Assess patient for any allergies to local anesthesia or antiseptic
5
Prepare patient by placing in dorsal lithotomy position
6
Cleanse urethral meatus with antiseptic solution
7
Carefully open catheter package maintaining sterility
8
Apply sterile gloves
9
Inspect catheter for defects
10
Approval: Catheter Inspection
11
Lubricate the catheter
12
Anesthetize urethra if anesthetic gel is used
13
Carefully insert the catheter into urethra
14
Advance the catheter until urine flows
15
Inflate balloon once catheter is in place
16
Secure catheter
17
Cleanse patient's genital area
18
Dispose of used equipment and clean the area
19
Remove gloves and perform hand hygiene
20
Document the procedure
Confirm patient identity and procedural consent
Confirm the patient's identity and ensure that they have given consent for the procedure. This is important to ensure that the correct patient is being treated and that they have provided informed consent for the procedure. Verify the patient's identity using their name and date of birth, and ask them to confirm their consent for the procedure.
1
Consent given
2
Consent not given
Perform hand hygiene and put on clean gloves
Before starting the procedure, perform hand hygiene to reduce the risk of infection. Put on clean gloves to maintain a sterile environment and protect both the patient and the healthcare provider from contamination. Wash your hands thoroughly with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer if soap and water are not available. Once your hands are clean, put on a pair of clean gloves.
Prepare sterile supplies and tray
Prepare the necessary sterile supplies and tray to ensure that everything is ready for the procedure. Gather all the required supplies, such as sterile gloves, antiseptic solution, catheter package, lubricant, and balloon syringe. Place them on a sterile tray or surface to maintain their sterility.
Assess patient for any allergies to local anesthesia or antiseptic
Before administering any local anesthesia or antiseptic, assess the patient for any allergies or sensitivities. Ask the patient if they have any known allergies to local anesthesia or antiseptic agents. If they do, take appropriate measures to avoid using any allergens during the procedure. If the patient is unsure or has a history of severe allergies, consult the healthcare provider for further guidance.
1
Yes
2
No
1
Yes
2
No
Prepare patient by placing in dorsal lithotomy position
Position the patient in the dorsal lithotomy position to facilitate the catheterization procedure. Ensure that the patient is comfortable and properly positioned. Place the patient on their back with their hips and knees bent and their feet in stirrups. This position allows for easier access to the urethral opening and helps maintain the patient's dignity and privacy.
Cleanse urethral meatus with antiseptic solution
Cleanse the patient's urethral meatus using an antiseptic solution to reduce the risk of infection during catheterization. Open a sterile antiseptic swab or solution and carefully clean the opening of the urethra using gentle, circular motions. Ensure that the antiseptic solution covers the entire area and remove any debris or discharge if present.
Carefully open catheter package maintaining sterility
Open the catheter package carefully while maintaining sterility. Ensure that the outer packaging is intact and clean. Open the package using sterile techniques, such as avoiding touching the inner surface with non-sterile gloves or surfaces. Take extra care not to contaminate the catheter or any sterile supplies during the opening process.
Apply sterile gloves
Put on sterile gloves to maintain a sterile environment during the catheterization procedure. Open a pair of sterile gloves using an aseptic technique, taking care not to touch any non-sterile surfaces or items. Put on the gloves without touching the outside surface, ensuring that they cover both hands completely and fit snugly.
Inspect catheter for defects
Inspect the catheter for any defects or damage before insertion. Check for any kinks, cracks, or other visible signs of damage that could compromise the functionality or sterility of the catheter. If any defects are found, discard the catheter and use a new one.
1
Yes
2
No
Approval: Catheter Inspection
Will be submitted for approval:
Inspect catheter for defects
Will be submitted
Lubricate the catheter
To ease the insertion process and minimize discomfort for the patient, lubricate the catheter before insertion. Apply a sterile lubricant to the distal end of the catheter, ensuring that it is evenly distributed. Use a water-soluble lubricant to prevent any adverse reactions or damage to the catheter. Lubrication helps in reducing friction and facilitates smooth insertion of the catheter into the urethra.
