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Foley Catheter Pull-Back

Posted
by mlaz87 mlaz87 (New) New

Hello,

I was reading through some procedures about Foley catheter insertion and it tells me that for male patients I should insert it all the way up to the bifurcation to make sure that it is in the bladder. The next steps are inflating the balloon and then securing the catheter. It seems like this is missing the step where I should gently pull the inflated catheter back until I feel a little resistance at the bladder sphincter. Am I correct that this should be performed and the procedures I'm reading are just missing the step? Or is it common practice to leave it inserted all the way to the bifurcation before securing it?

Thanks!

Double-Helix, BSN, RN

Specializes in PICU, Sedation/Radiology, PACU. Has 10 years experience.

You're correct. Our policies instruct us to gently pull back on the catheter after inflating the balloon until slight resistance is met.

Great, thank you!

aprilmoss

Specializes in School Nurse. Has 20 years experience.

I treat peds (well adolescents is probably a better term). I go two inches beyond when urine is first noted. But yes, in a male you have to go "too far" and then pull back after inflating the balloon.

It's strange to feel the pull-back. It have to be done gently.

Kuriin, BSN, RN

Specializes in Emergency. Has 5 years experience.

Wow, I was never taught to insert the foley all the way to the bifurcation. That seems a bit far and uncomfortable for patients.

Its not uncomfortable. I had many insertions ,and never felt uncomfortable or pain while the cath pushed in me all the way. I think it's much more problematic if you dont push it far enough.

Kuriin, BSN, RN

Specializes in Emergency. Has 5 years experience.

Can you guys post a link or a picture of your foley insertion step-by-step? We are only taught to go until urine flow and for men, to insert just an inch or two after.

Push it all the way to the balloon port (Y) if you want to make sure its in the right place.

Can you guys post a link or a picture of your foley insertion step-by-step? We are only taught to go until urine flow and for men, to insert just an inch or two after.

In my "Lippingcott Nursing Procedures" it states "Advance the catheter to the bifurcation and check for urine flow."

I found it in Lippincott Nursing Procedures in Google Books so you can see it

Lippincott Nursing Procedures - Lippincott - Google Books