Urinary Catheterization Using a Straight Catheter: Male and Female

Question 1

What is included in the critical thinking for this skill?

Answer 1

LAST VOID: (COD): color, odor, drainage (clear/cloudy), how much, etc.

• can patient assist (weakness)
• specimen collection?

Question 2

What are the differences in pericare for males and females?

Answer 2

for females: sides then middle (different parts of the towel)
for males: circular motions on the meatus

Question 3

What position is the female patient put in?

Answer 3

-supine, knees flexed, hips rotated and feet 2’ apart

Question 4

What position is the male patient put in?

Answer 4

-supine, thighs slightly apart

Question 5

There are two sides to the sterile drape, which side faces down?

Answer 5

shiny side down

Question 6

How many inches of the catheter is lubricated for the female?

Answer 6

1-2”

Question 7

How many inches of the catheter is lubricated for the male?

Answer 7

5-7”

Question 8

What is the procedure for insertion of the catheter for the female?

Answer 8

Remove clean gloves
Opens sterile kit /catheter.
Puts on sterile gloves.
Slides sterile drape under client’s
Buttocks with shiny side down, folding corners of drape over sterile gloves
Applies fenestrated drape
Opens antiseptic solution/Swabs
(Order of this varies depending upon manufacturer)
Lubricates tip of catheter
(1-2 inches female, and 5-7
inches male.)
Female:
Separates client’s labia minora with non-dominant hand.
Using sterile forceps picks up
cotton ball (swab) and cleanses
one side of the labia minora. Use a new swab for other side. Use last swab to clean directly over the meatus.
With sterile hand picks up lubricated catheter approximately 3 inches from tip, ask patient to bear down gently and gently inserts catheter 2-3 inches for females or until urine flows.

Question 9

What is the procedure for insertion of the catheter in the male patient?

Answer 9

Remove clean gloves
Opens sterile kit /catheter.
Puts on sterile gloves.
Slides sterile drape under client’s
  Buttocks with shiny side down, folding corners of drape over sterile gloves
Applies fenestrated drape
Opens antiseptic solution/Swabs
(Order of this varies depending upon manufacturer)
Lubricates tip of catheter 
  (1-2 inches female, and 5-7 
  inches male.)
Male:
Retract foreskin if needed.
Firmly grasp penis with non-
 dominant hand just below glans
Spread the meatus between the 
  thumb and forefinger.
Cleanse meatus and then wipe 
  the tissue surrounding the meatus
  in a circular motion around the glans
Repeat two more times
With sterile hand picks up lubricated catheter approximately 3 inches from tip, ask patient to bear down as if to void and gently inserts catheter 8 inches for males or until urine flows.

Question 10

What must be vocalized in this skill?

Answer 10

BEAR DOWN and then insert

Question 11

What is the procedure for an indwelling catheter?

Answer 11

for indwelling catheter inserts catheter 2-3 inches for females/ 8 inches for males, or until urine flows; and then advance another 1-2 inches inflates balloon, pull gently to feel resistance.

Question 12

What is documented?

Answer 12

-DOCUMENTATION:
Inserted 14 french straight catheter using sterile technique w/ appropriate urine output of straw colored urine w/out sediment. (COD: color/odor/drainage). Pt. tolerated treatment well at Xpm/am.