Mindanao State University COLLEGE OF HEALTH SCIENCES Name of Student: ______________________________________ Clinical Instructor: _____________________________________ CATHETERIZATION Purpose: To provide

continuous bladder drainage and/or irrigation, to obtain specimen, and to keep the bladder empty. Equipments: Catheter set, urobag, 10cc syringe, distilled water, lubricant, plaster, antiseptic solution, picking forceps, Kelly pad, and sterile gloves
Indications: By inserting a catheter, you are gaining access to the bladder and its contents. Thus enabling you to drain bladder contents, decompress the bladder, obtain a specimen, and introduce a passage into the GU tract. This will allow you to treat urinary retention, and bladder outlet obstruction. Urinary output is also a sensitive indicate of volume status and renal perfusion. In the emergency department, catheters can be used to aid in the diagnosis of GU bleeding. In some cases, as in urethral structure or prostatic hypertrophy, insertion will be difficult and early consultation with urology is essential. Contraindications: Contraindicated in the presence of urethral trauma.

Score: _________ Date: _________

PROCEDURE 1.) Wash hands. 2.) Explain procedure and its purpose to the client. 3.) Provide privacy and adequate lighting. 4.) Assess patient status and plan to meet individual client need. 5.) Gather and prepare all needed equipment. 6.) Drape the patient; assist the patient in a dorsal recumbent position with knees flexed and feet about two feet apart. Expose only the area around the genital. Put underpads under the patient buttocks. Put on sterile fenestrated drape with hole over the genital.
Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

RATIONALE Deters the spread of microorganisms. Reduces anxiety and enhances cooperation. Privacy enhances self-esteem and adequate lighting provides a good visualization of the perineum. To provide client safety. To have an organized approach to the task. Positioning in this manner can easily see the perineum.

To avoid spilling of secretions and preventing contamination.

7.) Place the catheter set between the patient legs. Repeat hand washing. Put on sterile gloves. Pick cotton balls soaked with betadine antiseptic solution swab and cleanse the genital, urinary meatus, and perineal area thoroughly. 8.) Pick up the catheter and coil over the (right) dominant hand while putting lubricant jelly in a desired amount on the (left) non dominant hand distal part of the thumb. 9.) Lubricate the tip of the catheter at least 2-3 inch. 10.) Place the thumb and the forefinger of your non dominant hand between the labia minora. Expose the urinary meatus; angle the catheter upward gently advances in the catheter into the opening. 11.) NOTE: If the catheter will not advance then instruct the patient to inhale and exhale slowly. This may relax the sphincter muscle. Do not force or if patient has unusual discomforts. 12.) When the catheter has passed, urine will start to flow and insert the catheter approximately one inch further. 13.) Foley Catheter: If it is used, better to have a preconnected end tubings to the urine collection bag or urobag. 14.) Attach the syringe to the balloon port and inject the 10cc sterile water slowly to inflate the balloon. Remove the syringe. Position the balloon correctly, pull on the catheter gently until you feel resistance. 15.) Anchor the catheter tubing to the lateral abdomen secure with tape.
Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

To easily get the catheter when needed. Deters the spread of microorganisms. To prevent contamination. Cleaning these areas of the perineum provides more accurate findings.

Coiling the catheter provides an organized approach. Placing the lubricant in the distal part of the thumb of the non dominant hand provides an easy way to lubricate the top of the catheter. To avoid trauma to the patient during insertion. This is to see the urinary opening for correct catheter insertion.

This is to provide client safety and avoid trauma.

Inserting the catheter one inch further will totally drain the bladder. Foley catheter is a kind of catheter with double lumen.

Injecting distilled water to the catheter will inflate the balloon inside the bladder. The balloon serves as the resistant.

This is to prevent catheter from loosening.

16.) Secure the urinary collection bag below the level of the bladder and off the floor. Coil extra tubing on the bed. 17.) DOCUMENTATION AND EVALUATION: Record the time that the procedure was done by whom, and the patients reaction to the procedure. 18.) All patient teaching done and the level of patient understanding. 19.) Report any significant observations to the charge nurse, it includes: a. The amount, color, and clarity of urine. b. Any difficulties with the procedure. c. The presence of blood in the urine. 20.) Remove gloves, drapes, and protectors from around the patient. Discard disposable equipment in a waste receptacle and return the reusable one to appropriate area.

Coiling extra tubing makes the urine move slower.

To provide an accurate documentation and reporting. To involve the patient in making a care plan.

a. To determine if there is abnormalities b. To determine if there is abnormalities c. To determine if there is abnormalities Prevents contamination of microorganisms.

Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN