Catheterise a female patient (breakdown of the skill)
|Catheterise a female patient (breakdown of the skill) |
|Student copy |
|Confirms patients identity, explains the procedure and obtains verbal consent (remember to check for any allergies i.e. latex, |
|instillagel) |
|Place on the bottom of a clean trolley |
|Catheter pack Appropriate size catheter |
|Syringe for balloon inflation Water for injection for balloon inflation |
|Cleaning solution Local anaesthetic gel |
|Clinical waste bag Forceps (if you want to use them) |
|Sterile Gloves x2 |
|Catheter bag |
|Wash Hands and put on a disposable apron |
|Open catheter pack using sterile technique Carefully open onto the sterile field the supplementary equipment |
|Open the syringe pack and remove carefully, only touching the handle-end of the syringe. Twist the cap off the water for injections|
|and draw up volume according to manufactures instructions. lay syringe on the side of sterile field with the handle-end positioned |
|off the sterile field as this part is now un-sterile |
|Correct positioning of patient, maintain privacy and dignity |
|Cleanse hands with alcohol gel and apply gloves (or double gloves) |
|Lay sterile drape over the patient so genitalia are exposed |
|Labia minora are parted with non dominant hand |
|Urethral meatus identified correctly |
|Urethral meatus is cleaned with swab in a downward motion, Keeping the labia parted |
|Insert local anaesthetic gel into the meatus. Wait 3-5 minutes |
|Remove outer gloves or change gloves |
|Position kidney dish/tray between the patients thighs to catch any spillages |
|Remove tip of plastic wrapper around the catheter. Insert catheter tip into the urethral meatus, advance slowly feeding the catheter|
|out of the remaining packaging |
|On entering the bladder urine should start to drain. Advance the catheter fully to ensure the balloon is in the bladder |
|Inflate balloon with correct volume of water for injection via the catheter port. If patient experiences any pain then stop |
|Once the balloon is inflated gently withdraw catheter until resistance is felt. Do Not Pull on the catheter |
|Attach sterile drainage system (catheter bag) |
|Clean and redress patient as necessary. Address any concerns |
|Clean up, removes gloves and apron and put all waste in clinical waste bin. Wash hands |
|Record in the patients notes; Date and Time, reason for catheter, size and make of catheter, batch No, Balloon size, residual |
|urinary volume and sign |
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