Name: ____________________________________________ Score: __________

URINALYSIS CATHETERIZATION

5- VERY SATISFACTORY (VS)

4- SATISFACTORY (V)
3- FAIR (F)
2- POOR (P)
1-NEED IMPROVEMENT (NP)

Steps: 5 4 3 2 1
1. Place the client in a dorsal recumbent
position with thighs slightly apart exposing only
the genital area.

2. Wash the genitalia and perineal area with

soap and warm water.

3. Wash your hands.

4. Prepare the urine drainage system if

indwelling catheter is to be inserted.
5. Open the sterile kit and the catheter if it is
packed separately.
6. Don sterile gloves.
7. Drape the client with sterile diaper. Place the
first drape under the clients buttocks keeping
the underpads edges cuffed over the gloves.

8. Position the fenestrated drape on the client

with the hole over the genitalia.
9. Place the sterile tray over the drapes
between the clients thigh.
10. Pour antiseptic solution over the cotton
balls if it is not prepared and open the
specimen container, if a specimen is to be
obtained.
11. If indwelling catheter is to be inserted, test
the catheter balloon. Inject appropriate
amount of fluid into the injection port of the
catheter using a syringe prefilled with
5cc sterile water.

12. Lubricate the insertion tip of the catheter.

13. Separate the labia majora and the minora

using the thumb and index finger of the
non-dominant hand.

14. Position the drainage end of the catheter in

the receptacle using the dominant (sterile)
hand.

15. Still using the dominant hand, insert the

catheter tip into the meatus 5cm to
7cm (2 to 3 inches) or until urine flows. For an
indwelling catheter, advance the catheter
for another to 1 inch.

16. Hold the catheter securely with the non-

dominant (nonsterile) hand while the urine
empties the receptacle. Limit the amount of
urine drained according to the agency policy.

17. Pinch and remove the catheter, if straight

catheter is inserted.

18. Remove the syringe from the port and pull

the catheter gently until a resistance is felt.

19. Connect the drainage bag to the catheter.

20. Keep the drainage bag below the level of

the clients bladder suspending it off the
floor.

21. Clean and dry the perineal area, if

necessary. Make the client comfortable as
possible.

22. Document the procedure: date and time it

was inserted; type of catheter inserted; the
initial volume, color, consistency of urine
obtained; and the time the catheter is removed