PROCEDURE

ON
CATHETERIZATION
SUBMITTED TO :- SUBMITTED BY :-

Mrs. Ms Bindu P.B.

Lecturer MSc. N), 1st Year

Govt. college of Nursing Govt.college of Nursing

Hyderabad Hyderabad
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 STUDENT BIO DATA

• NAME : Bindu P.B.

• COURSE : M.Sc. (N) 1st year

• CLASS : 1st year

• SUBJECT : Nursing Foundation

• UNIT :

• TOPIC : Catheterization

• TEACHING METHOD : Discussion lecture

• GROUP : B.Sc. (N) 1st year

• PLACE : Hyderabad

• DATE : 27/12/2023

• DURATION : 1 Hour

• A.V. AICLS :
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General objectives:-

At the end of the class the students will be able to gain depth knowledge regarding Catheterization.

Specific objective :-

At the end of the class the students will be able to

I. Explain about the definition of the Catheterization.

II. Explain about the purpose of the Catheterization.

III. Explain about Indications of the Catheterization.

IV. Explain about Contra indications of the Catheterization.

V. Describe the general instructions.

VI. Discuss the preparation of articles.

VII. Explain about procedure of Catheterization.

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Objectives TIME CONTENT TEACHING AV EVALUATION
LEARNING AIDS
ACTIVITY

Explain about 1min Introduction: Catheterization is a medical procedure Lecture What do you
definition of involving the insertion of a thin, flexible tube called a
Catheterizat catheter into a patient's body. This procedure serves method mean by
ion various purposes, primarily to drain urine from the bladder
Catheterization?
or to deliver fluids, medication, or contrast agents into
specific parts of the body. Catheters come in different
types, sizes, and materials, tailored to the specific medical
need and the area of the body they are intended for.

Definition : Catheterization is a medical procedure where a

thin tube, called a catheter, is inserted into the body to drain
fluids, deliver medication, or perform diagnostic tests in
specific areas like the bladder, blood vessels, or the heart.

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Explain about 2min Purpose: Lecture What is the purpose
the purpose of Method
Catheterizatio Fluid Drainage: Catheters are used to remove fluids from the body, such Of
n as draining urine from the bladder when normal urination is not possible
due to various medical conditions. Catheterization?

Medication or Fluid Administration: They are utilized to deliver

medications, fluids, nutrients, or contrast agents directly into specific
parts of the body, including blood vessels, the urinary tract, or other
hollow organs.

Diagnostic Procedures: Catheters aid in diagnostic tests by allowing

access to various areas of the body, such as cardiac catheterization to
examine the heart's blood vessels or urinary catheterization to
investigate bladder function.

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Explain about 1min Principles: Lecture What are
inclinations of
Catheterizatio Sterile Technique: Catheterization procedures require aseptic method indications?
n or sterile techniques to minimize the risk of infection.
Correct Catheter Selection: Choosing the appropriate type,
size, and material of the catheter is crucial.
Patient Comfort , Privacy and Informed consent: Ensuring
patient comfort, dignity, and privacy during catheterization
procedures is vital. : Prior to catheterization, healthcare
providers must obtain informed consent from the patient
Proper Insertion Technique: Following established protocols
and guidelines for insertion techniques minimizes the risk of
trauma, discomfort, and complications.
Secure Fixation: Once inserted, ensuring the catheter is
securely fixed or anchored prevents accidental dislodgement,
reduces discomfort, and minimizes the risk of complications.
Ongoing Monitoring and Maintenance: Continuous monitoring
of the catheterized site and regular assessment for signs of
infection, blockages, or other issues are crucial
Timely Removal or Replacement: Catheters should be
removed as soon as they are no longer necessary to minimize
the risk of complications.

INDICATIONS:-
Retention of urine

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 Tissue Trauma or Injury
Blockage or Obstruction,
Bladder Spasms or Discomfort
Allergic Reactions
Bloodstream Infections
Blood Vessel Damage
Migration or Dislodgement

Explain about 1min Contra-indications :- Lecture What are the

contra Urethral Injury or Trauma
indications Genital or Perineal Infections method contra indications
Blood Clotting Disorders
Urethral Anomalies or Abnormalities
Prostatic Hypertrophy or Tumours

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Discuss about 3min Equipment ;- Lecture What are the
articles or Catheters
equipment’s Catheterization Kits method equipment’s used
Guidewires
Contrast Agents in the
Flushes and Saline Solutions
procedure ?
Ultrasound or Fluoroscopy Machines
Syringes and Needles
Securing Devices
Speculum or Retractors
Sterile Drapes and Gowns

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Objectives TIME CONTENT TEACHING EVALUATION
AV
LEARNING
AIDS
ACTIVITY
Describe 4min Lecture What are the
about Use sterile drapes to create a sterile field around the insertion site. method general
general Catheter Insertion: instruction
instructions need to
Lubricate the tip of the catheter with a water-soluble lubricant.
follow?
For urinary catheterization:
Gently insert the catheter into the urethra until urine begins to flow.
Inflate the balloon at the end of the catheter (if it's a balloon catheter) with
the recommended amount of sterile water.
Secure the catheter in place.
For other types of catheterization, follow specific protocols and guidelines
provided.

