NSE 411-051 Workshop Skill #2 Urinary Catheterization

NSE 411-051 Workshop Review #2 Urinary Catheterization

How many steps is this procedure?

6 Steps

NSE 411-051 Workshop Review #2 Urinary Catheterization

S1: What is it?

Gather Supplies

NSE 411-051 Workshop Review #2 Urinary Catheterization

S1: Gather Supplies

How many supplies are needed?

8

NSE 411-051 Workshop Review #2 Urinary Catheterization

S1: Gather Supplies

What 8 supplies are needed?

1) catherterization tray

2) urinary catheter

3) blue pad

4) catheter drainage bag for urine to collect

5) sheet for draping

6) disposal bag for equipment

7) sterile gloves

8) cleansing solution for cleaning

NSE 411-051 Workshop Review #2 Urinary Catheterization

S2: What is it?

Prepare The Environment

NSE 411-051 Workshop Review #2 Urinary Catheterization

S2: Prepare the Environment 2 steps

1) prepare a workspace that is clean and tidy

2) hand hygiene and lower head of bed to waist level

SAME 2 AS WOUND CARE!!!!

NSE 411-051 Workshop Review #2 Urinary Catheterization

S3: What is it?

Prepare the Client

NSE 411-051 Workshop Review #2 Urinary Catheterization

S3: Prepare the Client 2 steps

1) place in dorsal recumbent position with hips externally flexed

2) only expose perineal area

NSE 411-051 Workshop Review #2 Urinary Catheterization

S4: What is it?

Prepare Equipment

NSE 411-051 Workshop Review #2 Urinary Catheterization

S4: Prepare Equipment

4 Steps

1) Perform hand hygiene and ahdere to standard precautions

2) open the package containing drainage system and place on bed

3) open the cathertization kit only touching edges and keeping bottom sterile

4) open catheter package and place into the catheter kit

NSE 411-051 Workshop Review #2 Urinary Catheterization

S5: What is it?

Pre-catheter care

NSE 411-051 Workshop Review #2 Urinary Catheterization

S5: Pre-Catheter Care

6 Steps

1) open the lubricant package and put into sterile tray + open the solution and put into sterile tray

2) Now put on sterile gloves

3) apply 1st sterile drape between thighs

4) apply fenestrated sterile drape over perineum exposing labia

5) place sterile tray on the bed now

6) put syringe on urinary catheter and lubricate it

NSE 411-051 Workshop Review #2 Urinary Catheterization

S6: Insert Catheter Female

3 steps what are they?

1) Retract the labia with the non-dominant hand to fully exposee the urethral meatus and maintain retraction

2) with sterile dominant hand pick up antiseptic swab and cleanse from least contaminated to most contaminated area using one swab per swipe in 3 area

- labial fold

- urethreal meatus

3) slowly insert catheter 5-7cm or until urine flows, do not force against resistence, when urine appears advance catheter 2.5-5cm and release labia and hold catheter will non-dominant hand and inflate balloon with the 10cc syringe, pull gently to ensure resistance

NSE 411-051 Workshop Review #2 Urinary Catheterization

S6: Insert Male Catheter

10 steps

1. retract foreskin with non-dominant hand

2. grasp penis at shaft below glands

3. retract urethral meatus between thumb and forefinger and maintain this position

4. With sterile dominant hand pick up cotton ball with forcepts and clean penis, move in a circular motion doing this 3x

5. lift penis perpendicular to body

6. ask pt to bear down as it voiding and slowly insert catheter

7. advance catheter 17-22.5 cm until urine flows and stop if resistance is met

8. when urine appears advance another 2-5cm

9. lower penis and hold catheter securly in non dominant hand and inflate balloon

10. reduce the foreskin back

NSE 411-051 Workshop Review #2 Urinary Catheterization

Once catheter is placed what do u do?

Attach end of catheter to collecting bag

NSE 411-051 Workshop Review #2 Urinary Catheterization

Last final step of catheter?

PUT CATHETER BAG ON BED FRAME BELOW LEVEL OF BLADDER!