1
Water-soluble lubricant
2
Non-water-soluble lubricant
Anesthetize urethra if anesthetic gel is used
If anesthetic gel is used to numb the urethra and reduce discomfort during the catheterization procedure, follow the healthcare provider's instructions for its application. Apply a small amount of the anesthetic gel on a sterile swab and gently insert it into the urethra. Rotate the swab to ensure that the gel is evenly distributed. Allow sufficient time for the anesthetic gel to take effect before proceeding with catheter insertion.
1
Applied
2
Not Applied
Carefully insert the catheter into urethra
Using sterile technique, carefully insert the lubricated catheter into the urethra. Hold the catheter at the meatus and gently advance it into the urethra, applying gentle pressure. Observe the patient for any signs of discomfort or resistance during insertion. Proceed slowly and cautiously to avoid causing any trauma or injury to the urethral tissue.
1
Smooth and gentle
2
Forced or harsh
1
No discomfort
2
Mild discomfort
3
Severe discomfort
Advance the catheter until urine flows
Once the catheter is inserted into the urethra, advance it slowly into the bladder until urine begins to flow. Observe the catheter and drainage bag for urine output. Ensure that the catheter is properly placed and not causing any discomfort or obstruction. If resistance is encountered during advancement or urine does not flow, reposition the catheter or seek assistance from a healthcare provider.
1
Urine flows
2
No urine flow
Inflate balloon once catheter is in place
Once the catheter is properly positioned in the bladder, inflate the balloon according to the manufacturer's instructions. Use a syringe to inject the correct amount of sterile water or saline into the balloon port. Ensure that the balloon is inflated properly to prevent leakage or dislodgment of the catheter. Do not overinflate the balloon as it may cause irritation or trauma to the bladder.
Secure catheter
After inflating the balloon, ensure that the catheter is secured to prevent accidental dislodgment. Use a catheter securement device or adhesive tape to secure the catheter to the patient's leg or abdomen. Make sure that the catheter is not pulling or exerting tension on the urethra or bladder. Check the catheter frequently for signs of loosening or displacement, especially during patient movement or repositioning.
1
Catheter securement device
2
Adhesive tape
Cleanse patient's genital area
After securing the catheter, clean the patient's genital area to maintain hygiene and prevent infection. Use a mild soap or cleanser and warm water to gently cleanse the area around the catheter insertion site. Pat the area dry with a clean towel or gauze pad. Avoid using harsh or scented products that may cause irritation to the patient's skin.
1
Mild soap
2
Cleanser
3
Other
1
Normal
2
Sensitive
Dispose of used equipment and clean the area
Once the catheterization procedure is complete, dispose of all used equipment and clean the surrounding area to maintain a clean and safe environment. Properly discard the catheter, gloves, and any other single-use items in designated containers. Remove and dispose of the drapes used to cover the patient. Clean the area with an appropriate disinfectant to ensure the eradication of any potential contaminants.
1
Catheter
2
Gloves
3
Drapes
1
Alcohol-based
2
Chlorine-based
3
Other
Remove gloves and perform hand hygiene
After completing the catheterization procedure and disposing of any used equipment, remove your gloves carefully to prevent contamination. Follow the proper technique for removing gloves, taking care not to touch the outer surfaces. Once gloves are removed, perform hand hygiene by washing your hands thoroughly with soap and water for at least 20 seconds or using an alcohol-based hand sanitizer. Hand hygiene is critical to prevent the spread of infection between patients.
Hand Hygiene Technique
Document the procedure
Accurate and detailed documentation of the catheterization procedure is essential for continuity of care and legal purposes. Record the date, time, and location of the procedure. Document the patient's response, any complications or discomfort experienced, and the amount and characteristics of urine obtained. Note any observations or deviations from the expected outcomes. Sign and date the documentation to verify its accuracy and completeness.
