INSERTING AN INDWELLING URINARY CATHETER (FEMALE)

Name: ________________________________________ Group: ________ Date: _________ Clinical Instructor: ____________________________ Score: ________

PROCEDURE CRITERIA

Advanced Proficient Basic Below Basic Insufficient

Independently performs Performs skills with Performs skills with Performs skills with Unable to perform
all skills fluently and assistance of faculty 1 - assistance of faculty 3 - 4 assistance of faculty during simulation.
without difficulty. 2 times during times during simulation. greater than 4 times
simulation. during simulation.

4 2
3 1

BEFORE CATHETER INSERTION

Patient Preparation

1. Verify the order.

2. Prepare the materials needed.

3. Identify the patient, explain the procedure,

and ask for iodine allergies.

4. Ensure privacy and good lighting.

Assist to dorsal
5. Position the patient correctly.
recumbent position (knees flexed, feet flat on
the bed).

6. Perform hand hygiene, don clean gloves, and

cleanse the perineal area with soap and
water. Rinse and dry.

7. Remove gloves and perform hand hygiene.

DURING INSERTION

(Maintaining sterile technique)

Draping the Patient

8. Open the sterile catheterization kit on a clean

 bedside table.

9. Put on sterile gloves and drape the patient.

Pick the underpad, ask the patient to raise

hips, and slide the drape under patient’s
buttocks.

Pick fenestrated drape and place over

perineum with the hole over the labia.

Materials Preparation

10. Prepare the antiseptic solution (using iodine

swab or cotton balls with betadine using a
sterile forcep).

11. Attach the saline-filled syringe to the side

port of the catheter and inflate the balloon.
After, deflate the balloon and leave the
syringe connected to the port.

12. Apply sterile lubricant to the first 2.5 to 5

cm ( 1 to 2 inches) of the catheter tip.
Attach the catheter to drainage system, and
ensure the drainage bag emptying port is
clamped.

13. Bing the kit to the sterile field between the

patient’s legs.
Urethral Meatus Preparation

14. With non-dominant hand, identify meatus

by retracting the labia. Hold this position
throughout the procedure.

15. With sterile dominant hand, clean the

meatus with the antiseptic solution moving
from top to bottom. Allow the antiseptic to
dry.

Catheter Insertion

16. Ask the patient to bear down, with sterile

dominant hand, slowly insert the catheter
into the urethra until urine flows. Then
advance the catheter 1-2 inches more. (Do
not force the catheter through the urethra).

While inserting: Ask the patient to take slow

deep breaths until the initial discomfort has
passed.

17. Hold the catheter with the non-dominant

hand; use the sterile dominant hand to fully
inflate the catheter balloon. Remove
 syringe.

18. Gently pull the catheter until resistance is

felt.

19. Secure catheter on patient’s inner thigh

with securement device (strap or plaster).

20. Ensure the tubing is not kinked and secure

the drainage bag to the bed frame below
bladder level (but not resting on the floor).

AFTER PROCEDURE

21. Dispose used supplies. Place syringe in

sharps container.

22. Remove gloves.

23. Assist patient to a comfortable position.

24. Perform hand hygiene.

Documentation
 25. Document—type and size of catheter and
balloon, amount of fluid inserted in the
balloon, patient’s reaction to the procedure,
amount and characteristics of urine, name of
person performing the insertion, and the
time and date it was completed.

Perfect Score: 100 points TOTAL SCORE______

C.I.’s Comments:

C.I. Name & Signature:

Students Name & Signature: