Guidelines for Foley Catheter Insertion in Female Patients

Preparation and Equipment

The Centers for Disease Control and Prevention recommends maintaining strict aseptic technique throughout the procedure, including proper hand hygiene, sterile equipment, and appropriate skin preparation with an antiseptic solution to minimize infection risk 1, 2
Ensure all necessary equipment is gathered before beginning the procedure, including sterile gloves, drapes, antiseptic solution, sterile lubricant, catheter of appropriate size, and collection system 1, 2
Select the catheter based on intended purpose and duration of use, considering potential complications and patient-specific factors 3
Perform proper hand hygiene before and after the procedure using antiseptic-containing soap and water or alcohol-based hand sanitizer 1
Prepare in an environment that permits proper aseptic technique 4

Wear clean or sterile gloves as appropriate for the procedure; sterile gloves are recommended for urinary catheterization 1, 2
Clean the perineal area thoroughly with an antiseptic solution (70% alcohol, chlorhexidine gluconate, tincture of iodine, or an iodophor) 2, 4
Allow the antiseptic to dry completely according to manufacturer's recommendations before proceeding 2
Connect the catheter to a closed sterile drainage system 1

Secure the catheter properly to prevent movement and urethral trauma, typically to the patient's thigh 2
Document the procedure, including date and time of insertion, catheter type and size, balloon inflation volume, and any complications 1
Maintain a closed drainage system to reduce infection risk 1, 2
Do not submerge the catheter in water, though showering may be permitted if the catheter and connecting device are protected with an impermeable cover 1

Designate trained personnel for insertion and maintenance of catheters to minimize complications 3
Evaluate the catheter site regularly for signs of infection or complications 3
Remove the catheter as soon as it is no longer clinically necessary 5
Do not routinely apply topical antimicrobial or antiseptic ointment to the insertion site 3
Do not administer prophylactic systemic antimicrobials routinely before insertion 3