The document describes the proper procedure for cleansing the urethral meatus and surrounding skin for patients with urinary retention catheters who are bedridden. The procedure aims to promote patient comfort and reduce the risk of urinary tract infections. It involves preparing supplies, positioning the patient, cleaning and disinfecting the area with antiseptic solutions and ointment, and documenting the process.

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2. Cleansing the urethral
meatus, the skin surrounding
the catheter insertion site &
perineum for patients with
retention catheter who are bed
ridden.
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3.  To promote patient comfort.
 To reduce chances of
developing urinary tract
infection.
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4. 1. A Sterile “catheter care Kit”
containing
 Artery forceps
 Thumb forceps
 Cotton balls/ swabs
 Bowls for antiseptic lotion &
sterile water
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5. 2. A clean tray Containing
 Clean washcloth or towel – 2
 Warm water & soap
 Antiseptic lotion
 Normal saline
 Mackintosh / waterproof pads & draw sheets
 Antibiotics ointment
 Clean gloves
 Sterile gloves
 Drapes
 Kidney tray
 Adhesive taps & scissors
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6.  Prepare necessary equipment &
supplies
 Explain procedure to patient, offer
opportunity for self-care if possible.
 Provide privacy for maintain patient
self-esteem.
 Wash hand for reduces microorganism
transmission.
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7.  Position patient
Female: Dorsal recumbent position
with leg flexed
Male: supine position.
 Placed waterproof pad/ mackintosh &
drawsheet under patient for protect
bed linen from soiling.
 Drape sheet over patient exposing
only perineal area for prevent
unnecessary exposure of body parts.
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8.  Don clean gloves
 Remove anchor tapes to free catheter
tubing.
 Exposure the urethreral meatus (with
non-dominant hand)
Female: Gently retract labia to fully
expose urethral meatus & catheter
insertion site. Maintain position of
hand throughout procedure.
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9. Male: Retract foreskin if patient is not
circumcised & hold penis at shaft just
below glans. maintaining position of
hand throughout procedure.
 Assess urethral meatus & surrounding
tissue for inflammation, swelling &
discharge. Note amount, colour, odour
& consistency of discharge. Ask
patient if burning or discomfort is felt.
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10.  Cleanse perineal tissue
Female: Use clean cloth, soap & water &
clean towards anus. Cleanse catheter
first & than meatus, labia minora &
majora, be sure to cleanse each side &
dry area well.
Male: Cleanse catheter first & than
clean from urethral meatus till glans
penis in circular motion.
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11.  Reassess urethral meatus for any
discharge.
 Remove clean gloves & wash hands.
 Don sterile gloves
 Clean the perineal area with disinfectant
Female: Retract labia & wipe using sterile
cotton swabs dipped in antiseptic
solution from center to periphery in
straight stroke from front to back, using
one cotton ball for each stroke.
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12. Male: Retract foreskin & wipe using swabs
from center to periphery in circular stroke.
 Repeat the previous steps using cotton
swabs soaked in sterile water/normal
saline.
 Apply antiseptic ointment at urethral
meatus & along 2.5 cm of catheter
 Place patient in safe & comfortable
position.
 Remove gloves, dispose of contaminated
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13.  Record & report condition of perineal
tissue, the time procedure was
performed, patient’s response &
abnormalities noted.
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