Chapter 31, Skill 31-05: Inserting an Indwelling Urinary Catheter
Check () Yes or No PROCEDURE STEPS 1. Gathers the necessary supplies: catheter tray, an extra pair of sterile gloves, catheter leg strap, bath blanket for draping the patient. 2. Follows the Initial Implementation Steps. 3. Provides perineal care as needed. 4. Positions patient appropriately. 5. Opens catheter kit and positions the catheterization tray appropriately for a male or female patient. 6. Opens wrap correctly and sets up sterile field. Dons sterile gloves and prepares sterile supplies. Drapes patient with sterile drapes. Checks patency of balloon. Lubricates first several inches of the catheter. 7. Cleans the urinary meatus. For a female, cleans the far side, then near side, then down the middle over the meatus. For a male, cleans the glans penis in circular motions from the meatus outward. 8. While holding the labia open or the penis at a 90 angle, inserts the catheter into the urethra. For a female, inserts approximately 2 to 3 inches; for a male inserts approximately 7 to 9 inches until urine starts to flow through the tubing. Then inserts another 1 to 2 inches. 9. Inflates the balloon and ensures that it is seated at the vesicourethral junction. 10. Secures catheter tubing to inner thigh with a catheter strap or tape. 11. Hangs drainage bag on appropriate part of the bed to prevent it being raised above the level of the bladder. 12. Follows the Ending Steps. 13. Documents the procedure and patient response.
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COMMENTS
Recommendation: Pass _____ Needs more practice _____