FOLEY CATHETER FEMALE CHECKLIST

Rationale: Foley catheter in females and males is to assist in draining urine from the bladder when
normal voiding is not possible or recommended.
1. Verifies doctor’s order with another RN For error prevention

2. Introduces self and identifies client To build rapport

3. Explains procedure to the client For them to understand and have awareness of
the procedure i will be performing to them

4. Performs hand hygiene To make sure my hands are free from any
bacterias before proceeding to the
catheterization

5. Prepares necessary materials To prevent time delay

6. Opens and arranges all the materials To maintain aseptic techniques

needed before wearing gloves

7. Opens and pours cleansing solution over To ensure that the cotton used for cleansing is
cotton free from contaminants

8. Drops ample amount of lubricating jelly To make the procedure more efficient
on the side of sterile field

9. Prepares and hangs urine bag below the To facilitate proper drainage
bladder level

10. Fills 10 cc syringe with distilled water or By using distilled water or NSS, the risk of
NSS introducing contaminants is minimized

11. Opens and places foley catheter on the To maintain aseptic technique
sterile field

12. Wears gloves To maintain aseptic technique

13. Cleanses the perineum, using figures of To ensure thorough and systematic cleansing
seven and inverted seven starting from
the meatus, labia minora and majora.
Repeat three times.

14. Applies eye sheet To protect the patient from any potential splashes

15. Inserts the syringe and injects distilled To test and ensure the proper functioning of the
water to the catheter’s inflation hub and balloon.
test the balloon, then aspirated to deflate
the balloon
16. Grasps and lubricated tip of catheter To facilitate a smoother and more comfortable
insertion process

17. Inserts catheter to the meatus 2-3 inches To ensure proper placement and effective
until urine flows, then inserts 1-2 inches drainage.
further

18. Without releasing the catheter, holds the To maintain control during the inflation process.
inflation valve between two fingers while
attacher syringe and inflate the balloon

19. Pulls catheter gently until resistance is felt To ensure that the catheter is securely positioned
within the bladder

20. Collects urine specimen when needed To obtain a sample for diagnostic purposes.

21. Removes the eye sheet and attaches To ensure that urine can flow from the catheter
catheter on the urine bag into the urine bag for proper collection.

22. Secures the catheter tubing to inner thigh To secure the catheter

23. Wipes the perineum of any solution or
lubricant. Place the client in a
comfortable position. Place the urine bag
below the bladder level.
Wiping the perineum of any solution or lubricant
is to maintain cleanliness and comfort for the
patient.
Positioning the urine bag below the bladder level
is essential for proper urine drainage.

24. Discards used materials in appropriate To maintain aseptic technique

receptacle then washes hands

25. Records the procedure: For patient documentation

a. Type & size catheter used
b. Time the procedure done
c. Amount and description urine
obtained
d. Client’s response to the
procedure
FOLEY CATHETER MALE CHECKLIST
Rationale:
1. Verifies doctor’s order with another RN For error prevention

2. Introduces self and identifies client To build rapport

3. Explains procedure to the client For them to understand and have awareness of
the procedure i will be performing to them

4. Performs hand hygiene To make sure my hands are free from any
bacterias before proceeding to the
catheterization

5. Prepares necessary materials To prevent time delay

6. Opens and arranges all the materials To maintain aseptic techniques

needed before wearing gloves

7. Opens and pours cleansing solution over To ensure that the cotton used for cleansing is
cotton free from contaminants

8. Drops ample amount of lubricating jelly To make the procedure more efficient
on the side of sterile field

9. Prepares and hangs urine bag below the To facilitate proper drainage
bladder level

10. Fills 10 cc syringe with distilled water or By using distilled water or NSS, the risk of
NSS introducing contaminants is minimized

11. Opens and places foley catheter on the To maintain aseptic technique
sterile field

12. Wears gloves To maintain aseptic technique

13. Grasps firmly the penis just below the To provide stability and control
glands in upright position with slight
tension

14. Cleanses the meatus from the center To ensure thorough cleanliness and reduce the
going down to the body of the penis. risk of infection.
Repeats three times

15. Applies eye sheet To protect the patient from any potential splashes

16. Inserts the syringe and injects distilled To test and ensure the proper functioning of the
water to the catheter’s inflation hub and balloon.
 test the balloon, then aspirated to deflate
the balloon

17. Grasps and lubricated tip of catheter To facilitate a smoother and more comfortable
insertion process

18. Inserts catheter to the meatus 5-7 inches To ensure proper placement and effective
until urine flows, then inserts 1-2 inches drainage.
further

19. Without releasing the catheter, holds the To maintain control during the inflation process.
inflation valve between two fingers while
attacher syringe and inflate the balloon

20. Pulls catheter gently until resistance is felt To ensure that the catheter is securely positioned
within the bladder

21. Collects urine specimen when needed To obtain a sample for diagnostic purposes.

22. Removes the eye sheet and attaches To ensure that urine can flow from the catheter
catheter on the urine bag into the urine bag for proper collection.

23. Secures the catheter tubing to inner thigh To secure the catheter

24. Wipes the perineum of any solution or
lubricant. Place the client in a
comfortable position. Place the urine bag
below the bladder level.
Wiping the perineum of any solution or lubricant
is to maintain cleanliness and comfort for the
patient.
Positioning the urine bag below the bladder level
is essential for proper urine drainage.

25. Discards used materials in appropriate To maintain aseptic technique

receptacle then washes hands

26. Records the procedure: For patient documentation

e. Type & size catheter used
f. Time the procedure done
g. Amount and description urine
obtained
h. Client’s response to the
procedure