It is estimated that over 100 million urinary catheters are sold globally every year, with about 30 million used just in the United States. The placement of a Foley catheter is a common clinical intervention performed to allow for external urinary drainage. Summarize interprofessional team strategies for improving care coordination and communication to improve care for difficult foley catheterization and improve outcomes.Review the techniques to assess and treat patients who are difficult to catheterize.Describe the equipment, personnel, preparation, and technique regarding difficult foley catheterization.Identify the contraindications to urinary instrumentation in difficult foley catheterization.This activity reviews anatomic and clinical considerations when encountering difficult catheterizations and highlights the role of the interprofessional team in evaluating and managing difficult urinary catheterizations to improve the care for men and women undergoing Foley placement. When a urinary catheter cannot easily be placed, a thorough understanding of anatomic considerations that may impact catheter placement and fundamental working knowledge of various Foley catheterization techniques can aid physicians and other healthcare professionals in successfully enabling urinary bladder decompression. If the patient is immunosuppressed, or has prosthetic heart valves, catheter insertion may cause a serious bacteraemia and bacterial seeding.Urinary catheterization is a common clinical intervention to ensure adequate urinary drainage when patients cannot void effectively.You may be able to expedite flow by gently suctioning the catheter with a syringe, or applying suprapubic pressure to the patient. Urine may not flow initially because of obstruction by lubricating gel.
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