Catheterization, Residual Use - HumanGood
|Catheterization, Residual Use H5MAPR0052 |Level III |
| |
| | |
|Purpose |The purpose of this procedure is to assess the amount of urine left in the bladder after a resident voids. |
| | |
|Preparation |Verify that there is a physician’s order for this procedure. |
| |Review the resident’s care plan to assess for any special needs of the resident. |
| |Assemble the equipment and supplies as needed. |
| | |
|Equipment and Supplies |The following equipment and supplies will be necessary when performing this procedure. |
| | |
| |Straight catheter tray; * |
| |Cotton balls; |
| |Antiseptic solution; |
| |Sterile towels; |
| |Sterile forceps; |
| |Lubricant; |
| |Fenestrated towel; |
| |Straight catheter (size ordered by physician); |
| |Wash basin; |
| |Washcloth; |
| |Soap and water; and |
| |Personal protective equipment (e.g., gowns, gloves, mask, etc., as needed). |
| | |
| |* Most of the equipment/supplies listed above are contained in the straight catheter tray. However, they are |
| |listed individually because there may be times when you will need to obtain and assemble such supplies without the|
| |benefit of a straight catheter tray. |
| | |
|Steps in the Procedure |Place the clean equipment on the bedside stand or overbed table. Arrange the supplies so they can be easily |
| |reached. |
| |Wash and dry your hands thoroughly. |
| |Allow resident to void and assist resident back to bed. |
| |Fill the wash basin one-half (1/2) full of warm water. Place the wash basin on the bedside stand within easy |
| |reach. |
| |If the resident’s physical or medical condition permits, assist the female resident into the dorsal recumbent |
| |position or the male resident into the supine position. Refer to the resident’s plan of care and/or request |
| |information from the nurse supervisor regarding safe positioning for the resident. |
| |Put on disposable gloves. |
| |Wash the resident’s genitalia and perineum thoroughly with soap and water. Rinse the area well and towel dry. |
| |Pour the wash water down the commode. Flush the commode. |
| |Discard soiled linen into designated container. |
| |Discard disposable gloves into designated container. Wash and dry your hands thoroughly. |
| |Open the straight catheter tray using sterile technique. |
| | |
| | |
|Steps in the Procedure (continued)| |
| |continues on next page |
| |Put on sterile gloves. |
| |Position sterile drape under buttocks of resident. |
| |Place fenestrated drape over the perineum. |
| |Open the antiseptic solution and pour it over the cotton balls. Open the antiseptic ointment and lubricate the |
| |catheter tip about two inches for the female resident and five inches for the male resident. |
| |Place sterile tray onto sterile drape between the resident’s thighs. |
| |With nondominant hand separate the labia of the female resident or retract the foreskin of the uncircumcised male |
| |resident. Maintain the position of this hand throughout the procedure. (Note: This glove is now contaminated.) |
| |Assess the urethral meatus. |
| |For the female: Use the forceps and cotton balls to cleanse the labia. Use only one cotton ball for each downward,|
| |cleansing stroke. Next, cleanse around the urethral meatus. Using a new cotton ball, cleanse directly over the |
| |meatus. |
| |For the male: Use the forceps and cotton balls to cleanse around the meatus. Cleanse the glans using circular |
| |strokes from the meatus outward. Repeat three times. Use only one cotton ball per cleansing stroke. Return |
| |foreskin to normal position. |
| |With your sterile hand, pick up the sterile straight catheter approximately 5-6 inches from the tip. |
| |Insert the catheter gently into the meatus (approximately 2-3 inches in a female or 5-6 inches in a male) until |
| |urine begins to flow from the bladder. Place the end of the straight catheter into a measuring device. When the |
| |urine flow begins to cease, pinch the catheter and remove. |
| |Discard straight catheter and disposable items into designated containers. |
| |Note amount of residual urine collected. |
| |Flush residual urine into the commode. |
| |Clean and sanitize measuring device if reusable. Store in designated area. |
| |Dry resident’s perineal area. |
| |Remove gloves and discard into designated container. |
| |Clean the bedside stand and/or overbed table. Return the overbed table to its proper position. |
| |Wash and dry your hands thoroughly. |
| |Reposition the bed covers. Make the resident comfortable. |
| |Place the call light within easy reach of the resident. |
| |If the resident desires, return the door and curtains to the open position and if visitors are waiting, tell them |
| |that they may now enter the room. |
| | |
|Documentation |The following information should be recorded in the resident’s medical record: |
| | |
| |The date and time the procedure was performed. |
| |The name and title of the individual(s) who performed the procedure. |
| |All assessment data obtained during the procedure. |
| |How the resident tolerated the procedure. |
| |If the resident refused the procedure, the reason(s) why and the intervention taken. |
| |The amount of residual urine obtained. |
| |The character (i.e., color, clarity, etc.) of the residual urine obtained. |
| |The signature and title of the person recording the data. |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| |continues on next page |
|Reporting |Notify the supervisor if the resident refuses the procedure. |
| |Notify the physician of the amount of residual urine, if any, and if there are any abnormalities in the character |
| |of the urine. |
| |Report other information in accordance with facility policy and professional standards of practice. |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
|References |
|MDS (CAAs) |Section H; (CAA 6) |
|Survey Tag Numbers |F315 |
|Related Documents | |
|Risk of Exposure |Body Fluids–Infectious Diseases |
|Procedure |Date:________________ By:__________________ |
|Revised |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- traumatic foley catheterization icd 10
- self catheterization instructions
- female self catheterization instructions
- self catheterization for men problems
- male catheterization live patient
- self catheterization male bleeding
- female urinary catheterization procedure
- male urinary catheterization procedure
- bladder catheterization procedure
- urinary catheterization procedure video
- in and out catheterization procedure
- traumatic catheterization icd 10