TANCHULING COLLEGE INC.

Imperial Court Subd., Phase II, Legazpi City 4500,

Philippines Tel #480-6106/742-0098
www.tanchuling.edu.ph

NCM 100: Fundamentals of Nursing

Skills Lab Checklist

Skills: Catheterization

Name of Student: ___________________________________

PREPARATION
Rating
Procedure Rationale Very Needs
Satisfactory
Satisfactory Improvement
1. Assess:
a. The client’s overall condition.
b. If the client is able to cooperate and
hold still during the procedure.
c. If patient can assume supine position
with head flat.
d. When the client last voided or last
catheterized.
e. Percuss bladder for fullness or
distention.
2. Determine the most appropriate method of
catheterization (straight or indwelling).
3. Assemble Equipment: To be able to work
a. Sterile catheter of appropriate size and efficiently and for time
an extra catheter. management.
b. 1-2 pairs of sterile gloves.
c. Waterproof drape.
d. Antiseptic solution.
e. Cotton balls.
f. Forceps.
g. Water soluble lubricant.
h. Urine receptacle.
i. Specimen container.
j. For indwelling catheter, collection
bag and syringe prefilled with sterile
water (5-10cc)
4. Perform routine perineal care. Promote infection
control
5. Introduce yourself, and verify the client’s To establish rapport and
identity. Explain to the client what you to educate the patient on
are going to do, why it is necessary, and what you need to do.
how the client can cooperate.
6. Perform hand hygiene, and observe other To minimize
appropriate infection control precaution. transmission of
microorganisms.
7. Provide client privacy To ensure protection of
dignity.
8. Position client appropriately:
a. Female – Dorsal Recumbent
b. Male – Supine with legs slightly
abducted
9. Establish adequate lighting, stand on the For efficient insertion
client’s right if you’re right handed and, and visualization
on the client’s left if you’re left handed.
10. Place waterproof drape under To prevent soilage.
buttocks (female) or penis (male) without
contaminating the center of the drape with
your hands.
11. Open Sterile packs
12. Apply sterile gloves
13. Organize remaining supplies:
a. Saturate the cotton balls with antiseptic
solution.
b. Open lubricant package.
c. Prepare specimen container, and place
it nearby with lid loosely on top.
14. Test balloon (indwelling) by To ensure good integrity
injecting sterile water to balloon port. of anchor.
15. Lubricate the catheter, and place it To prevent friction upon
with the drainage end inside the collection insertion and to avoid
container. spilling urine on linen.
16. Cleanse the meatus noting that the To maximize sterility of
non-dominant hand is already considered procedure
contaminated after touching the client’s
skin.
a. Female – use your non-dominant hand
to spread labia firmly but gently. Use
forceps to pick up cotton ball with
antiseptic solution and use one cotton
ball per stroke using rule of 7s.
b. Male – use non-dominant hand to
grasp penis just below the glans, if
possible, retract the foreskin. Use
forceps like with the female client and
cleanse the meatus in circular motion
from inner to outer of the glans 3
times.
17. Insert catheter:
a. Grasp catheter firmly 2-3 inches from
tip.
b. Advise client to take deep breath and
insert catheter upon exhalation.
c. Advance the catheter 1-2 inches further
after urine backflow is noted.
d. If catheter touches other areas than the
meatus, it is already considered
unsterile and you must prepare new
catheter.
18. Hold the catheter with the non-
dominant hand. In males, lay the penis
down in the drape, being careful that the
catheter does not pull out.
19. For indwelling catheter inject the To anchor catheter to
sterile water in the balloon port. If the bladder
client complains of discomfort withdraw
sterile water and advance catheter 1 inch
further. Pull Catheter after inflation to
ensure correct placement.
20. Collect specimen as necessary into For laboratory
specimen container. 20-30ml is required. procedures
21. Allow straight catheter to continue To empty bladder
draining and remove catheter if flow stops
or attach the drainage end into the tubing
and collection bag for indwelling
catheterization.
22. Examine and measure urine
23. Wipe perineal area of any remaining
antiseptic or lubricant and tape catheter
on the lower abdomen (Male) and Inner
thigh (Female).
24. Return patient to comfortable position
and gown client appropriately.
25. Hang urine collection bag lower than
client bladder.
26. Discard used disposable supplies and
perform hand hygiene.
27. Document nursing care.

FINAL GRADE: _______________ Clinical Instructor: _______________________

Reference: Kozier & Erb: Chapter 48: Urinary Elimination: Fundamentals of nursing checklist