NURSE’S ROLE IN

URINARY CATHETER
INSERTION
DEFINITION

Urinary Catheterization- is an introduction of

a rubber or plastic catheter through the
urethra and into the bladder. It provides a
continuous flow of urine in patients unable
to control micturation or in those with
obstruction to urine flow.
OBJECTIVES

2.1 To standardize the procedure of insertion of

urinary catheter in compliance with the
Ministry of Health guidelines.
2.2 To ensure privacy and safety of the client is
adhered.
POLICY
3.1 This policy states that male/female
catheterization shall be performed by the nurse with a
written order by the physician.

3.2 If possible, male nurse will do catheterization for

male patient. And vice versa for female patient.

3.3 During catheterization procedure, if any resistance

is felt, the catheter will be removed
immediately and physician be notified.
 
3.4 For a pediatric patient, catheterization will be
performed by a Physician.
PROCEDURE
 Ensure patient identification is with three
names and medical record number.
Male:

1)Assess patient for the following:

Time of last urination.
Level of awareness and knowledge of purpose of
catheterization.
Mobility and physical limitation of patient.
Patient's age.
Pathological condition that may impair passage of catheter
(e.g. enlarged prostate).
 
2)Verify physician's order & identify patient.

3)Explain the procedure to the patient/significant others.

 4)Provide the patient with opportunity to perform personal hygiene (penile). Assist as
necessary.
 
5)Wash hands.
 
6)Observe privacy.
 
7)Position patient in supine position with only the genitalia exposed.
 
8)Drape legs to mid thigh with bed sheet.
 
9)Perform hand rub.
 
10)Open catheterization tray
 
11)Put on sterile gloves. Open all sterile equipments

 
 12)Drape the patient's genitalia.
 
13)With non- dominant hand, hold the penis at a 90 0 angle to the body. If the
patient is not circumcised, retract the foreskin to visualize urethral meatus.
 
14)Clean the urinary meatus with one downward stroke or use a circular motion
from meatus to base of penis with Povidone- iodine solution. Dry the meatus.
 
15)Lubricate catheter and gently insert into urethra (approximately 8 inches)
until urine begins to drain.
 
16)Insert catheter an additional inch (2.5 cm.) and inflate the balloon.

17)Check for placement by gently pulling on catheter.

18 Connect to drainage bag and tape catheter to the abdomen.

 
19)Remove gloves dispose to yellow bag.

20)Place the patient in a comfortable position, side rails up if

indicated.

21)Wash hands.

22)Record the time of completion of the procedure and amount and

color of urine .
 
23)Notify physician for any abnormalities noted.

24) Document on the patient/family education form the health

education provided including clients response.

 
Foley catheter – note the type, size and date of
insertion and due date for change
-rubber latex- weekly
-silicone- monthly
Female: every week
Male : every two weeks
If silicone catheter (male/female) : every
month.
 Urine Bag: must be changed when there is leakage,
destroyed and when the catheter is removed, not to be
placed at the level of the genitalia to prevent ascending
infection , hang under the bed ensuring that it will not
touch the floor.
EQUIPMENT
 Catheterization set- which includes cotton balls,
lubricant, forceps, specimen cup, gloves,drapes,
drainage bag, foley's catheter (5-16). Syringe with
5-cc water, antiseptic solution.(betadine).

 Extra catheter and gloves.

 A light source. (torch)

 Disposable Under pad.

 Health care waste bag

THE END