Catheterization

Catheterizat
ion
- It is the insertion of catheter via the urethra into the bladder for specific purposes.
Purposes:
 To relieve urinary retention
 To collect sterile urine specimen
 To instill medication
 To manage incontinence
 To irrigate the bladder
 To drain the bladder before surgery
 To monitor urine output
FEMALE CATHETERIZATION
Procedures and Rationales
1. Check physician’s order to avoid committing error.

2. Check the completeness of the supply.
3. Wash hands to deter the spread of infection
4. Assemble the equipment to save time and energy.
5. Identify the client and explain the procedure to alleviate anxiety and gain cooperation.
6. Position the gooseneck lamp at the foot of the bed to facilitate easier location of the meatus.
7. Replace the top sheet with bath blanket and place a waterproof underpad under the client to protect the linen
from moisture.
8. Position the client on a dorsal recumbent with feet apart and drape the client.
9. Do perineal flushing.
10. Prepare urine receptacle and tubing if an indwelling catheter is to be inserted.
11. With aseptic technique, open the pack between the client’s thigh and bring it near the perineal area.
12. Squeeze a small amount of lubricant over the sterile OS.
13. Get 2 CB and pour betadine over them.
14. Put on sterile gloves and place fenestrated drape over the vulva area exposing the labia.
15. Lubricate 1-2 inches of the catheter tip and place the outer end into the mouth of the sterile specimen
container.
16. Spread the labia and maintain hold and identify the urinary meatus using the thumb and forefinger of your non
dominant hand.
17. Using your dominant hand, disinfect the meatus twice using CB with betadine.
18. Insert the tip into the dimple like structure below the clitoris about 2-3 inches or until the urine flows.
19. If foley catheter is used, introduced 5cc of distilled or sterile water to secure the catheter, gently pull the
catheter until the retention balloon is snuggled against the neck of the bladder. Tape the catheter to the inner
thigh.
20. Attach catheter to the urinary drainage bag below the level of the bladder.
21. Remove and clean the equipment. Make the client comfortable. Label the urine specimen and send to the
laboratory promptly.
22. Remove glove and wash hands to deter the spread of infection.
23. Record time of the procedure, the amount of the urine removed, description of the urine and client’s reaction to
the procedure.
MALE CATHETERIZATION
1. Check physician’s order to avoid committing error.
2. Check the completeness of the supply.
3. Wash hands to deter the spread of infection
4. Assemble the equipment to save time and energy.
5. Identify the client and explain the procedure to alleviate anxiety and gain cooperation.
6. Position the client on supine and knees slightly apart. Drape by fanfolding the bedcover down to the midthigh
exposing the perineal area. Cover the trunk with bath blanket. Place waterproof underpad under the buttocks.
7. Don working gloves. Do perineal care. Remove and discard glove properly and wash hands.
8. Open the pack aseptically and place it on the bed at the level of the hips. Bring the clean kidney basin near the
working area.
9. Squeeze a small amount of lubricant over the sterile OS.
10. Get 2 CB and pour betadine over them.
11. Don sterile gloves.
12. Place the opening of the sterile drape over the penis and onto the perineum without touching the upper top
surface.
13. Lubricate the catheter around 3-4 inches
14. With the non-dominant hand, lift the penis and cleanse the glans in a circular motion with the use of CB with
betadine. Discard and cleanse again. Maintain holding the shaft of the penis.
15. Slowly insert the catheter in the meatus about 7-9 inches in a rotating motion until urine flows.
16. If resistance is eft, withdraw the catheter slighty and ask patient to take a deep breath. If resistance persist
remove it and notify the physician.
17. Gently push the catheter 1-2 inches more after urine starts to flow. As the bladder empties, collect the specimen
if required.
18. If foley catheter is used, introduced 5cc of distilled or sterile water to secure the catheter, gently pull the
catheter until the retention balloon is snuggled against the neck of the bladder. Remove the fenestrated drape.
19. Attach the catheter to the urinary bag below the level of the bladder. Coil the excess tubing on the mattress and
secure the bed frame.
20. Remove and clean the equipment. Make the client comfortable. Label the urine specimen and send to the
laboratory promptly
21. Remove glove and wash hands to deter the so read of infection.
22. Record the time of the procedure, the amount of the urine removed, the description and the client’s reaction to
the procedure.
REMOVING AN INDWELLING CATHETER
1. Check physician’s order to avoid error.

2. Obtain 5-10 ml of syringe and an absorbent towel.
3. Wash hands to deter the spread of infection.
4. Don gloves.
5. Check the client and explain the procedure.
6. Place the absorbent towel on the mattress under the catheter.
7. Attach the syringe to the balloon port, withdraw water from the balloon until resistance is met.
8. With the nondominant hand, hold the absorbent towel in front of the perineum.
9. Pinch off the catheter near the meatus and pull it steadily out onto the absorbent towel until the end is
retrieved.
10. Hold the catheter in an upward angle to the drainage tubing so that the urine drains to the drainage.
11. Inspect the catheter to make certain it is intact. If it is not, notify the physician immediately.
12. Measure the output in the drainage bag.
13. Empty the urine into the toilet and clean the measuring equipment.
14. Remove glove, wash hands and make the client comfortable. Instruct the client to drink extra fluids and warn
that there may be mild burning with the first few voiding.
15. Document the time of removal, amount of urine collected into the 1-0 flow sheet and the due time to void of
the client.

Catheterization

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Catheterizat

Procedures and Rationales

1. Check physician’s order to avoid committing error.

Procedures and Rationales

1. Check physician’s order to avoid error.

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