MISSION

“MABINI COLLEGES provides quality

instruction, research and extension service
programs at all educational levels as its
VISION monumental contribution to national and global
“MABINI COLLEGES shall growth and development.

MABINI COLLEGES, INC.

cultivate aCULTURE of Specifically, it transforms
EXCELLENCE in Education.” students into:
 God – fearing
Governor Panotes Avenue,  Nation – loving
 Law abiding
Daet, Camarines Norte  Earth caring
College of Nursing and Midwifery 

Productive, and
Locally and Globally
competitive persons

CATHETERIZATION
DEFINITION:
Insertion of a catheter through the urethra into the bladder to drain urine or to instill medication or
fluid

PURPOSE:
1. Facilitates evacuation of urine
2. Obtains a sterile specimen as needed
3. Monitors the urine output
4. Determines amount of residual urine
5. Prevents strain on pelvic or abdominal wound from distended bladder
6. Empties the bladder before and during surgery and before certain diagnostic procedures.
EQUIPMENT:
1. Catheterization tray including appropriate sterile catheter
2. Sterile gloves
3. Sterile drapes
4. Sterile cleansing swabs
5. Thumb forceps
6. Cleansing solution
7. Syringe with sterile H2O
8. Lubricant
9. Safety pin
10. Drainage tube
11. Collection bag
12. Tape

Able to
Unable
Able to perform
PERFORMANCE CRITERIA to
perform with
perform
assistance
ASSESSMENT
1. Assess the client and check the order
2. Determine if the procedure is to be a
straight or indwelling catheterization
3. Assess need for collection of specimen

PLANNING
4. Wash hands
5. Select specific type and size of catheter
6. Assemble all the equipment including
catheterization set, light source, bath
blanket or sheet for draping and extra
equipment as individually determined.
IMPLEMENTATION
7. Identify thew client and explain the
procedure
8. Assist the client to appropriate position
a. Female – dorsal recumbent
b. Male – supine with legs abducted
9. Open the catheterization set and arranges
the sterile field
10. Set up the receptacle for soiled cleaning
swabs
11. Open the drainage bag and attach to bed
 12. Wear sterile gloves
13. Attach syringe and test balloon by
instilling sterile water and deflating by
withdrawing the water
14. Connect distal end of catheter to drainage
tubing
15. Clean urinary meatus with antiseptic
solution using a downward stroke
16. Lubricate the distal portion of the catheter
and place it on as nearby sterile field
17. Insert catheter gently, in rotating motion
2-3 inches in female or 6-9 inches in male;
holding the penis at 45-degree angle until
urine flows. Instruct to take a deep breath
upon insertion
18. Inflate the retention balloon with sterile
water
19. Tape the catheter to the thigh of a female
client and to the lower abdomen for a male
client
20. Place drainage below the level of the
bladder
21. Assist the client to a comfortable position
22. Gather and discard disposable equipment
23. Wash hands
EVALUATION
24. Evaluate using the following criteria:
a. Indwelling catheter must drain
properly or straight catheter must
be inserted and removed without
discomfort
b. Client must be comfortable
DOCUMENTATION
25. Document the following:
a. Date and time
b. Type and size of catheter
c. Whether a specimen was obtained
d. Amount of urine
e. Description of urine
f. Client’s response to procedure

__________________________________ ___________________________________
Signature over Printed Name of Student Clinical Instructor’s Signature
Date:___________________________ Date:_______________________________
 MISSION
“MABINI COLLEGES provides quality
instruction, research and extension service
programs at all educational levels as its
VISION monumental contribution to national and global
“MABINI COLLEGES shall growth and development.

MABINI COLLEGES, INC.

cultivate aCULTURE of Specifically, it transforms
EXCELLENCE in Education.” students into:
 God – fearing
Governor Panotes Avenue,  Nation – loving
 Law abiding
Daet, Camarines Norte  Earth caring
College of Nursing and Midwifery 

Productive, and
Locally and Globally
competitive persons

REMOVAL OF INDWELLING CATHETER

PURPOSE:
 To discontinue the use of an indwelling catheter upon physician’s order
 To change the indwelling catheter
EQUIPMENT:
 Syringe without needle
 Clean gloves
 Protective pad
 Ben pan/urinal

Able to
Unable
Able to perform
PERFORMANCE CRITERIA to
perform with
perform
assistance
ASSESSMENT
1. Check the physician’s written order
2. Assess the characteristics and amount of
urine output
PLANNING
3. Wash hands
4. Assemble equipment
IMPLEMENTATION
5. Identify the client and explain the
procedure
6. Wear clean gloves
7. Place protective pad under the patient’s
thighs
8. Empty urine into tubing into catheter bag
9. Remove any tape that may hold the
catheter to the leg
10. Insert syringe end to the balloon port and
pull the plunger to remove all the air and
fluid
11. Gently pull out the catheter as the client
takes a deep breath
12. Cleanse the client’s perineal area
13. Dispose equipment used and remove
gloves
14. Wash hands
EVALUATION
15. Evaluate the amount and characteristics
of output
16. Evaluate if the client resumes usual
voiding pattern
DOCUMENTATION
17. Record the amount and characteristics of
output
18. Record if the client resumes usual voiding
pattern

__________________________________ ___________________________________
Signature over Printed Name of Student Clinical Instructor’s Signature
Date:___________________________ Date:_______________________________