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Foley catheter tray placement?

Posted

Hi, I am in my senior Capstone and have inserted a few Foley catheters in the OR. The OR nurses place the two trays in front of the patient legs and create their sterile field there from the start instead of prepping everything on a separate table. I was wondering if anyone knows if this is best practice as far as preventing contaminating the sterile field and if anyone has inserted foleys this way. I learned in school to prep almost everything except lubricating the Foley catheter tip before placing the trays in between the patient's legs.

Rose_Queen, BSN, MSN, RN

Specializes in OR, education. Has 16 years experience.

I have never used a separate table for a foley insertion in the OR, nor was I taught to in nursing school. Our foley trays are put together by the manufacturer in a way that trying to set up on a table and then move it to between the patient's legs would result in contamination.

akulahawkRN, ADN, RN, EMT-P

Specializes in Emergency Department. Has 6 years experience.

I prefer setting up foley trays so that I don't have to move them. That means I set up the tray between the patient's legs. Setting up the tray on a separate table introduces risk of contamination of the sterile field and therefore contamination of the catheter. The more you must handle something, the easier it is to contaminate it, even if inadvertently.

Kuriin, BSN, RN

Specializes in Emergency. Has 5 years experience.

School was wrong on this one. You place both trays between the legs creating the long sterile field to the urethra. You use a separate table for the sterile gloves (that is, if you HAVE a separate table).

KelRN215, BSN, RN

Specializes in Pedi. Has 10 years experience.

I have never NOT set up the sterile field on the bed/between the patient's legs when cathing.

How would you sterilely move the tray from the table to the bed?