Performance Evaluation

CATHETERIZATION

DEFINITION:

PURPOSE:

EQUIPMENT:

 catheterization tray including appropriate sterile catheter

 Sterile gloves
 Sterile drapes
 Sterile cleansing swabs
 Thumb forceps
 Cleansing solution
 Syringe w/ sterile H2O
 Lubricant
 Safety pin
 Drainage tube
 Collection bag
 Tape

PROCEDURE:

Performance
Procedure Rationale rating
5 4 3 2 1
1. Gather the equipment
needed.
2. Identify the client and explain
the procedure.
3. Wash hands.
4. Assist the client to an
appropriate position and
drape all areas except the
perineum.
a) Female - dorsal
recumbent (supine with
knees flexed)
b) Male - supine with legs
slightly abducted
5. Establish adequate lighting.
6. Open catheterization set and
 arrange the sterile field.
7. Set up receptacle for soiled
cleaning swabs.
8. If drainage bag is in separate
bag, open and attach it to
bed.
9. Put on sterile gloves.
10. For an indwelling catheter,
attach syringe and test
balloon by instilling sterile
water and deflating balloon
by withdrawing the water.
11. If drainage bag is in set,
connect distal end of
catheter to drainage tubing.
12. Clean urinary meatus with
antiseptic solution using a
downward stroke.
13. Lubricate the distal portion
of the catheter and place it
on a nearby sterile field.
14. Insert the catheter gently, in
rotating motion. Instruct the
client to take a slow deep
breath upon insertion. For
male patient, hold the penis
at 45 degree angle until
urine flows.

Length of catheter insertion:

Male: 6-9 inches
Female: 2-3 inches
15. Inflate the retention balloon
with sterile water.
16. Tape the catheter to the
thigh of a female patient and
to the lower abdomen for a
male patient.
17. Secure the drainage tubing
and place drainage bag
below the level of the
bladder.
18. Assist the client to a
comfortable position.
19. Gather and discard
disposable equipment.
20. Wash hands.
21. Document the procedure.
SCORE (Actual score over Perfect score X 100%):

_____________________________
Signature over printed name of Evaluator

________________________________
Signature over printed name of Student