4. Definition
In urinary catheterization a latex, polyurethane,
or silicone tube known as a urinary catheter is
inserted into a patient's bladder via the urethra.
Catheterization allows the patient's urine to drain
freely from the bladder for collection. It may be used
to inject liquids used for treatment or diagnosis of
bladder conditions.
9. Indications
neurological condition or injury
outlet obstruction
intractable incontinence, or where other methods are
inappropriate or unsuccessful. ƒ
Palliative care
Chronic urinary retention
Tissue viability and preserving skin integrity
13. Articles
Single use disposable apron
Catheter
Sterile dressing pack
Additional pair of single use disposable sterile gloves
One pair of single use disposable non-sterile gloves
Prescribed single use anaesthetic gel/ lubricant gel -
written on Patients Medication Administration Chart
Drainage bag
10 ml Syringe x 2 • single use sachet normal saline 0.9%
If catheter is not prefilled - 10mls sterile water for
injection and green needle.
Disposable Non-sterile Kidney dish .
15. Procedure of catheterisation
introduction
• Introduce yourself to the patient
identity
• Verbal confirmation of the patient
• Check the file and confirm
Explanation
• Explain the procedure to the patient
16. equipments
• Gather all the equipment.
• Check the type and size of the catheter
Allergies
• Check for the latex alleriges and
allergies to lubricants or xylocaine
decontaminate
• Hand washing
18. sterility
• Open the sterile drapes and
place in position
• Cover the area with sterile
dressing and minimize the
exposure
19. CLEANING
• Place sterile drape
• Use separate cotton balls to clean the perineal region
lubrication
• Open the sterile packaging of the catheter
• Apply the xylocaine jelly on the tip to 4cms
Communicate
• With the pt. for cooperation and simultaneous
explanation.
22. Female Male
insertion
• Insert the
catheter
approximately 5-
6cms. Once
urine has started
draining insert a
further 3-5cms
balloon
• Inflate the
balloon
• Sterile water/
0.9% saline
water
insertion
• Insert catheter until
urine has started to
drain, then insert a
further 5cm or
almost up to the
bifurcation
balloon
• Inflate the balloon
• Sterile water/ 0.9%
saline water
23.
24. • Measure the amount of urine
• Ensure the patient is comfortable and the genital
area is
Termination
• On completion of procedure remove and dispose of
PPE and the articles used according to the hospital
policy
25.
26. recording
• Record information in patients
health records
education
• Give explanation on care of
catheters and reinforce
Documentation
• Complete recording
27. Suprapubic catheter
A urinary catheter that is inserted supra-pubically
when urethral catheterisation is not indicated , it is
done after cystostomy has been done .
30. Prevention of infection
Cleansing the urethral area
clean hands
Disconnecting drainage bag as seldom as possible.
Keeping drainage bag connector as clean as possible
Use of a thin catheter.
Drinking sufficient liquid to produce at least two
liters of urine daily
Sexual activity is very high risk.
31. Urethral trauma Pelvic fractures
Scrotal heamatoma High riding prostate
Contraindications
Note : in such cases one must then perform retrograde urethrography (injecting
20 cc of contrast into the urethra.) then go for catheterisation.
one must perform a
genital and rectal exam
first.
32. Summary
Introduction
Review of the anatomy and physiology
Definition‘
Types
Indications
Risk factors
Articles
Procedure
Complications
Prevention of infection
Contraindications
35. Bibliography
Black, Mary Ann (1994). Medical nursing (2nd ed.).
Springhouse, Pa.: Springhouse Corp. p. 97. ISBN 0-
87434-738-6. LCCN 94035389
Royal Marsden Handbook of Clinical Nursing
Procedure 6th ed., London
Association for Continence Advice (2007) Notes on
good practice Association for Continence Advice.
London
Department of Health (2005) Saving Lives A
Delivery Programme to Reduce HCAI (including
MRSA) Retrieved from:http://www.dh.gov.uk