Aftercare instructions:
Ensure the catheter is secure and the patient is comfortable.
Connect the catheter to an appropriate drainage system.
Clean and properly dispose of used materials according to medical waste
protocols.
Monitor the patient for any adverse reactions or complications.

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Important considerations:

Always use sterile equipment and maintain strict aseptic technique to

minimize the risk of infection.
Be gentle and patient during the procedure to avoid causing discomfort or
injury to the patient.
Monitor the patient for any signs of complications such as bleeding, pain,
or infection after the procedure.
 Objectives TIME CONTENT TEACHING EVALUATION
AV
LEARNING
AIDS
ACTIVITY

Discuss 2min Lecture How to

Preparation:
about Wash hands thoroughly and put on sterile gloves. method prepare the
preparation Explain the procedure to the patient, ensuring they understand and articles?
consent.
of articles Gather necessary supplies: catheter, lubricating jelly, sterile drapes,
antiseptic solution, sterile gloves, syringe, etc.
Positioning:

Ensure the patient is in a comfortable and appropriate position (e.g.,

lying down for urinary catheterization).
Sterilization:

Clean the area around the insertion site with an antiseptic solution and
allow it to dry.

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Objectives TIME CONTENT TEACHING EVALUATION
LEARNING AV
ACTIVITY AIDS

Explained 20 STEPS RATIONALE SCIENTIFIC PRINCIPLES NURSING PRINCIPLES Lecture What are
about min Prepare the Patient: To relieve and gain co- Psychology Reassurance individuality. method the steps
steps or operation. of the
rationales’ procedure
of the Explain the procedure to
To rovide privacy. Privacy helps in Safety individuality.
the patient, and obtain
procedure. giving relaxation and
informed consent.
comfort to the
Maintain privacy and patient.
To feed comfort and
drape the patient Comfort
relaxed.
appropriately. Anatomy and
physiology.

Preparedness Body mechanism. Therapeutic effectiveness.

Gather Supplies

Sterile catheter kit Therapeutic effectiveness.

Hygiyiene Disinfection.
including gloves,
antiseptic solution, sterile
drapes, lubricant, syringe
(for inflating the balloon),
and the catheter itself.
Hand Hygiene and PPE

Prepare the Catheter

Preparedness Therapeutic effectiveness.
Process effectiveness

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Open the sterile catheter Preparedness Medical standards Comfort and safety.
kit and lay out all the
supplies.
Lubricate the tip of the
catheter to aid insertion.

Cleanse and Prep the Area To maintain Disinfection afety and therapeutic
Cleanse the genital area hygiene effectiveness
with an antiseptic solution,
usually starting from the
urethral opening and
moving outward to
minimize the risk of
introducing bacteria.

Therapeutic effectiveness
Insert the Catheter Process initiation Clinical Standards

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Gently insert the
lubricated catheter Clinical methodology Medical standards Comfort and safety.
into the urethral
opening, advancing it
slowly and steadily.

Once urine begins to

flow, continue Safety and therapeutic
insertion a few inches Disinfection effectiveness
more until urine Clinical
drainage stops, methodology
indicating the catheter
is in the bladder.
Secure the Catheter
Inflate the balloon (if
using a catheter with a
balloon) to keep the
catheter in place.
Therapeutic effectiveness
Secure the catheter to
the patient's leg or
abdomen to prevent Clinical Microbiology
methodology
accidental removal
Clinical Clinical Standards Therapeutic effectiveness
Monitor & Document methodology

Provide Care Clinical 14

Therapeutic effectiveness
Instructions: methodology Clinical Standards
Objectives TIME CONTENT TEACHING EVALUATION
AV
LEARNIN
G AIDS
ACTIVITY
Explain 2min Lecture How can
about the Cleaning equipment after catheterization is a critical step in method take care of articles
after case maintaining proper hygiene and preventing infections. The after the
of articles process involves ensuring that all reusable equipment used procedure?
during the procedure is thoroughly cleaned and
sterilized/disinfected according to established protocols.
The steps include
Disassemble Equipment
Pre-Cleaning:
Rinse the equipment with cold or lukewarm water to remove
any visible debris or organic material.
Disinfection - Immerse the equipment in a disinfectant
solution or wipe down all surfaces with disinfectant wipes..
Rinsing - Thoroughly rinse the equipment with clean water to
remove any traces of soap, detergent, or disinfectant. This
step is crucial to prevent potential irritation or adverse
reactions when the equipment is reused.
Drying:- Use clean towels or cloths to dry the equipment
thoroughly. Air drying may also be suitable if done in a clean
and controlled environment.
Reassembly and Storage

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Explain 1min Lecture How to do
about Record the procedure in nurse’s record with method recording
recording date, time, purpose and patients’ response to &reporting
&reporting the procedure

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Objectives TIME CONTENT TEACHING EVALUATION
AV
LEARNING
AIDS
ACTIVITY

Explain 2min Lecture What are

about the method special
special Sterile Technique points?
points Correct Catheter Sizing
Patient Positioning
Lubrication
Balloon Inflation (if applicable)
Monitoring and Response
Proper Insertion Technique
Anchoring and Securing the Catheter
Post-procedural Care and Education
Complications and Emergency Preparedness

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Catheterization refers to the medical procedure involving the insertion of a thin tube called a catheter into a patient's
body for various diagnostic or therapeutic purposes. In all cases, adherence to established protocols, sterile
technique, patient comfort, and diligent post-procedural care are essential for successful and safe catheterization
outcomes .

