Catheter Checklist Updated

Pangasinan State University
Institute of Nursing
Bayambang Campus
Bayambang, Pangasinan
ASSISTING THE PATIENT WHO REQUIRES URINARY CATHETERIZATION
Objectives:
 To insert a urinary catheter utilizing sterile technique;
 To maintain and properly discontinue a urinary catheter; and
 To irrigate a bladder safely and effectively.
Procedure for Catheterization
Needs Satisfactory Comments

more
practice
Assessment
1.Verify the physician’s order
2. Determine the appropriate method of catheterization (straight or indwelling).
Analysis
3. Critically think through your data, carefully evaluating each aspects and its relationship to
other data.
4. Identify specific problems and modifications of the procedure needed for this individual.
Planning
5.Determine the individualized patient outcomes in relationship to urinary catheterization:
a. Patient understands the need for catheter.
b. Patient experiences only minimal discomfort during the procedure.
c. Sterile technique was maintained.
d. Urine is completely drained from bladder.
e. If indwelling catheter was inserted, both catheter and drainage bag are positioned correctly.
f. Patient is clean and comfortable.
6. Collect appropriate equipment:

a. Correct catheterization kit with specific type (indwelling or straight) and size of catheter to be
used.
b. Additional lightning if the room does not have an adequate lightning to enable you to see the
perineum clearly.
c. bath blanket or sheet to drape the patient.
d. Tape or special device for securing the indwelling catheter to the patient.
Implementation
7. Wash or disinfect your hands.
8. Identify the patient using two patient identifiers.
9. Explain the procedure and answer questions.
10. Close the door of the room or draw the bed curtains.
11. Raise the bed to an appropriate working position.
12. Position and drape the patient:
a. Place the female patient in the dorsal recumbent position with the knees flexed or in the Sims
position. Drape so that the both legs are covered and only the perineum is exposed.
b. Place the male patient in the dorsal recumbent position exposing only the penis and small
surrounding area.
13. Arrange lightning so that you can see the perineum easily. (Wash perineum if needed.)
14. If the drainage bag is in a separate package, open the package and attached to the bed with
the end of the tubing covered and convenient for later use.
15. Place the catheterization kit on the over bed table at the foot of the bed or on the bed
between the patient’s legs and set up equipment:
a. Remove the plastic bag containing the kit and prop it open away from the sterile field.
b. Open the catheterization kit wrapper and place the kit in the middle of it as a sterile field.
c. Put on gloves and place the first sterile drape.
(1) If the sterile drape is on top of the set, grasp the drape by one corner and open it with care,
touching only the under, shiny side and ½-1 inch of surrounding edges.
(a). For the female patient: ask the female patient to lift the hips and, keeping the top sterile and
keeping your ungloved hands underneath the drape, carefully slide the drape under the
buttocks. Then carefully slide yours hands out and put on sterile gloves.
(b) For male patient: hold the drape with your hands under it. Next, slide the drape under the
penis and across the groin. The slide your hands out and put on the sterile gloves.
(2) If the sterile gloves are on top of the set, put gloves on first. Then place the first sterile drape
as follows: carefully take the first drape by one corner and unfold it; grasp two adjacent corners
of the drape and turn your hands so that the drape covers your gloves
(a.) For the female patient: ask the patient to loft her hips. Next, carefully slide the drape under
the buttocks. Then carefully slide your hands out.
(b) For male patient: hold the drape with gloved hands on the top of the drape with corners
wrapped around them. Next, slide the drape under the penis and across the groin. The slide
your hands out.
d. Place the second drape to secure and enlarge the sterile field. If fenestrated, place the
opening over the penis of the male patient. Place the drape over the meatus of the female
patient, folding it in half and placing it over the pubic area.
e. if the cleansing solution is separated, open and pour it over the swabs. If there are moist
wipes for cleansing, open that package.
f. Open the lubricant and place a small amount onto the tray in the sterile field. Place the tip of
the catheter into the lubricant and leave in place until ready for insertion.
g. Prepare for either indwelling or straight catheterization:
(1) If an indwelling catheter is being inserted, attached the prefilled syringe to the balloon port.
Test the balloon by instilling all of the sterile water and then deflating it by withdrawing water.
