男病人留置导尿术/inserting a straight or indwelling catheter for male patients 导尿术是在无菌操作下，用导尿管经尿道插入膀胱引流尿液的方法。Catherization of the blader involves introducing a rubber of plastic tube through the urethra.目的/purposes
术前准备/preparation of surgery 排空膀胱/urinary irrigations 收集无菌尿标本/collection of sterile specimens 首先来介绍无菌导尿包内的物品/first let me introduce the catheterization kit containing the following sterile items 外阴消毒包/sterile packet using for vulva 治疗巾/drapes one fenestrated, 治疗盘/catheterization tray, 纱布/pledget, 7个碘伏棉球/seven cotton balls saturated with betadine, 镊子/forceps, 无菌手套/asepsis gloves, 导尿包/catheterization 导尿管/catheter, 充满液体的注射器，用于填充导尿管囊腔/prefilled syringe with sterile water to inflate the ballon of indwelling catheter, 尿袋/sterile drainage tubing with collection bag 4个碘伏棉球/four cotton balls saturated with betadine, 石蜡油棉球/lubricant cotton ball
开始操作/commence operation 核对医嘱和病人/check the orders and the patient 戴口罩，洗手/wear mask and wash hands 备齐用物并检查是否在有效期内/prepare for the equipment and check up if they are within the period of validity 携用物至患者床旁/take these to the word 1 向患者解释操作过程/explain procedure to client 拉上窗帘，关门/close curtain and door 松开被尾/loosen the blanket‘s trailing end
取仰卧位，两腿屈曲外展/aist to dorsal recumbent position, supine with kne flexed 脱去对侧裤腿，盖于近侧腿上，用盖被遮盖上身和对侧的下肢，露出外阴/drape with bath blanket ,place blanket diamond fashion over each arm and side ,and last corner over perineum.打开治疗巾塞于患者臀下/put the drape under patient’s buttocks 左手戴一次性薄膜手套/ the left hand having an membrane glove for single use 右手持无菌镊夹起消毒液棉球消毒会阴部，Using forceps in sterile right hand, pick up cotton ball saturated with antiseptic solution and clean perineal area.顺序是：阴阜-两侧腹股沟-龟头上方阴茎-提起阴茎-龟头下方阴茎及阴囊-尿道口(2次) Sequence is: mons pubis –groin-penis at shaft just above glans-take glans -penis at shaft just below glans and scrotum- urethral meatus (2times).消毒时自尿道口向外旋转着进行/move in a circular motion from urethral meatus down to base of glans.将导尿盘置于患者两腿之间，打开治疗巾/put the catheterization tray between patient’s two legs and open the drape 带上无菌手套/apply sterile gloves
铺无菌孔巾,暴露出会阴/pick up fenestrated sterile, exposing perineum
用注射器向球囊里注入无菌液体，以检查球囊的完整性/test balloon by injecting fluid from prefilled syringe into balloon port，to check integrity of balloon 润滑导尿管的前端18-20cm/lubricate 18 to 20cm of catheter 消毒尿道口/clean urethral meatus 方法是:消毒时自尿道口向外旋转着进行，重复消毒3-4次
2 method is move in a circular motion from urethral meatus down to base of glans，repeat cleansing three or four more times 将阴茎举起，与腹壁垂直，并轻轻将阴茎拉直/lift penis to position perpendicular to client’s body and apply light.慢慢将尿管从尿道口插入/slowly insert catheter through urethral meatus 成人尿管一般插入18-20cm，见到尿液流出后再把尿管向里插入8~10cm/ Advance catheter a total of 18~20cm in adult.when urine appears, advance catheter another 8~10 cm.固定尿管/hold catheter securely 脱手套,处理用物/remove gloves, and dispose of equipment, drapes, and urine in proper receptacles.帮助患者采取舒适的体位/aist client to comfortable position 回护士办公室，洗手，记录/come back nurse’s office, wash hands and take notes 拔除导尿管/remove catheter 用物/the equipment：
治疗巾/drapes one fenestrated，治疗碗/catheterization tray，一次性薄膜手套membrane glove for single use，注射器/syringe，纱布/pledget 开始操作/commence operation 核对医嘱和病人/check the orders and the patient 戴口罩，洗手/wear mask and wash hands 备齐用物并检查是否在有效期内/prepare for the equipment and check up if they are within the period of validity 携用物至患者床旁/take these to the word 向患者解释操作过程/explain procedure to client 拉上窗帘，关门/close curtain and door 松开被尾/loosen the blanket‘s trailing end
取仰卧位，两腿屈曲外展/aist to dorsal recumbent position, supine with kne flexed 3 脱去对侧裤腿，盖于近侧腿上，用盖被遮盖上身和对侧的下肢，露出外阴/drape with bath blanket ,place blanket diamond fashion over each arm and side ,and last corner over perineum.打开治疗巾塞于患者臀下/put the drape under patient’s buttocks 双手戴上一次性薄膜手套/ both hands having an membrane glove for single use 用注射器将球囊内的液体抽出/ pump out the fluid within the balloon with a syringe 拔除尿管/remove catheter 脱手套,处理用物/remove gloves, and dispose of equipment, drapes, and urine in proper receptacles.帮助患者采取舒适的体位/aist client to comfortable position 回护士办公室，洗手，记录/come back nurse’s office, wash hands and take notes
