Urinary Catheterisation - Female Flashcards
(1) Introduction:
What should not forget?
A chaperone
(2) Gather equipment:
Read list!!
- Plastic apron
- Two pairs of sterile gloves
- Sterile water-filled syringe (10ml) for inflation of the catheter balloon.
- 0.9% sodium chloride (10mls)
- Lidocaine (1%) anaesthetic lubricating gel for insertion into the urethra.
- Male urinary catheter (12/14 french): these are also used for females in most cases.
- Catheter pack: including cotton wool balls, sterile gauze, sterile drapes, absorbent pad and gallipot (a.k.a. a small pot).
- Catheter bag
- Urine collection bowl (a.k.a. a receiver)
(3) Positioning the patient:
Why should you get the chaperone to remove the sheet?
To maintain sterility.
(4) Cleaning the genital region:
Which hand should you use to part the labia?
How should you clean the urethral meatus?
What do you put on the patient once you have cleaned?
GLOVES SHOULD BE REMOVED ONCE YOU ARE DONE CLEANING
Non-dominant hand
Single stroke moving downwards to clean the urethral meatus and surrounding genital region.
Place the sterile drape over the patient’s genitals, positioned such that the genitals remain visible through the central aperture of the drape. Some drapes come with a hole already present for this purpose, whereas others will require you to create one.
(5) Inserting the local anaesthetic:
What should you warn the patient about?
How long should you wait for it to kick in?
It may sting a bit
3-5 minutes
(6) Inserting the catheter - Preparation:
How do you open pack for catheter?
Remove the tear-away portion of the wrapper near the catheter tip, making sure not to touch the catheter.
(7) Inserting the catheter - Insertion:
How do you know once it has reached the bladder?
What is there is significant resistance?
What should be done to secure the catheter?
Bladder will begin to drain from the catheter
Consider repeat attempt or specialist input from urology
Balloon inflation
(8) Inserting the catheter - Balloon inflation:
Why should you ask them if they have discomfort as you are filling the balloon?
If the patient begins to experience discomfort during the injection of the water stop immediately as this may indicate the tip of the catheter is within the urethra.
