Demo Catheter Care

Name: ________________________ Date Performed:_________
GRADING:
5 - EXCELENT: Cited the procedure. Done the procedure correctly.
4 - VERY SATISFACTORY: Cited the procedure with minimal correction. Done the procedure
correctly.
3 - SATISFACTORY: Cited the procedure with minimal correction. Done the procedure correctly
with minimal correction
2 - FAIR: done the procedure correctly without citing.
1 - NEEDS IMPROVEMENT : Cited the procedure without doing.
0 - NOT DONE: Skipped procedure
TASK SHEET
Catheter Care
Occupational & Health Procedure: Pts 5 4 3 2 1 0
Always use personal protective equipment
Always observe infection control procedures
Rationale: Correct catheter care decreases risk of infection and
contributes to the clients overall comfort.
1. Assemble your equipment :
Basin of water and mild soap or cleaning solution, wash or gauzed
pads, paper or plastic bag for waste, disposable gloves
2. Wash your hands.
3. Ask the visitor to leave the room, if appropriate.
4. Tell the client you are going to give him catheter care.
5. Position the client on his back so the catherter and urinary miatus
are exposed. Put on your gloves.
6. Wash the area gently. Do not pull on the catheter, but hold it with
one hand while wiping it with the other.
7. Observe the meatus for redness, swelling, or discharge.
8. Wipe away from the meatus. Wipe from the meatus to anus
9. Wipe one way and not back and forth.
10. Dry the area
11. Remove gloves
12. Apply lotion or powder in small quantities to the thighs. Ask your
supervisor if this area should be kept dry or moist.
13. Make the client comfortable.
14. Put on gloves. Dispose of the dirty water into the toilet. Clean your
equipment and put it in its proper place.
15. Remove gloves and wash your hands
16. Make a notation the clients charts that you have completed this
procedure.
REMARKS COMPETENT NOT YET COMPETENT
Trainees Signature Trainer's Signature
Name: _________________________ Date: ____________
Performance Criteria Checklist
Catheter Care
Can I? YES NO
Always use personal protective equipment?
Always observe infection control procedures?

Assemble your equipment :
Basin of water and mild soap or cleaning solution, wash or gauzed pads, paper or
plastic bag for waste, disposable gloves?
Wash your hands before the procedure?

Can I? YES NO
Ask the visitor to leave the room, if appropriate?
Tell the client you are going to give him catheter care?
Position the client on his back so the catherter and urinary miatus are exposed.
Put on your gloves?
Wash the area gently. Do not pull on the catheter, but hold it with one hand while
wiping it with the other?
Observe the me at us for redness, swelling, or discharge?
Wipe away from the me at us. Wipe from the meatus to anus?
Wipe one way and not back and forth?
Remove gloves?
Dry the area?
Apply lotion or powder in small quantities to the thighs. Ask your supervisor if this
area should be kept dry or moist?
Make the client comfortable?
Dispose of the dirty water into the toilet. Clean your equipment and put it in its
proper place?
Wash hands after the procedure?
Make a notation on the client chart that you have done this procedure? Note any
observation during the procedure?
___________________________
Trainee Signature
GRADING:
correctly.
TASK SHEET
Helping a Client with Deep-Breathing Exercises
Occupational Health & Safety Procedure: Pts 5 4 3 2 1 0
Observe infection control policies
Always use personal protective equipment: mask & gloves
1. Assemble your equipment:
Equipment for mouth are following this procedure, tissues and basin or
specimen container, plastic bag for waste
2. Wash your hands
3. Ask the visitor to leave the room, if appropriate.
4. Tell the client you are going to help him with deep-breathing
exercises.
5. Direct the client to breathe in deeply through his nose.
6. Direct the client to blow out through his mouth with his lips
"pursed", as though he were blowing out a match
Occupational Health & Safety Procedure: Pts 5 4 3 2 1 0
Observe infection control policies
Always use personal protective equipment: mask & gloves
7. Repeat this step 10 times
8. Offer the client mouth care.
9. Dispose of the tissues into a plastic bag.
10. Make the client comfortable
11. Make a notation on the chart that you have completed this
procedure. Also note anything you observe.

GRADING:
correctly.
TASK SHEET
Collecting a Routine Urine Specimen
RATIONALE: A properly collected specimen allows a laboratory to
evaluate the chemical structure of the urine and evaluate for possible
further testing.
Bedpan or urinal, disposable gloves, measuring container for
measuring output, urine specimen container and lid, paper or plastic
bag for toilet tissue, label, wet washcloth, towel
2. Prepare the label. Write clearly the clients name and address, date,
and the time. Also write what type of specimen this is - routine urine.
3. Wash your hands and put on gloves.
4. Ask visitor to leave the room, if appropriate.
5. Tell the client a urine specimen is needed. Explain the procedure to

him. If he is able to collect the specimen himself, he should do so.
6. If the client is able, he can urinate directly into the container. If he is
not, ask him to urinate into bedpan or urinal. Remind the client to put
toilet tissue not into the bedpan but into a paper bag or a plastic bag.
You will discard the tissue in the toilet. Remove gloves and wash hands.
7. Offer the client a washcloth and towel to wash his hands
8. Make the client comfortable.
9. Put on gloves and take the bedpan or urinal into the bathroom
10. If the client is on I&O. Pour the urine into a clean measuring
container and note the urine amount on the I&O sheet.
11. Pour the urine into the specimen container. Fill it 1/3 full.
12. Put the lid on the container. Wipe off the outside of the container.
Secure the label to the container.
13. Pour the urine remaining in the bedpan, urinal, or measuring
container into the toilet.
14. Clean and rinse the bedpan, urinal, oreasuring container and return
to their proper place.
15. Remove gloves and wash your hands.
16. Make a notation on the client chart that you collected the
specimen, the time, and anything you observed about the client during
this procedure.
17. Store the specimen in the correct place before it is taken to the
laboratory.