Catheterization is used for various medical purposes across different fields of healthcare due to its ability to provide
access to specific internal structures or systems within the body. Here are some common reasons why catheterization is
utilized: Urinary Retention or Incontinence, Surgical Procedures, Diagnostic Procedures, Treatment of Heart Conditions.
Monitoring and Management, Administering Medications or Fluids, Urological Studies and Interventions

Medical Surgical Nursing PMFU Vol-II

Manual of Medical Surgical Nursing Care
Fundamentals of Nursing 2005 First Edition
www.slideshare.net

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 MSc. Nursing Program – 1st Year

Nursing Foundation
Objective Structured Practical/Clinical examination
OSPE

Station No: Catheterization

Instruction to the examiner

Objectives
The station is designed to that the candidate’s ability to

•Assess knowledge regarding Catheterization

•Assess the articles required for Catheterization
•Assess the purpose of Catheterization
•Demonstrate procedure 19
Objectives
Objective if the participant is performing the following steps in the correct sequence when
performing steam inhalation procedure.

Score
Score the task based on the following levels of perfection.
•Score-1: For each step conducted correctly (Good skill).
•Score-0: If the task or step not done or done with mistakes.
•Calculate the total score.

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1 Gather Equipment

2 Explain Procedure

3 Prepare the Patient

4 Hand Hygiene and Gloving

5 Preparation of Catheter and Lubrication

6 Cleansing the Genital Area:

7 Cleanse the urinary meatus

8 Catheter Insertion

9 Securing the Catheter

10 Verification and Post-Procedure Care

11 Document the procedure details

12 Provide Patient Instructions:

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 Steps of the procedure
Gather Equipment: Collect the necessary supplies, including a catheter kit (which typically includes gloves, antiseptic solut ion,
lubricant, syringe, and the catheter itself), a sterile drape, and a receptacle for urine drainage.
Explain Procedure: Inform the patient about the catheterization procedure, its purpose, and obtain consent. Ensure privacy an d
maintain the patient's dignity.
Catheterization Procedure:
Prepare the Patient:
Position the patient comfortably on their back, with knees bent and legs apart. Use drapes to cover the patient, exposing onl y
the genital area.
Hand Hygiene and Gloving:
Perform hand hygiene thoroughly and put on sterile gloves to prevent contamination.
Preparation of Catheter and Lubrication:
Open the catheterization kit and prepare the catheter by applying a sterile lubricant to its tip. Lubrication helps ease the
insertion process.
Cleansing the Genital Area:
Cleanse the urinary meatus (urethral opening) and surrounding area with an antiseptic solution
Catheter Insertion:
Gently hold the catheter and insert it into the urethra, advancing it slowly and steadily.
Once urine starts to flow, continue insertion about 2-3 inches further into the bladder. If resistance is felt, pause and reassess
before proceeding to avoid injury.
Once the catheter is in place, secure it to the patient's leg or abdomen using tape or other securement devices to prevent
accidental removal or tension on the catheter.
Verification and Post-Procedure Care:
Ensure proper urine flow into the drainage bag.
Document the procedure details, including catheter size, date, time, amount of urine drained, patient response, and any
complications observed.
Provide Patient Instructions:
Educate the patient or caregivers on catheter care, hygiene practices, and recognizing signs of complications. Ensure they
understand how to manage the catheter properly.
 MSc. Nursing Program – 1st Year

Nursing Foundation
Objective Structured Practical/Clinical examination
(OSPE, OSCE)

Station No: Catheterization

Artifact/Equipment/Preliminary requirements
For Examiner For Examinee
Writing pad with instructions to the examiner and Catheters
evaluation proforma, Catheterization Kits
Tray for evaluated response Sheet. Guidewires
Pen. Contrast Agents
Flushes and Saline Solutions
Pencil.
Ultrasound or Fluoroscopy Machines
Scale.
Syringes and Needles
Sharpener. Securing Devices
Eraser. Speculum or Retractors
Chair and table. Sterile Drapes and Gowns
Gouge .

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 MSc. Nursing Program – 1st Year

Nursing Foundation
Objective Structured Practical/Clinical examination
(OSPE, OSCE)

Station No: Catheterization

Introduction to the examiner
You have 20 minutes to perform Catheterization procedure. Conduct a preliminary assessment and demonstrate
Catheterization procedure with the necessary steps.

Hand over the response sheet to the examiner