Question of about indweling foley catheter procedure

[Christylky]

I am a student nurse i have a question about the procedure.I want to know what kind of aseptic solution properly use for cleansing pubic area?As i know aseptic solution are: normal saline ,salvon or hibitane and so onWhich solution is better? Any situation i need to concern ?thx for answer

[Daisy_08, BSN, RN]

Daisy, I thought I was clarifying, but maybe not! I'm talking about intermittent caths for school children (my work setting). We strayed a bit from the original question about indwelling caths.

Sorry I thought you were saying you were a student being taught the clean way. Can I ask when you would foley a child st school. Here in canada the only school nurses we have are in high school a day or two a week. They deal primarily with sexual health.

[loriangel14, RN]

Sorry I thought you were saying you were a student being taught the clean way. Can I ask when you would foley a child st school. Here in canada the only school nurses we have are in high school a day or two a week. They deal primarily with sexual health.

My sister is an EA (educational assistant) in Canada and she has a student that she straight caths as a part of her job.

[loriangel14, RN]

oops. double post

[schooldistrictnurse]

We have three students who have intermittent cath at school--this is within a district population of 2600 students, one is a HS student who had bladder extrophy at birth (he does his own caths), another is a child with spina bifida and finally a child who has limited function due to congenital spinal cord tethered (since repaired but nerve damage remains). Non - nursing paraprofessionals do the caths under my delegation, training and supervision.

[Daisy_08, BSN, RN]

Okay, thanks. Like loriangle said these tasks are delegated or have a home care nurse in the school. However with the large diabetic crisis we may have to use school nurses again

[CapeCodMermaid, RN]

I work in long term care. Our cath kits come with Betadine swabs. Cath insertion whether indwelling or for a straight cath is STERILE technique. We don't use sterile technique for many things, but cath insertion is one of them. I've never had anyone be allergic to betadine, but since I know people allergic to lettuce, anything is possible.

[nurseprnRN, BSN, RN]

Just to be clear here, the caths are sterile but the procedure is clean, ie, no sterile gloves. This is the way we do intermittent caths in school. NON-sterile gloves, lube and pre-cath cleansing, sterile caths for one-time use.

Just to be clearer here, the kits with no-touch sterile catheters don't need any gloves at all, as nothing touches the catheter before insertion. Saves money on gloves, too. Seriously, look into them.

[nurseprnRN, BSN, RN]

I work in long term care. Our cath kits come with Betadine swabs. Cath insertion whether indwelling or for a straight cath is STERILE technique. We don't use sterile technique for many things, but cath insertion is one of them. I've never had anyone be allergic to betadine, but since I know people allergic to lettuce, anything is possible.

In this day and age there is no rational reason not to make every entry into a bladder a sterile procedure. Rinsing with tap water went out ten years ago.

[klone, MSN, RN]

Patients will mistakenly claim iodine as an allergy, usually based on the old myth that a seafood allergy equals an iodine allergy. The first problem with this is that iodine is not anywhere complex enough to produce an allergic reaction, it's elemental. Second, you wouldn't survive if you were actually able to avoid iodine, it's like saying you're allergic to potassium.

"According to Dr. Andre Caron of the Association of Allergists and Immunologists of Quebec, iodine is not a substance that causes allergy. This can be confusing, because people will speak of an allergy to iodine when what they really mean is they are allergic to shellfish proteins such as parvalbumin or tropomyosin, that do not contain iodine. People will also say they are allergic to the iodine dye used in radiology procedures. But iodine is an essential element for life, and an allergy to iodine is not compatible with living. Reactions to the dye used in radiology procedures can be very serious, but they are reactions to the radiocontrast materials, not the iodine in the dye."

Read more: Allergies To High-iodine Foods | LIVESTRONG.COM

Anything more official than a link to Livestrong? And really, aren't we just splitting hairs? If they're allergic to povidone iodine and all iodine agents, doesn't it kind of come down to the same thing?

[CapeCodMermaid, RN]

Isn't that what I said?

[schooldistrictnurse]

GrnTea, we're limited by what our student's insurance provides. None of our kids have those no-touch units. This is Medicaid.

[nurseprnRN, BSN, RN]

Hmm. Usually Medicaid follows Medicare in these things. Since they're cheaper in the long run and prevent infection better, then ... ? I'd ask them to reconsider. That's how Medicare changed their minds. Nurse as advocate. Worth a shot.