Mc

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Mc

  1. 1. CHECK LIST FOR MALE CATHETERIZATION Objective Structured Clinical Examination (OSCE) DONE POORLY Marks CLINICAL SKILLS WELL DONE1. Take consent and reassure the patient. Inspect all equipment,and arrange it within reach on a bedside table.2. Inflate the retention balloon to check the integrity and functionof the valve, and attach the catheter to the tubing on thecollection unit.3. Inject 10 to 15 ml of viscous lidocaine into the urethral meatus(with the use of a needle-less syringe) both to anesthetize themucosa and to distend the urethra, which will facilitatecatheterization.4. After draping the pubic region and proximal thighs, grasp thepenile shaft with your non dominant hand, holding the penis tautand perpendicular to the plane of the patient’s body.5. Cleanse the glans penis in a circular motion, using cotton ballssoaked in antiseptic. Lubricate the tip of the catheter with sterilejelly or viscous lidocaine before inserting it.6. Gently introduce the catheter into the meatus and slowlyadvance it proximally through the urethra.(do not apply force)7. Advance the catheter to the level of the balloon-inflation port.The return of urine into the collection tubing signifies that thecatheter is in the proper position.8. Inflate the balloon with 10 ml of water.9. Finally, gently pull the catheter back to seat the balloon againstthe bladder.10. Affix the catheter to the patient’s thigh or anterior abdominalwall with tape or another fixation device, and hang the collectionbag in a dependent position.

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