Kel 8 Bingkep

UNIVERSITAS NU SURABAYA
Melepas Generasi Rahmatan Lil’alamin
Genetal Hygin After Urination And Defecation
AINUN NUR FADILLAH 1130018085

RUSDI EFFENDI 1130018123
FAIQOTUL ILMI 1130018103
ARUM RAHMAWATI 1130018120
SITI LUTFIATUN NISAH 1130018127
1
CARE OF URINARY CATHETER

Cleaning the urethral meatus, the skin surrounding the chateter
insertion site and perineium fon patiens with retention chateter
who are bedridden
 PURPOSES
 To promote patien comfort
 To reduce of developing urinary tract infectiont
 ARTICLES
 A Sterik "catheter care Kit" containing
 Artery forceps
 Thumb forceps
 Cotton balls/ swabs
 Bowls for antiseptic lotion & sterile water
2
 A CLEAN TRAY CONTAINING

 Cean washcloth or towel -2
 Warm water & soap Antiseptic lotion
 Normal saline
 Mackintosh /waterproof pads& draw sheets Antibiotics
ointment
 Clean gloves
 Sterile goves
 Drapes
 Kidney tray
 Adhesive taps & scissors
3
Checklist for catheter care/Long-Term Care: Daily Urinary Catheter Maintenance Checklist
I. ROUTINELY ASSESS INDWELLING URINARY

CATHETER APPROPRIATENESS/NEED
1. Is the need for the catheter assessed on a routine basis (e.g.days,
weekly. monthly, etc?) Date Last assessed:__/___/__
II. BEFORE CATHETER MAINTENANCE
1. Identify the resident per facility policy. Explain the procedure to
the resident
2. Assemble and verify supplies (e.g. wash cloth, soap, basin, clean
gloves and consider wearing a gown to protect clothing from
contamination.
3. Perform hand hygiene using an alcohol-based sanitizer or soap
and water immediately before donning gloves to handle catheter
and provide care
4
III.MAINTENANCE OF INDWELLING CATHETER

1. Ensure the order for the catheter and balloon size matches the
inserted catheter.
2. A sterile continously closed drainage system is intact.
3. A catheter securement device is in place to prevent catheter
movement and urethral traction. Ensure the catheter is inserted
into the device.
4. The catheter and urine collecting tubing is free of obstruction
and kinks to minta in an unobstructed urine flow.
5. Staff practices Standard Precautions, performs hand hygiene and
wears clean gloves when hand ling the catheter, tubing and
drainage bag; the wearing a gown can also be used to reduce
clothing contamination.
6. Assess the resident for any pain or discomfort.
5
III. MAINTENANCE OF INDWELLING CATHETER

7. Inspect the meatus for redness, iritation and drainage.
8. Assess the catheter where it enters the meatus for encrusted material and
drainage.
9. Clean the meatus with soap and water during daily bathing (do not clean with
antiseptic s). Remove any encrusted materials on the tubing Ensure the tubing
does not go in and out of the urethra during cleaning.
10.Ensure that the collecting bag is secured below the level of the bladder at all
times and not resting on the floor. Place a cover over the drainage bag to
maintain resident dignity.
11. Assess, if applicable, if the leg bag urine collection device is cleaned/dis
infected and stored per policy.
12.Use a dedicated urine collection device with a resident identifier and date.
Avoid splashing, and prevent contact of the drainage spigot with the non-
6
Definisi huknah
Insert the solution into the rectum and sigmoid

colon. Inserting liquid into the rectum to remove
feces (gas) from the colon and rectum.
7
Tujuan huknah
Low Huknah
Increase defecation by stimulating peristaltic

Emptying the intestines in preparation for surgery, colonoscopy
Treatment action
Huknah Tinggi
Helps remove faeces due to constipation or faecal impaction

Assist normal defecation as part of a bowel training program
Treatment measures / diagnostic checks
8
Constipation
Self-care deficit, toileting
Preparation for surgery
PATIENT PREPARATION
Provide an explanation of the intent and purpose of the action
Complete irrigator (irrigator, hose, clamp, rectal hose

Rectal tube sizes for infants and children 10-12 G French, 22-26 G Frenc For
adults
Liquids (warm water, 0.9% NaCl warm, tap water, liquid dissolving) Babies 150-
250 cc
Toddler 250 – 350cc
School age 300-500 cc
Teenagers 500 – 750 cc
1. Adults 750 – 1000 cc
9
Lanjutan
8.Crooked, vaseline / gel
9.A few pieces of gauze
10.Buttocks
11.Bath blanket
12.Pot / chamber pot and lid, water splash in bottles, paper closet or tissue
13.Stools for pots
14.The standard for irrigators
15.Gloves
16.Skort
17.Attach if necessary
10
11

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UNIVERSITAS NU SURABAYA

Melepas Generasi Rahmatan Lil’alamin

Genetal Hygin After Urination And Defecation

AINUN NUR FADILLAH 1130018085

CARE OF URINARY CATHETER

 A CLEAN TRAY CONTAINING

I. ROUTINELY ASSESS INDWELLING URINARY

III.MAINTENANCE OF INDWELLING CATHETER

III. MAINTENANCE OF INDWELLING CATHETER

Insert the solution into the rectum and sigmoid

Increase defecation by stimulating peristaltic

Helps remove faeces due to constipation or faecal impaction

Complete irrigator (irrigator, hose, clamp, rectal hose

9.A few pieces of gauze

13.Stools for pots

14.The standard for irrigators

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