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First Cath!

Posted

This may not be a huge deal, but I have to tell somebody and I know all of you can understand the feeling. I had a new admit yesterday s/p lami with fusion (subacute/rehab LTC). She asked for the bedpan every hour or so but was unable to void more than a few drops. Bladder scan showed 400 mL so I called the doctor and got the order for straight cath. Normal thing, happens every day, right? Well, the only woman I had ever cathed up to this point was a mannequin! I'd never had a female patient need a catheter during clinicals. So I'm feeling nervous, sure I'm going to need to call another nurse to help me after placing the cath in the vagina...nope! I got it on the first try, 500 mL, and my patient was finally able to get some sleep. I have never been so excited about a container of urine before! LOL! :yeah:

agldragonRN

Specializes in Wound Care, LTC, Sub-Acute, Vents. Has 5 years experience.

yay!! :up:

NotReady4PrimeTime, RN

Specializes in NICU, PICU, PCVICU and peds oncology. Has 25 years experience.

Good going!

+one

Specializes in Psych, Skilled Nursing. Has 2 years experience.

nice :)

MedSurgeMess

Specializes in Med/Surg, ICU, educator.

"First times" are always the best! Congrats!

mcknis

Specializes in Med Surg, ER, OR.

Fantastic! Always a good feeling knowing you did something right for your patient!

Tait, MSN, RN

Specializes in Acute Care Cardiac, Education, Prof Practice. Has 14 years experience.

Great job!! :hpygrp:

My first cath was on a 300+lb woman. I basically had two techs holding her legs and I just aimed up. Out came 2000ml of urine the color of Coca-Cola.

Bleech!

36 years old to boot.

Drugs are bad.

Tait

Miss Chybil RN, BSN, RN

Specializes in Med-Surg.

Congratulations! I did my first cath yesterday on a gorgeous fireman! OMG, I was nervous. Can you imagine? A fireman? Oh well, I'm old and married, anyway. But he was a fireman...

NC Girl BSN

Specializes in Psych, LTC, Acute Care.

Great job!! :hpygrp:

My first cath was on a 300+lb woman. I basically had two techs holding her legs and I just aimed up. Out came 2000ml of urine the color of Coca-Cola.

Bleech!

36 years old to boot.

Drugs are bad.

Tait

Be careful draining that much urine out at one time. I work at a large Trauma 1 hospital and was told after draining 1000mls out of my patient not to drain more than 800mls at a time because it could cause the patient to get very hypotensive.

Instead, you have to drain no more than 800ml. Come back in 30 minutes and drain the rest. If a Pt had 2000ml in there bladder, then they need a catheter or need to see a MD about urinary retention.

NC Girl BSN

Specializes in Psych, LTC, Acute Care.

Congrats! I can do them blindfolded! I worked in a SNF as a LPN and did them all the time.

yay!! congraz i cant wait intill i get to do my 1st cath.

Be careful draining that much urine out at one time. I work at a large Trauma 1 hospital and was told after draining 1000mls out of my patient not to drain more than 800mls at a time because it could cause the patient to get very hypotensive.

Instead, you have to drain no more than 800ml. Come back in 30 minutes and drain the rest. If a Pt had 2000ml in there bladder, then they need a catheter or need to see a MD about urinary retention.

I think that only pertains to patients with spinal cord injuries or in cases of autonomic dysreflexia. But I could be wrong.

NC Girl BSN

Specializes in Psych, LTC, Acute Care.

I think that only pertains to patients with spinal cord injuries or in cases of autonomic dysreflexia. But I could be wrong.

I work on a Neuro floor so that makes sense.

NewAggieGrad09

Specializes in Peds.

Hooray!!! I remember my first cath insertion in clinical!! It was our first day on the unit, and my teacher was like, "You...here...cath...NOW!". I was nervous the whole time, esp because she said I was going too slow, but I refused to speed up because I didn't want to make a mistake. Got it in the first time. I smiled from ear to ear the rest of the day lol

yay! congrats! I got my first one a few weeks ago on a itty bitty 2lb baby girl! I'd imagine it was much easier than on the 300+ woman...less surface area to make errors with ;)