These are the Instructions for Inserting the Urethra Gauge™...
- Obtain gauge from Urethra Gauge™ manufacturer.
- Urethra Gauge™ is stocked on urinary catheter cart/clean
utility room on each unit in the
- Use sterile technique.
- Remove Urethra Gauge™ from sterile packaging,
follow directions per manufacturer guidelines.
- Insert Urethra Gauge™ into
urethra. [5 Newtons of Force
-or- (until resistance is met)].
- Observe markings on Urethra Gauge™ for correct measurement.
- Remove Urethra Gauge™ from
- If durable product, send Urethra Gauge™ to (sterilization procedure department
- If disposable product, dispose of Urethra
Gauge™ in proper waster container according to your facilities waste
- Chart your assessment data in the patient's medical record. (e.g. Patient's
urethra measured 14 French Units)
- Place Indwelling Urinary Catheter "Foley Catheter" -or- Straight
Catheter per hospital protocol using assessment
data obtained by Urethra Gauge™.
- Document your intervention in patient medical record:
A "Urethra Gauge" is used to measure the circumference of the
urethra prior to insertion of an indwelling urinary catheter/Foley catheter.
(A number 14 French "Foley" Catheter
was placed after measuring the inner circumference of the patients
urethra with a Urethra Gauge™,
patient tolerated treatment, catheter draining clear yellow
Primum non nocere, a latin phrase which means do no harm. All medical students
are taught in medical school, "First, do no harm."
All nursing students are taught in nursing school: (to assess any given
situation (prior to -or- before) (intervening) this is a quintessential
point taught in nursing school.
1.) Only Medical professionals and/or licensed health-care professionals are
legally allowed to insert a urinary catheter, indwelling urinary catheter/Foley
catheter. A Doctor's order is required for the placement of an indwelling
urinary catheter/Foley catheter.
2.) It is a known fact inserting a Foley catheter that is too large for a
patient will cause urethra trauma (scarring of the urethra i.e. "urethra
3.) It is a known fact inserting a Foley catheter that is too small for a
patient will create a "portal-of-entry" for invading
bacteria/microbes/microorganisms i.e. ("ascending urinary tract
infection", Urinary Tract Infection, UTI, U.T.I., Catheter
associated urinary tract infection, CAUTI). The Steps to
insert an indwelling urinary catheter/Foley catheter.
- Obtain a Doctor's order to place a urinary catheter/Foley catheter.
- Assessment: Obtain and/or Assess the size of the urethra prior to
insertion of Foley catheter, this is done with the use of a "Urethra
Gauge". A urethra gauge is a tool that is used by health-care
professionals to assess the size/measure the circumference of the urethra
prior to insertion of urinary catheters, indwelling urinary catheters/Foley
- Browse the hospital/health-care facilities inventory of various sized
- Select the appropriate size catheter that corresponds to the measurement
of the circumference of the urethra that was obtained using the
- Intervention: Insert urinary catheter, indwelling urinary
catheter/Foley catheter after the measurement of the circumference of the
urethra was obtained using a "Urethra Gauge".
The circumference of the urethra is measured with a "Urethra Gauge"
prior to the insertion of a Foley catheter. The assessment is the
process of measuring the size of the urethra/circumference of urethra. The intervention
is the placement of the properly sized indwelling urethra catheter.
The man-made shoe relates to the foot is analogous to the man-made urinary
catheter as it relates to the urethra.
Think of the analogy of how feet relate to shoes, this is similar to the
relationship of how the urethra relates to the urinary catheter/Foley
- A reasonable person wouldn't buy a pair of shoes without first measuring
their feet. Because either the shoes would deform the feet if they were too
small, or cause blistering of the toes/heels if the shoes were too large. One
could imagine the pain of wearing improperly sized shoes. Correctly sized
shoes would be worn regularly, as incorrectly sized shoes would be removed
A properly sized shoe is functional in the prevention of wear and tear of
the soles and toes of the feet.
A properly sized shoe is comfortable to wear, safe and effective in the
prevention of formation of callouses.
A properly sized shoe is pain-free to wear and pain-free to put on and
A properly sized shoe does not impede the natural function of the feet,
they protect the feet as they support the body in motion, both while
walking and especially when the body exerts excessive use of the feet such
as in running.
Urethra: Urinary Catheter
A properly sized urinary catheter is functional in the allowing/assisting
urine to drain from the bladder. And functional in the assessment of I's
& O's when connected to a drainage bag in the accurate measurement of
A properly sized urinary catheter is comfortable to the patient, safe and
effective in the prevention of both UTI's and urethra strictures.
A properly sized urinary catheter is pain-free to insert, pain-free while
it is indwelling and pain-free when it is removed.
A properly sized urinary catheter does not impede the natural function of
the urethra which is to allow drainage of the bladder as the body produces
urine as well as when the body exerts excessive use of the urethra as in
the male during sexual intercourse the urethra aides the ejaculate and
supports a mussel velocity of the ejaculate to ensure a high likelihood of
fertility for the male.
SI Unit of Measurement:
SI unit of Measurement is the most widely accepted means for measurement.
The inner circumference of the urethra can range is size from 2 millimeters to
French Unit of Measurement:
A frequently used system of measurement has been the French Unit of measure
which has been around since the 1400's. This unit of measure allows for a fast
rough measurement, should not be used for precise measurement.
- Nomenclature: 14 French Units = (14Fr)
Most of the Catheters stocked in hospitals are:
[6Fr, 8Fr, 10Fr, 12Fr, 14Fr, 16Fr, 18Fr, 20Fr, 22Fr, 24Fr, 26Fr, 28Fr, 30Fr,
32Fr, 34Fr, 36Fr, 38Fr, 40Fr, 42Fr].
A person that has a circumferential measurement of the urethra of 9Fr finds
themselves in a predicament because most hospitals only stock their hospitals
with even sizes, thus the size of catheter available is either an 8 Fr or a
10Fr. Herein lies a potential problem in the availability of necessary equipment
for the healthcare provider.
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