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    Urinary Catheterisation

    Uploaded by

    Chipego Nyirenda
    The document provides instructions for a clinical skills evaluation on urinary catheterization, outlining 19 steps of the procedure including preparing supplies, positioning the patient, inserting the catheter, inflating the balloon, collecting a urine sample, and documenting the procedure. It also lists components to evaluate such as introducing oneself to the patient, explaining the procedure, and ensuring privacy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Urinary Catheterisation

    Uploaded by

    Chipego Nyirenda
    18 views2 pages
    The document provides instructions for a clinical skills evaluation on urinary catheterization, outlining 19 steps of the procedure including preparing supplies, positioning the patient, inserting the catheter, inflating the balloon, collecting a urine sample, and documenting the procedure. It also lists components to evaluate such as introducing oneself to the patient, explaining the procedure, and ensuring privacy.

    Original Description:

    Procedural skills in urinary catheterisation

    Original Title

    13. Urinary Catheterisation

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    © © All Rights Reserved

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    The document provides instructions for a clinical skills evaluation on urinary catheterization, outlining 19 steps of the procedure including preparing supplies, positioning the patient, inserting the catheter, inflating the balloon, collecting a urine sample, and documenting the procedure. It also lists components to evaluate such as introducing oneself to the patient, explaining the procedure, and ensuring privacy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views2 pages

    Urinary Catheterisation

    Uploaded by

    Chipego Nyirenda
    The document provides instructions for a clinical skills evaluation on urinary catheterization, outlining 19 steps of the procedure including preparing supplies, positioning the patient, inserting the catheter, inflating the balloon, collecting a urine sample, and documenting the procedure. It also lists components to evaluate such as introducing oneself to the patient, explaining the procedure, and ensuring privacy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Clinical Skills Urinary Catheterization

    Student Name: ____________________________________________ Computer #:_____________________Gp #:___

    Examiner: ________________________________________________________ Final Score______ /38= _______%


    Not done Incomplete Correct
    (0) (1) (2)
    1 Student greets and introduces self to patient. Confirms
    patient identity.
    2 Student explains procedure, obtains consent and notes
    any allergies to cleansing solution.
    3 Ensures Privacy and asks for Chaperone.

    4 Gathers Supplies (Urinary Catheter, Urine Bag,


    Cleansing
    Solutions, Lubricant/Local Anesthetic, Sterile Gloves,
    Sterile Drape, Urine Collection Container etc.) and
    Washes Hand.
    5 Ensures the correct sized catheter is not expired and
    checks adequacy of the balloon tip. Explain how to
    determine correct size for patient age group.
    6 Draws required amount of Water for Injection into
    syringe. Check Catheter specification – commonly
    10ml.

    Draws Local Anesthetic into another syring.


    7 Clamps the end of the catheter to prevent leakage.

    8 Positions patient, wears sterile gloves and puts drape


    around the penis/vulva. Explain positioning of male vs
    female.
    9 Student cleans genitalia, moving from cleanest point
    outwards. Avoid use of methylated spirit (irritant).
    Males: Retracts foreskin, holds penis below glans and
    cleans outwards in a circular fashion from the meatus
    to the base of the Glans. Repeats two more times.
    Female: Uses non dominant hand to expose meatus
    and cleans from front to back (Left side, Right side
    and center)
    10 Inserts Anesthetic Gel into uretheral meatus (if sterile).
    Apply on the Catheter if not sterile.
    11 Asks patient to bear down and advances catheter. Full
    length of the catheter should be inserted.
    12 Student places the end of the catheter into the urine
    container and releases clamp to collect urine sample.
    13 Student inflates the balloon and verifies retention
    gently
    14 Student attaches urine bag to end of catheter and hangs
    below the level of the bladder to facilitate gravity
    drainage
    15 Tapes the tube to patient’s thigh

    16 Thanks patient, provides gauze and allows patient to


    dress up.
    17 Cleans up area and washes hands.
    18 Does a Marcoscopic examination of the collect urine
    sample, labels sample and expresses need to take it to
    the lab for MCS and Biochemistry
    19 Documents Procedure (Date, time, indication, size
    and type of catheter, amount of water for injection
    instilled into the balloon, sample macroscopic
    findings, approximate amount of urine in bag etc.)
    Comments:

    Score /38

    Further Reading:
    -one way vs two way vs three way catheter
    -list the advantages and disadvantages between silicone, latex and polyvinylchloride catheters

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