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1. Understanding

Catheter is a hose that is used to enter or remove fluid. Urinary catheterization is the insertion of a
catheter through the urethra into the bladder in order to expel urine.

2. Tools and Materials Tools and Materials:

1. The sterile instrument case contains: anatomical tweezers, gauze

2. Comm

3. Catheter according to size

4. Sterile gloves

5. Clean gloves

6. Antiseptic liquid

7. A 10 cc or 20 cc syringe contains sterile aquadest / NaCl

8. Jelly or lubricant

9. Urine bag

10. Plaster

11. Cut the shears or plaster

12. Blankets

13. Curtain / side

14. Careful and lazy

15. Bend / nierbekken

16. Specimen place (if necessary)

3. Steps: Management

1. Provide an explanation to the family and patient about the procedure, the purpose and indication of
the action, requesting the patient's and family's consent

2. Preparing the equipment beside the patient installing a medical device and covering the waist and
upper limbs of the patient with a blanket then set aside the blanket so that only the perineal area is
3. Adjust the position of the patient (male patient both legs straightened down)

4. Placing nierbekken between the patient's thighs

5. Prepare the antiseptic fluid into the com

6. Officers wash their hands and wear clean gloves

7. Cleanse genetalia with antiseptic fluid

8. Open gloves and store nierbekken or dispose of the plastic bag provided

9. Open the outer package of the catheter set and urine bag and then store it on a sterile mat. If the
installation of the catheter is done alone, then prepare the jelly in a steric tub. Do not touch the sterile

10. Use sterile gloves

11. Open a portion of the package in the catheter, hold the catheter and give jelly to the end of the
catheter (by asking for help or doing it yourself) while maintaining a sterile technique

12. In men

Position the penis perpendicular to 90 ° with the patient's body

13. left hand with gauze holding the penis upright ± 60 °

14. Using tweezers or a dominant hand, slowly insert the catheter in the urethra to the tip of the
catheter for male patients. Instruct the patient to inhale when the catheter is inserted.

15. Assess the smoothness of catheter insertion if there are obstacles stopping for a moment then try
again. If there is still a catheterization resistance stopped, if necessary review the conditions and
indications for catheter placement in the patient. Avoid removing and re-inserting the catheter
repeatedly, if needed use a new catheter.

16. Make sure the prepared nierbekken tastes at the end of the catheter so that the urine does not spill.
After the urine has flowed, take a urine specimen if needed.

17. Make sure the urine bag is locked and connect the catheter immediately to the urine bag

18. Develop a catheter balloon with sterile aquadest / NaCl according to the volume stated on the
catheter specification label used (10-20 mL) using a sterile syringe

19. Pull the catheter out slowly to make sure the catheter balloon is fixed properly in the bladder.

20. Clean the remaining jelly on the catheter with gauze

21. Fixation of the catheter with tape on the groin

22. Put urine bag on the bed in a lower position than the bladder

23. Remove the pad and fix the tool

24. Remove gloves wash hands

25. Re-arrange the patient

26. Ask the patient's condition, noting the actions and results (color and amount) of urine that comes

4. Things that need attention


1. Understanding

Installation of NGT (Naso Gastric Tube) is to insert a device used to insert liquid nutrition with a plastic
hose that is placed through the nose to the stomach.

2. Tools and Materials 1. Stationery

2. Medical record / patient status

3. The informed consent sheet

4. NGT hose according to need

5. Small towel

6. Perlak

7. Clean handscun

8. Jelli

9. 50cc-100cc syringes

10. Crooked

11. Tongue spatel

12. Clamps

13. Stethoscope

14. Pen light

15. Basin filled with water

16. Scissors

17. Plaster

3. Steps: 1. Read the doctor's instructions and request the medical action approval form (for nurses) in
the 24-hour action and service room.

2. Explain to the patient or family about the actions to be taken.

3. Fill out the medical action approval form and the patient is asked to sign it.

4. Prepare tools and materials near the patient including plaster 3 for markings, fixation on the nose and
neck and also the size of the NGT tube

5. Bring the equipment to the right of the patient.

6. Check the condition of the patient's nostrils, pay attention to the blockage

To determine the insertion of NGT, instruct the client to relax and breathe normally by covering one of
the noses.

then repeat on the other nostril (for conscious patients)

7. Officers wash their hands and wear handscun then position the patient with hyper-extension head.
Put a towel on the patient's chest to maintain cleanliness if the patient vomits, place it bent near the

8. Measure the NGT hose to be inserted