PROCEDURE CHECKLIST

Chapter 27: Continuous Bladder Irrigation

Check (9) Yes or No

PROCEDURE STEPS Yes No COMMENTS

1. Uses sterile irrigation solution, warmed to room
temperature.
2. Never disconnects the drainage tubing from the
catheter.
3. If not already present, inserts a 3-way (triple lumen)
indwelling catheter.
4. Prepares the irrigation fluid and tubing:
a. Closes the clamp on the connecting tubing.
b. Spikes the tubing into the appropriate portal on the
irrigation solution container, using aseptic technique.
c. Inverts the container and hangs it on the IV pole.
d. Removes protective cap from the distal end of the
connecting tubing; holds end of tubing over a sink and
opens the roller clamp slowly, allowing solution to
completely fill the tubing. Recaps the tubing.
5. Dons clean procedure gloves.
6. Drapes patient so that only the connection port on the
indwelling catheter is visible.
7. Places a sterile barrier under the irrigation port on a 3-
way catheter.
8. Removes any plug from the port. Connects end of
irrigation tubing to the side port of the catheter, using
aseptic technique. Pinches or clamps tubing to prevent
leakage of urine.
9. Before beginning flow of irrigation solution, empties
urine from the bedside drainage bag and documents
amount.
10. Removes gloves; washes hands.
11. Covers the patient and makes him comfortable.
12. Opens the roller clamp on the tubing and regulates the
flow of the irrigation solution to meet the desired outcome
for the irrigation (e.g., the goal of continuous bladder
irrigation for patients who have had a transurethral
resection of the prostate is to keep the urine light pink to
clear).
13. Monitors flow rate for 1 to 2 minutes to ensure
accuracy.

Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing
Recommendation: Pass ______ Needs more practice ______

Student: Date:

Instructor: Date:

Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing