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To Test or Not to Test the Balloon of a Foley Catheter.

Yara Nakouzi, Cinthya Morales, Nicole Tarabocchia
by

yara nakouzi

on 24 April 2014

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Transcript of To Test or Not to Test the Balloon of a Foley Catheter.



P:

Adults requiring
indwelling catheterization
I:
Pre-testing the balloon of
the Foley catheter prior to
insertion
C:

Not pre-testing the
balloon of the Foley
catheter prior to insertion
O:

Increasing adult patient safety



Students were required to read The Fundamentals of Nursing by Berman, which states to follow manufacturer’s policies in regards to pre-inflation of a Foley catheter (Berman, 2012, p.1328). In UDC 1 on February 24, 2014 our instructor advised us not to pre-test the Foley catheter before insertion during a discussion in elimination lab. Talking to other students, some had instructors who advised them to pre-test before insertion to check for potency. This has shown a discrepancy in UDC 1 curriculum.
References were obtained from hospital policies (Hackensack, St. Joseph’s), Bard Medical manufacturer of foley catheters, a YouTube video, and the Cheng Interlibrary Loan services to obtain the articles. Out of the thirteen retrieved informative articles, we were only able to use nine. The remaining four did not contain the information needed on pre-testing the catheter before insertion or were not credible; the focus was on procedures, materials used and strategies to prevent infection.
The goal of this change in practice is to inform nursing faculty and staff of William Paterson University, to educate nursing students about not pre-testing a Foley catheter before insertion. In order to implement this change, if granted permission personally from Nursing Chairperson, Dr. Nadine Aktan, we will be a part of the next faculty and staff’s meeting at the end of Spring 2014 semester. This will be held in the Nursing Department’s conference room located in Hunzinger Wing. This meeting will address the guidelines of balloon inflation, for current and incoming nursing students, due to the inconsistencies in practice. Our recommendations are based off of Bard Medical’s Associate Clinical Specialist, Dr. Camie Miller, who stated “Bard tests 100% of their Foley catheter balloons prior to packaging/sterilization.” In addition, retrieved articles which revealed information on how deflation can form ridges, creases, and cuffs and the importance of accurately following manufacturer’s procedures; all in which decreases patient’s safety. We will also show two Foley catheters, one that has not been used and another that has been pre-tested, to present the different changes in the balloon’s integrity. For members who have obligations and cannot attend, an email with a handout regarding what was discussed will be attached.

A recommendation for change is needed based on the inconsistent literature of pre-testing the Foley catheter before insertion. The recommendation is to have instructors advise students to follow manufacturer's policy in not pre-testing the Foley catheter before insertion to increase the safety of adults.

To Test or Not to Test the
Balloon of a Foley Catheter

Upon completion of gathering evidence, three articles specified pre-testing Foley catheter balloons. Pretesting can create creases, ridges, or cuffs causing an increased risk of urethral trauma. Evidence of the remaining material also highlighted the significance of healthcare providers following manufactures procedures of whether to pretest the balloon before insertion. Bard Medical is a multinational manufacturer that supplies Foley catheters to hospitals nationwide (C.R. Bard, Inc., 2014).Their guidelines specify not to pre-test the balloon before insertion because they pre-test the balloon before packaging. It is essential healthcare professionals implement this evidence into practice to help prevent and improve adult patient safety.
PICO
Current Practice
Collection of Evidence
Summary Statement
Recommendation
Plan of Implementation
Full transcript