Mindanao State University COLLEGE OF HEALTH SCIENCES Name of Student: Aisa Alyanna B. Habib Clinical Instructor: Ms.

Aisha B. Macabada,RN CATHETERIZATION Purpose: To provide continuous bladder drainage and irrigation, to obtain specimen, to keep the bladder empty, and to aid the descent of the fetus for the pregnant woman. Equipments: Catheter set, urobag, 10cc syringe, distilled water, lubricant, tape, cotton balls with antiseptic solution, picking forceps, Kelly pad or underpads, sterile gloves, towel, kidney basin, and drapes
Indications: By inserting a catheter, you are gaining access to the bladder and its contents. Thus enabling you to drain bladder contents, decompress the bladder, obtain a specimen, and introduce a passage into the GU tract. This will allow you to treat urinary retention, and bladder outlet obstruction. Urinary output is also a sensitive indicate of volume status and renal perfusion. In the emergency department, catheters can be used to aid in the diagnosis of GU bleeding. In some cases, as in urethral structure or prostatic hypertrophy, insertion will be difficult and early consultation with urology is essential. Contraindications: Contraindicated in the presence of urethral trauma.

Score: _________ Date: July 16, 2010

PROCEDURE 1.) Wash hands. 2.) Explain procedure and its purpose to the client. 3.) Provide privacy and adequate lighting. 4.) Assess patient status and plan to meet individual client need. 5.) Gather and prepare all needed equipment. 6.) Drape the patient; assist the patient in a dorsal recumbent position with knees flexed and feet about two feet apart. Expose only the area around the genital.
Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

RATIONALE Hand washing helps prevent the spread of microorganisms. Explanation reduces anxiety and enhances cooperation. Privacy enhances self-esteem and adequate lighting provides a good visualization of the perineum. Care is always individualized according to a clients needs. Organization and planning improves efficiency. Positioning in this manner allows good visualization of the perineum.

Put underpads under the patient buttocks. Put on sterile fenestrated drape with hole over the genital. 7.) Place the catheter set and other equipments on the sterile pad. Repeat hand washing. Put on sterile gloves. Pick cotton balls soaked with betadine antiseptic solution swab and cleanse the genital, urinary meatus, and perineal area thoroughly. 8.) Pick up the catheter and coil over the dominant hand. 9.) Lubricate the tip of the catheter at least 2-3 inch. 10.) Using non dominant hand, spread the labia minora and expose the urinary meatus. Angle the catheter upward and gently advance it into the opening. 11.) NOTE: If the catheter will not advance then instruct the patient to inhale and exhale slowly. Do not force or if patient has unusual discomforts. 12.) When the catheter has passed, urine will start to flow and insert the catheter approximately one inch further. 13.) Foley Catheter: If it is used, better to have a preconnected end tubings to the urobag. 14.) Attach the syringe to the balloon port and inject the 10cc sterile water slowly to inflate the balloon. Remove the syringe. Position the balloon correctly, pull on the catheter gently until you feel resistance. 15.) Anchor the catheter tubing and secure with tape.
Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN

This is to avoid spilling of secretions and preventing contamination. This is to easily get the catheter and other equipments when needed. Handwashing deters the spread of microorganisms. Using sterile gloves and cleaning first the perineal prevents contamination of microorganisms.

Coiling the catheter promotes an organized approach. Lubricant avoids trauma to the patient during insertion. This is to see the urinary opening for correct catheter insertion.

Slowly inhaling and exhaling may relax the sphincter muscle. This is to provide client safety and avoid trauma. Inserting the catheter one inch further will totally drain the bladder.

Foley catheter is a kind of catheter with double lumen.

Injecting distilled water to the catheter will inflate the balloon inside the bladder. The balloon serves as the resistant.

This is to prevent catheter from loosening.

16.) Secure the urinary collection bag below the level of the bladder and off the floor. Coil extra tubing on the bed. 17.) Wipe secretions. Remove gloves, drapes, and protectors from around the patient. Discard disposable equipment in a waste receptacle and return the reusable one to appropriate area. 18.) DOCUMENTATION AND EVALUATION: Record the time that the procedure was done by whom, and the patients reaction to the procedure. 19.) Instruct and teach the patient and record the level of patient understanding. 20.) Report any significant observations to the charge nurse, it includes: a. The amount, color, and clarity of urine. b. Any difficulties with the procedure. c. The presence of blood in the urine.

Coiling extra tubing makes the urine move slower. This is to prevent contamination of microorganisms, and promote safety and efficiency.

Documentation provides a means of communication and evaluation of care and client outcomes. This is to involve the patient in making a care plan.

a. To determine if there is abnormalities b. To determine if there is abnormalities c. To determine if there is abnormalities

Prepared and Compiled by: LGA Oanes, RN; C.E. Opalia RN; A. Macabada, RN