New Recording 104 class

Context & Purpose of the Skill

  • Scenario: CNA skills-lab demonstration on indwelling catheter care and urinary drainage-bag emptying/measurement.
  • Core objectives
    • Provide safe, hygienic perineal & catheter care.
    • Maintain resident dignity, privacy, and comfort.
    • Accurately measure, document, and report urine output to help detect fluid-balance problems.

Universal Opening Routine

  • Knock, greet resident, identify yourself & resident; explain procedure.
  • Perform hand hygiene before touching any supplies.
  • Ensure call-light is within reach, bed is lowered & locked; close privacy curtain.

Required Supplies (for ONE complete skill)

  • 1 bath towel (barrier for floor or overlap for resident’s leg).
  • 1 disposable under-pad ("chuck") ‑ optional if towel used as barrier under hip.
  • Basin filled ½ full or more with comfortably warm water.
  • 2 washcloths folded into 5 "pages" each (for wash & rinse).
  • Soap (liquid or cleansing solution).
  • Gloves (don before actual cleansing; remove for documentation/clean items).
  • Graduate cylinder (25 mL increments, holds ≥1000 mL).
  • Paper towel for countertop barrier & to wipe catheter spigot.
  • Recording sheet & pen (touched only with clean hands).

Privacy, Safety, & Body-Mechanics Principles

  • Keep resident covered; expose only necessary perineal area.
  • Never pull or tug on catheter tubing.
  • Bag must remain below bladder & should never touch floor (infection-control; fail point).
  • Kneel on a towel if working at floor level; maintain proper ergonomics.

Review: Perineal Care Prior to Catheter Cleaning

  • Always perform peri-care first. Sequence for female resident:
    1. Separate labia; wipe meatus front→back (page 1).
    2. Wipe left labial fold front→back (page 2).
    3. Wipe right labial fold front→back (page 3).
    4. Wipe outer left thigh/groin (page 4).
    5. Wipe outer right thigh/groin (page 5).
  • Use soap on every wash stroke; rinse with identical strokes using second cloth.
  • Pat dry with clean towel (different section per pat).

Catheter Shaft Cleaning Technique

  • Fold one washcloth into 5 pages:
    • Page 1 & 2 = soapy pages.
    • Page 3–5 = rinse pages (no soap).
  • Stabilize catheter with