(2) If a drainage bag is in the set, connect the distal end of the catheter to the drainage tube. If a
specimen is needed, either do not connect the catheter to the drainage tube at this time and use
the specimen container as a collection device, or obtain a specimen from the sterile drainage
bag after you have finished.
(3) If this is a straight catheterization and a sterile urine specimen is needed, remove the top
from the specimen container contained in the set and place it upside down.
16. Use your non dominant hand to expose the meatus. Remember that this hand is now
contaminated and cannot be used to handle sterile equipment again:
a. For male: raise the penis at a 45- degree angle from the scrotum and retract the foreskin, if
necessary, to expose the meatus.
b. For a female: separate both labia majora and labia minora. Place the thumb and forefinger on
the two labia just anterior to the vagina. By separating these two fingers, retract the labia in an
upward and outward direction.
17. Cleanse the meatus. Use each wipe only once, and then discard in the prepared location:
a. For a male: clean in a circular motion, starting at the meatus, without retracing any area to
move bacteria away from the meatus.
b. For a female: after the female meatus is exposed and identified, continue to hold the labia
separate and begin cleaning. Cleanse the labia and meatus using separate moistened wipes for
each stroke, beginning at the anterior and moving toward the anus. Start with the outside labia
on one side and then the other, and with each separate swab move closer to the meatus. The
final stroke should be vertical to clean the meatus itself. Continue holding the labia apart with
the non-dominant hand after cleaning until the catheter is inserted.
18. Use the sterile gloved dominant hand to move the tray containing the catheter close to the
patient (between the legs of the female patient and beside the male patient). Pick up the
catheter several inches back from tip to keep the tip sterile. If a collecting bag is not attached,
keep the end of catheter in the tray.
19. Insert the lubricated catheter smoothly, approximately 2-3 inches (5-8 cm) into the female,
and 10-12 inches (25-30 cm) into the male. Once the urine returns in the tubing, insert the
catheter 1 inch (2-3 cm) farther.
20. If you are using a straight catheter, obtain a specimen, drain the bladder fully into the basin
that is in the set, pinch the catheter closed, and remove the catheter.
21. If you are inserting an indwelling catheter, fill the balloon with the amount of fluid indicated
on the catheter itself plus 4 or 5 ml.
22. if the bag is not already attached to the catheter, connect the bag at this time.
23. Place the tubing over the top of the patient‘s thigh, and tape the catheter to the patient or
use a catheter securing device to hold it in place. For a male, tape the catheter without tension
to the side of the lower abdomen or upper thigh. For a female, tape the catheter to the inner
thigh.
24. Coil excess tubing flatly on bed and attach tubing to the side of bed with a plastic catheter
clamp or a rubber band and safety pin. Hang bag on bed frame below level of bladder.
25. Remove your gloves and assist the patient to a comfortable position, lower the bed, and
open the bed curtains.
26. Teach the patient about the catheter and its appropriate care.
27. Discard your gloves and disposable equipment properly outside of the patient’s room.
28. Wash or disinfect your hands.
Evaluation
29. Evaluate using individualized patient outcomes previously identified:
a. Patient understand the need for the catheter.
b. Patient experienced only minimal discomfort during the procedure.
c. Sterile technique was maintained to prevent infection.
d. Urine is completely drained from the bladder.
e. If an indwelling catheter was inserted, both catheter and drainage bag are positioned
correctly.
f. Patient is clean and comfortable.
Documentation
30. Document the following:
a. Date and time of catheterization.
b. Type and size of catheter inserted and volume of water instilled into the balloon if relevant.
c. Whether a specimen was obtained and sent to the laboratory.
d. Amount of urine drained (add to the output record if appropriate)
e. Description of urine.
f. Patient’s response to procedure.
Name of Students: Remarks/ Score:

Checked and Evaluated By:
Name of Clinical Instructor:

Catheter Checklist Updated

Uploaded by

Copyright:

Available Formats

Catheter Checklist Updated

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Catheter Checklist Updated

Uploaded by

Copyright:

Available Formats

Pangasinan State University

Needs Satisfactory Comments

6. Collect appropriate equipment:

Name of Students: Remarks/ Score:

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.