urinary catheterization | allnurses

urinary catheterization

  1. 0 Hi, first year nursing student and I'm working on a project. I have a patient that has lower extremity contractures and I need to insert an indwelling catheter. How what I deal with the lower extremity contractures while cathing in order to stay sterile? Have someone hold the legs in the correct position?
  2. Visit  jeilers10 profile page

    About jeilers10

    Joined Oct '13; Posts: 2.

    8 Comments so far...

  3. Visit  SaoirseRN profile page
    2
    Male or female? What are some ideas you've come up with?
    roser13 and NurseOnAMotorcycle like this.
  4. Visit  NurseOnAMotorcycle profile page
    1
    Yes, first tell us what you have thought of so we can point you in the right direction.
    roser13 likes this.
  5. Visit  jeilers10 profile page
    0
    Female, 90yo
    I was thinking having assistance with pulling her legs apart. Or turn her on side and put pillow between legs
  6. Visit  loriangel14 profile page
    0
    Putting it in with them laying on their side is sometimes a good option.
  7. Visit  NurseOnAMotorcycle profile page
    0
    I've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.
  8. Visit  SaoirseRN profile page
    0
    With bad contractures, I would try the side-lying position, particularly since it might be quite uncomfortable to have their legs held apart and the person helping is likely to end up in the way.
  9. Visit  SaoirseRN profile page
    0
    Quote from NurseOnAMotorcycle
    I've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.
    To help this position, turn a slipper bedpan upside down and use it as a wedge under their bottom. Gives you more room to move and see.
  10. Visit  MidnightTang profile page
    0
    I agree with others that the sidelying position is best with severe contractures. Easier to keep a sterile field and it's much more comfortable than trying to pry open legs.


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