Story 1: Urinary catheterization
It is a sterile Foley catheter insertion within the bladder, in order to drain urine
Who are treated?
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- There is bladder outlet obstruction.
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- In a case of measuring the urine amount, to assess renal function such as while patients in shock.
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- Those with neurological controlling problems in urinary excretion.
- For patients with an operation; providing before the operation, during operation, and after the operation.
Foley catheter care
1. No folding or bending and attach to the patient with plaster.
2. The urine bag should be placed lower than the bladder.
3. Maintain the urinary system as a closed system.
4. Clean catheter in the morning and evening, involving after defecation, the doctor will assess the need for urinary catheter use every day.
Story 2: Physical Restraints
Restrain refers to limiting the body movement of patients from violent behavior and not being cooperative in the treatment. In order to prevent potential harm to patients.
Who should be provided?
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- In a case of patients with brain pathology or pathology, which is derivative from some diseases
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- Postoperative patients who are not recovered from anesthetics procedure.
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- Patients who have unstable mental states.
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- Patients who are uncooperative in treatment
Principles of physical restraint.
1. Use some equipment which has been prepared tie the patient, then follow up a tight site in every 1-2 hours.
2. Measure a pulse step and lean the body of the patient in every 1-2 hours.
3. Not being strained during family visiting but always be away of.
4. Discontinue the restraint when patients cooperate with.
Story 3: Identify
At Phyathai 2 hospital, we use the name and date of birth for the identification of each patient.
Why we have to identify the patient?
1. To provide the best quality service for patient health care.
2. To prevent errors caused by the identification of each patient or things belong to the patient’s body.
3. To provide all workers with accurate identification.
Identifying the patient …in what particular cases?
1. Identify the patient before medication.
2. Identify the patient before blood giving including blood components
3. Identify the patient before venipuncture and blood storage.
4. Identify the patient before treatment and procedures.
5. Identification of infants
Story 4: Patient with Intubation Care
1. Patients will be evaluated for extubation.
2. Set up a head position at 30-45 degrees, brushing patient’s teeth and cleaning mouth with 0.12% of chiohexidine.
3. provide mucus suction machine with sterile technique and gentle
4. Prevent the patient from pulling the equipment, do not let it move and slip.
* This is just basic information. For more details be obtained from a nurse *
ICU 3rd Floor, Building A
Tel: 02-617-2444 ext. 4304, 4305.
Phyathai 2 Hospital Phyathai Call Center 1772
