Table of Contents
REQUIREMENTS #
- A trolley contaminating the following:
- Top shelf (a sterile field with the following)
- Two sterile gallipot
- Kidney dish
- Sterile Cotton swab
- Sterile drapes
- Bottom shelf
- Antiseptic solution
- Receiver for soiled items
- Mackintosh and dressing towel
- Disposable gloves
- Sterile gloves
- Urinal
- Measuring jug
- Urine bag if necessary
- Antibiotic ointment
- Top shelf (a sterile field with the following)
STEPS #
- Establish rapport with patient (Refer to steps)
- Explain procedure to patient (Refer to steps)
- Assemble necessary items
- Ensure privacy
- Perform hand hygiene, prepare trolley and send to bedside
- Put patient in the supine position
- Place mackintosh and dressing towel under patient
- Cover patient up so that only genital area is exposed
- Remove anchor device to free catheter tubing
- Perform hand hygiene and wear sterile gloves
- If it is a male, retract foreskin if present to expose urethral meatus, clean around catheter first, and then wipe in a circular motion around meatus and glans
- If it is a female, clean vulva using cotton wool swab and antiseptic solution towards anus, clean urethral meatus, moving down the catheter
- Inspect urethral meatus for discharge
- Use sterile cotton swab soaked in antiseptic lotion, wipe in a circular motion along the length of catheter
- Anchor catheter back
- Apply antibiotic ointment at urethral meatus and along 2.5cm of catheter
- Empty the urine and change the bag if necessary
- Record urine output
- Remove drape, mackintosh and dressing towel
- Remove gloves and perform hand hygiene
- Put patient into a desirable position
- Dispose off used items and decontaminate instruments and trolley
- Perform hand hygiene
- Document in nurses’ notes, intake and output chart (manual or electronic)
- Report findings to appropriate officer