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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 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* • Identify self by name and title
1* • Identify patient and explain purpose • Explain procedure
2 • Position client appropriately based on genitalia.
3 • Cleanse perineum with soap and water if needed
4* Open catheterization kit aseptically forming a sterile field on bed or on over bed table
5* • Place sterile drape under female client’s hips or across thighs of male client establishing a sterile field with the drape.
6* Don sterile gloves and place fenestrated drape over perineum
7* Prepare antiseptic solution and lubricant on tray.
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
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.
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.
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.
9 • use the last cotton swab to wipe over the meatus, discarding the same way.
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.
11 • With the non-dominant hand, hold the catheter in place and fill the balloon with the dominant hand.
12 • Gently tug on the catheter to insure its stability in the bladder.
13 • Secure the catheter properly to inner thigh
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.
15 • Dispose of equipment, remove gloves, and perform hand hygiene
16 • Document assessment, procedure, and client response. • Record urine volume with I & O data
