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Catheterization

Catheterization. ACC Level 1 online RNSG 1341. 1*. Confirm physician orders & hospital policy. 1*. Gather the proper equipment with appropriate size catheter Consider extra sterile gloves and extra catheter until experienced with procedure. 1*. Perform hand hygiene. 1*.

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Catheterization

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  1. Catheterization ACC Level 1 online RNSG 1341

  2. 1* • Confirm physician orders & hospital policy

  3. 1* • Gather the proper equipment with appropriate size catheter • Consider extra sterile gloves and extra catheter until experienced with procedure

  4. 1* • Perform hand hygiene

  5. 1* • Identify self by name and title

  6. 1* • Identify patient and explain purpose • Explain procedure

  7. 2 • Position client appropriately based on genitalia.

  8. 3 • Cleanse perineum with soap and water if needed

  9. 4* Open catheterization kit aseptically forming a sterile field on bed or on over bed table

  10. 5* • Place sterile drape under female client’s hips or across thighs of male client establishing a sterile field with the drape.

  11. 6* Don sterile gloves and place fenestrated drape over perineum

  12. 7* Prepare antiseptic solution and lubricant on tray.

  13. 8* Attach syringe to catheter and test integrity of balloon. Fill balloon with all solution in the pre-filled syringe. Inflate totally and deflate thoroughly

  14. 9 Cleanse urethral meatus • if client is uncircumcised, retract the foreskin with the non-dominant hand • use dominant hand to pick up swab or cotton ball with forceps.

  15. 9 • cleanse head of the penis using a circular motion working from the urethral meatus outward. Discard the cotton swab away from the sterile field.

  16. 9 • cleanse down the penis to the base of the penis using a new sterile cotton swab with each wipe, discarding in the same way.

  17. 9 • use the last cotton swab to wipe over the meatus, discarding the same way.

  18. 10* • Pick up the lubricated catheter close to the tip and insert into the meatus until urine returns. Then advance catheter about more 2 inches.

  19. 11 • With the non-dominant hand, hold the catheter in place and fill the balloon with the dominant hand.

  20. 12 • Gently tug on the catheter to insure its stability in the bladder.

  21. 13 • Secure the catheter properly to inner thigh

  22. 14 • Make sure bedside bag tubing lies over the leg and the bag is hung below level of bladder and tubing allows flow of urine into bag.

  23. 15 • Dispose of equipment, remove gloves, and perform hand hygiene

  24. 16 • Document assessment, procedure, and client response. • Record urine volume with I & O data

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