GRADING:
correctly.
TASK SHEET
Obtaining a Urine Specimen from a Client with a Foley Catheter
RATIONALE: A properly obtained urine sample allows a laboratory to
evaluate the chemical structure of the urine and evaluate for possible
further testing.
1. Assemble your equipment: Specimen container and lid, Measuring
container, label, Disposable gloves, padding to protect the bed,
protective cap for drainage tubing or sterile gauze pads
2. Prepare the label. Write clearly the clients name, address, the date
and time. Write the type of specimen and how it was obtained.
3. Wash your hands.
4. Explain the procedure to the client.
5. Put on gloves.
6. Clamp indwelling urinary catheter below the port by folding plastic

tubing in half and applying a metal/plastic clamp.
7. Wait no more than 15 minutes for small amount of urine to collect in
the tubing above the port.
8. Insert a sterile syringe gently into the port (after swabbing with
alcohol) taking care not to poke the needle through the tubing.
9. Withdraw approximately 10 cc of urine.
10. Insert the urine into the sterile specimen cup. Take care not to
touch the rim or inside cover of the cap ( prevents contamination of the
specimen).
11. Unclamp the tubing and straighten it out. Be sure that the urine is
now freely flowing.
12. Apply the correct lab label the specimen cup and bag according to
policy.
13. Report the result of the procedure to your supervisor.
14. Remove gloves and wash your hands
specimen, the time, and anything observed about the client during this
procedure.
laboratory.

GRADING:
correctly.
TASK SHEET
Collecting a Midstream Clean-Catch Urine Specimen
RATIONALE: A properly collected sample allows a laboratory to
evaluate urine free from bacteria.
Clean-catch kit or sterilized jar, sterile cleansing solution, sterile gauze,
disposable gloves, bedpan or urinal if the client is unable to go to the
bathroom, wet washcloth, towel, waste bag
2. Prepare the label if it is outside the kit. If not, wait until end of the
procedure. Write clearly the clients name and address, the date, and
the time. Write the type of specimen and how it was obtained.
3. Wash your hands
4. Ask the visitor to leave the room, if appropriate. You may want to
explain this procedure to a family member.
5. Tell the clue t you need a midstream clean catch urine specimen.
6. Explain the procedure. If the client is able, he may collect the
specimen himself.
8. Open the disposable kit.
9. Put on gloves. Remove the towelettes and urine specimen container.

Do not put your hand inside the container or lid.
10. For female clients:
a. Separate the folds of the labia and wipe with one towellette from the
front to the back along one labia. Throw away the towelette. The labia
must be separated during cleansing and collection of the specimen
b. Wipe the opposite labia with the second towelette. Throw it away
c. Wipe down the middle using the third towelette. Throw it away.
11. For male clients:
a. If the male is uncircumcised, pukk the foreskin of the penis back
before cleansing the penis. Hold it back during during urination.
b. Use a circular motion to clean the head of the penis. Use all three
towelettes. Throw each one away after you use it.
12. Ask the client to start urinating into the bed pan or the toilet. Then
ask him to stop. Place the sterile urine container under the stream of
urine and ask the client to start urinating again. Fill the container 1/2 to
3/4 full. The remaining urine may be discarded.
13. If the client is on I&O, all the urine must first voided into a sterile
measuring container and measured, then put into the sterile specimen
container provided. Be sure to note on the I&O sheet the amount of
the urine sent as a specimen.
14. Cover the urine container with the proper lid. Be sure not to touch
the inside of the lid or the container. Wipe off the outside of the
container.
15. Take off your gloves.
16. Wash your hands
17. Make the client comfortable. Offer the client a wet washcloth and
towel to wash his hands.
18. Clean all the equipment and replace it
19. Wash your hands
specimen, the time, and anything observe about the client during this
procedure.
laboratory

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Name: ________________________ Date Performed:_________

3. Ask the visitor to leave the room, if appropriate.

9. Wipe one way and not back and forth.

10. Dry the area

11. Remove gloves

Trainees Signature Trainer's Signature

Name: _________________________ Date: ____________

Performance Criteria Checklist

Always use personal protective equipment?

Always observe infection control procedures?

Wash your hands before the procedure?

Ask the visitor to leave the room, if appropriate?

Observe the me at us for redness, swelling, or discharge?

Wipe one way and not back and forth?

Dry the area?

Make the client comfortable?

Wash hands after the procedure?

3. Ask the visitor to leave the room, if appropriate.

8. Offer the client mouth care.

9. Dispose of the tissues into a plastic bag.

10. Make the client comfortable

Trainees Signature Trainer's Signature

Name: ________________________ Date Performed:_________

4. Ask visitor to leave the room, if appropriate.

5. Tell the client a urine specimen is needed. Explain the procedure to

8. Make the client comfortable.

Trainees Signature Trainer's Signature

Name: ________________________ Date Performed:_________

4. Explain the procedure to the client.

6. Clamp indwelling urinary catheter below the port by folding plastic

14. Remove gloves and wash your hands

Name: ________________________ Date Performed:_________

9. Put on gloves. Remove the towelettes and urine specimen container.

16. Wash your hands

19. Wash your hands

Trainees Signature Trainer's Signature

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