Urinary Catheter: Catheter Irrigation

PATIENT ALERT Patients with closed bladder irrigation systems are at risk for occlusion of the Foley catheter by small blood clots, mucus fragments, and urinary tract infections.

  1. Wash hands.
  2. Position patient, remove catheter tube holder.
  3. Prepare supplies.

Closed Intermittent Irrigation:

  1. Pour room temperature solution into sterile container.
  2. Draw solution into catheter.
  3. Clamp catheter below injection port on drainage tubing.
  4. Apply gloves.
  5. Cleanse injection port.
  6. Inject fluid slowly into catheter.
  7. Withdraw syringe, remove clamp.

Closed Continuous Irrigation:

  1. Apply gloves.
  2. Insert spike of irrigation tubing into solution bag.
  3. Close tubing clamp, place irrigation solution on IV pole.
  4. Attach tubing to catheter.
  5. Open clamp on solution bag.
  6. Calculate drip rate as indicated.
  7. For intermittent flow:
  8. Clamp tubing on drainage system
  9. Allow prescribed amount to enter bladder.
  10. Close off irrigation infusion.
  11. Unclamp catheter drainage system.

Open Irrigation:

  1. Apply gloves.
  2. Open sterile irrigation tray, set up sterile field.
  3. Pour sterile solution into sterile container.
  4. Place waterproof pad under catheter.
  5. Aspirate 30 ml of solution into syringe.
  6. Place sterile basin close to patient thigh.
  7. Wipe connecting point between catheter and drainage tubing with antiseptic.
  8. Disconnect catheter from drainage tubing (urine will flow into sterile collection basin).
  9. Using syringe, instill solution into catheter.
  10. Remove syringe, allow solution to drain into basin. (Repeat until drainage is clear.)
  11. For solution not returned:
  12. Turn patient on side or aspirate solution.
  13. Re-anchor catheter to patient.
  14. Dispose contaminated supplies.
  15. Wash hands.