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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. Comm
4. Sterile gloves
5. Clean gloves
6. Antiseptic liquid
8. Jelly or lubricant
9. Urine bag
10. Plaster
12. Blankets
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
exposed
3. Adjust the position of the patient (male patient both legs straightened down)
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
area
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
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.
26. Ask the patient's condition, noting the actions and results (color and amount) of urine that comes
out
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.
5. Small towel
6. Perlak
7. Clean handscun
8. Jelli
9. 50cc-100cc syringes
10. Crooked
12. Clamps
13. Stethoscope
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.
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
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.
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
patient.