The document outlines the purposes, articles, procedure, and special considerations for removing an indwelling catheter. The purposes are to promote normal bladder function, prevent trauma to the urethra, and prevent infection. The procedure involves deflating the balloon, gently removing the catheter, cleaning the patient, and monitoring their ability to void on their own. Special considerations include checking for pain or infection after removal and keeping track of intake and output for 24 hours.

2. PURPOSES
 To promote normal bladder function.
 To prevent trauma to the urethra.
 To prevent infection.
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3. ARTICLES
 Syringe without needle (10 ml)
 Clean gloves
 Protective pad
 Soap, towel & washcloth
 Container for waste disposal
 Urinal or bedpan
 Kidney tray.
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4. PROCEDURE
 Wash hands & don gloves
 If bladder conditioning is to be
performed:
a. 10 hours before removal, clamp
indwelling catheter for 3 hrs.
b. Unclamp & drain urine for 5 minutes
c. Repeat clamping for 3 hours &
draining for 5 minute two more times.
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5. Count…
 Wash hands
 Check the doctor’s order
 Identify the patient & explain procedure
 Provide privacy & position patient on
back.
 Remove covers & drape so as to expose
catheter but do not overly expose
perineal area.
 Place protective pad under patient’s
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6. Count…
 Empty urine in tubing into urobag for
prevents leakage from catheter onto
patient, when the catheter is removed.
 Remove any tape that may be holding the
catheter to the leg for allows for easy
removal of catheter.
 Insert syringe end into balloon port &
remove all the air or fluid from the
balloon, generally 5-10cc. Do not cut the
port, because removal of fluid from balloon
prevents damage to urethra, while removing
the catheter.
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7. Count…
 Ask the patient to take a deep breath if able
& gently & smoothly remove the catheter on
expiration. Stop if you meet resistance &
recheck the balloon port, because damage
to urethra may occur if the balloon is not
fully deflated.
 Note any sediment, mucus or blood that
may be on the catheter. if needed, culture
the trip of catheter by cutting it off with
sterile scissors & placing in appropriate
container for assesses for any indications
of infection or trauma related to the
catheter.
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8. Count…
 Cleanse the patient’s perineal area or
provide a warm, moist cloth with
instructions for self-cleaning. Provide
comfort & reduces transmission of
micro-organism.
 Remove gloves & wash hands for
reduce transmission of microorganism.
 Cover patient & position comfortably for
provide for privacy & comfort.
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9. Count…
 Instruct the patient to drink oral fluids as
tolerated & to call when he/she needs to
void. Because determines that patient
has returned to usual voiding pattern.
 Record time & amount of first voiding.
Offer bedpan/ urinal every 2-4 hours.
 If the patient is unable to void within 8
hours, report to the physician.
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10. SPECIAL CONSIDERATION
 Instruct patient to inform the nurse, if
experiencing any pain, or symptoms of
bladder infection, after the catheter is
removed.
 Check if physician has ordered bladder
conditioning before removal of catheter.
 Keep track of intake & output for at least
24 hours after removal of catheter.
 If patient has not voided within 8 hours
after catheter removal, the catheter may
have to be reinserted.
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11. INTAKE-OUTPUT CHART
intake output
oral I.V Urine Stool Vomiting
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