the vagina or sitting somewhere along the urethra track after no urine output. Uh, yes actually I can tell you, how about every time? 99% of pts not in renal failure will have at least 30 mls, enough you can see it in the tubing.
2. Frank blood when inserting.
I hate this one the most. If a pt is bleeding frank blood when you put in a catheter, and they never had frank blood in urine before, its probably because you inflated it in his urethra! Deflate that sucker and advance it a little! Better yet, inflate the balloon slowly and watch their face and ask about pain, it it is painful while you inflate the balloon, its probably in the wrong spot, so don't inflate when in pain, and advance it a little, some men have a very long urethra.
Please visualize the urethra when putting a catheter into a female, I believe this may be the number one reason people are putting them into the vagina. Also, if you want control of it, hold it very close to the tip, then you can guide it into the urethra much easier. Also make sure you see some urine for Christs sake! If its not there, then something is not right!
Seriously, this is such a easy thing to do, its not that hard for me to come along and do it again, but dang it, think of the pts, those poor poor pts who end up with a catheter stuck in their vaginas for half a day wondering why they are soaking wet! Or the poor guys who now have a 10ml plug in their urethra's! Get it right the first time please!