URINARY CATHETERIZATION SCRIPT 16.

Pick up a cotton ball with the forceps in your dominant

A. PREPARATION
1. Upon assessing the client who needs catheterization;
urinary incontinence, or urinary retention is present.
2. Assemble equipment and supplies.
3. Aspirate 10 cc sterile water.
4. Check with the doctor’s order.
5. Good morning, ma'am. I am Rica Acunin, student nurse from
Far Eastern University.
6. For verification purpose, please state your name and your
birth date.
7. Today, I am going to do urinary catheterization po wherein I
will insert a urinary catheter into your urethra po to drain
your bladder and urine po.
8. Provide for client’s privacy.
9. Perform hand hygiene.
10. Don clean gloves.
11. Establish adequate lighting.
12. Stand on the clients right if you are right-handed; on the
client’s left if you are left-handed.
B. PROCEDURE
FEMALE (PERINEAL CARE)
13. Drape all areas except the perineum
14. Place the client in the appropriate position. Supine, with
knees flexed, feet about 2 feet apart and hips slightly
externally rotated.
15. Use your non dominant hand to spread the labia.
hand.
17. Wipe one side of the labia majora in an anterior posterior
direction.
18. Use a new cotton ball for opposite side.
19. Repeat for the labia minora.
20. Use the last ball to cleanse directly over the meatus.
21. Pour tap water to the perineum to rinse.
22. Pat dry the perineum with cotton balls.
23. Remove all used materials from the work area.
24. Perform handwashing.
B. PROCEDURE
MALE (GLANS PENIS CARE)
13. Place the client in the appropriate position. Supine, legs slightly
abducted.
14. Drape all areas except the penis.
15. Perform routine meatus care.
16. Use your non-dominant hand to grasp the penis just below the
glans. If necessary, retract the foreskin.
17. Hold the penis firmly upright, with slight tension
18. Pick up a cotton ball with forceps in your hand.
19. Wipe from the center of the meatus in a circular motion around
the glans.
20. Use a new cotton ball each time; repeat three times.
21. Rinse with tap water using the same stroke.
22. Pat dry.
23. Remove all used materials from the work area.
24. Perform handwashing.
INSERTION (FEMALE & MALE)
25. If using a collecting bag not contained within the
catheterization kit, open the drainage package.
26. Place end of the tubing within reach.
27. Open the catheterization kit.
28. Place on waterproof drape under the buttocks without
contaminating the center of the drape with your hands.
29. Don sterile gloves.
30. Attach the prefilled syringe to the indwelling catheter
inflation hub.
31. Test the balloon
32. Aspirate 10 cc of sterile water
33. Attach the drainage end of the catheter in the collection
bag.
34. Lubricate the tip of the catheter about 7-12 inches.
35. Gently introduces well lubricated catheter 5–7 cm (2–3 in)
into urethral meatus using strict aseptic technique until
urine flows.
36. Advance the catheter another 1 to 2 inches farther
CONTINUATION FOR BOTH
37. Collect a urine specimen, if needed allow 20 – 30 ml to flow
into the specimen bottle without touching the catheter to
the bottle.
38. Inflate the balloon with 10 ml sterile water
39. Attach the drainage end of the indwelling catheter to the
collecting tubing and bag.
40. Examine and measure the urine.
41. Secure the catheter tubing to the inner right for the client
on the upper thigh, using a micropore, with enough slack to
allow usual movement.
42. Secure the collecting tubing to the bed linens.
43. Hang the bag below the level of the bladder. No tubing
should fall below the top of the bag.
C. REMOVAL OF CATHETER FOR BOTH
44. Perform handwashing.
45. Prepare syringe and tissue paper in a tray and bring to
bedside.
46. Good morning po, ma'am/sir. Today po I am going to remove
your urinary catheter na po.
47. Don clean gloves.
48. Position patient accordingly.
49. Aspirate 10 cc water from the balloon of the catheter.
50. Kinks the catheter
51. Gently pulls out the catheter while the patient breathes
through the mouth.
D. AFTER CARE
52. Wipe the perineal area or meatus of any remaining
antiseptic or lubricant.
53. Position client comfortably.
54. Discard all used supplies in appropriate receptacles.
55. Perform hand hygiene.

E. DOCUMENTATION
56. Document:
a. Time and date of catheterization
b. Reason for catheterization
c. Type and size of the catheter
d. Amount of water used to inflate the balloon
e. Amount, color, and clarity of urine obtained
f. Whether specimen was taken and sent to the laboratory
g. Assessment before and after the procedure