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Flushing out / washing out the urinary bladder with specific solution.

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To flush clots & debris out of the

catheter & bladder. To instill medication to bladder lining To restore patency of the catheter.

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Disposable gloves Disposable, water resistant, sterile towel/mackintosh Threeway retention catheter Strile drainage tubing & bag in place Sterile antiseptic swab Sterile receptable Sterile irrigating solution warmed or at room temperature Normal saline Distilled water Solution as prescribe by physician Infusion tubing IV pole Kidney basin
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 Check physician's order & nursing care plan

for type, amount & strength of irrigation fluid & reason for irrigation. Prepare the patient a. Explain the procedure & purpose to the patient b. Provide for privacy & drape the patient c. Empty, measure & record the amount & appearance of urine present in the urine bag
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 Prepare the equipment

a.
b.

c.

Wash hand Connect the irrigation infusion tubing to the irrigating solution & flush the tubing with solution Connect the irrigation tubing to the input port of the 3-way catheter. Connect the drainage bag & tubing to the urinary drainage port if not already in place
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 Irrigate the bladder a. Continuous irrigation Open the flow clamp on the urinary drainage

tubing (if present) Open the regulating clamp on the irrigating tubing & adjust the flow rate as prescribed by the physician or to 40- 60 drops/minute if not specified. Assess the drainage for amount, colour & clarity.
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b. Intermittent Irrigation I. Determine whether the solution is to remain in the bladder for a specified time. If solution is to remain in the bladder during a bladder irrigation or instillation close the flow clamp on the urinary drainage tubing. Open the flow clamp on the irrigation tubing, allowing the specified amount of solution (75-100 ml) to infuse & then clamp the tubing After retaining the solution for specific period of time, open the drainage tubing flow clamp & allow the bladder to empty
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II.

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If the solution being instilled is to irrigate the catheter, open the flow clamp on the urinary drainage tubing. Assess the patient condition, urinary output, color, odour & clarity of drainage. Discard all used disposable articles, clean & replace reusable articles. Wash hands Record procedure in nurses record.
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