Urinary catheterisation is a procedure used to drain the bladder and collect urine, through a flexible tube called a catheter. Urinary catheters are usually inserted by doctors or nurses in hospital or the community.

1. DR.ANJALATCHI MUTHUKUMARAN
VICE PRINCIPAL
ERA COLLEGE OF NURSING

2. Content
Introduction
Definition
Purpose
Type of catheter
Seize of catheter
Role ofnurse
Some instructions
Procedure

3. Introduction
Urinary elimination is a normal process Where by
urine is expelled from the the urinary bladder
Failure Of urinary elimination requires manual
intervention to drain urine from the bladder by
inserting a catheter in to bladder using sterile
technique

4. Definitio
n
Urinary catheterization is the
introductionof a catheter in to the
Urinary bladder through urethra using
aseptic technique for the purpose of
emptyingthe bladder

5. Purpos
e
To drain urine
For bladder irrigation
To collect urine sample
At the time of surgery
To prevent bedwetting

6. Types of catheter
Indwelling catheter
Condom catheter
Short term catheters

7. Indwelling catheter
This catheter are
use for short and
long periods of
time , it may also
be known as a
Foley’s catheter

8. Condom catheter
A condom catheter
is a
catheter placed
outside the body. A
device that looks like
a condom covers
the penis

9. Short term catheter
A person may only
need a catheter for a
short period of
time as in time after
surgery until the
bladder empties

10. Supra pubic catheter
This catheter
directly insert in
the bladder
through incision
of anterior
abdominal

11. Urinary catheter
sizes
Number 8 Fr. are used for children
Number 14 Fr. and 16 Fr. are used for
female adults
Number 20 Fr. and 22 Fr. are usually
used for male adults

12. Role of
nurse
Preparation of patient
Preparation of environment
Preparation of articles
After care
Record and report

13. Preparation of patient
Introduce yourself and
explain procedures
Ask patient concert
If patient allows then
start
To prepare for procedure

14. Preparation of environment
Close all doors
and windows
of patient side
Place screen
to maintain
privacy

15. Preparation of
articles
Articles
A screen, sheet and fenestrated
towel
A mackintosh
A bed pan and a perineal care tray
A kidney tray
A pair of gloves
A drainage tube with bag
Paper bag
Rationale
To provide privacy and comfort to
the patient
To prevent soiling of the bed lines
To wash the genital area
To collect urine
To maintain aseptic technique
To collect urine
To collect dry waste

16. A sterile catheterization tray
containing a sterile bowel
Cotton swabs
Sponge holding forcep
A syringe and needle
To hold normal saline
To clean perineum
To hold swab for cleaning the
perineum
To inflate the bulb of foley’s
catheter

17. After care
Remove any urine Spilled on the skin
Remove drape sheet
Provide comfortable position to the patient
Measure urine and observe characteristics of urine and
record it
Wash article
Send the urine laboratory investigation

18. Record and
Repor
t
Report to the staff nurse about
procedure
Record the procedure time,date and
procedure name with signature

19. Some
instructions
Maintain privacy of the patient
Use sterile water to inflated the balloon
To avoid pulling the urinary catheter nurse
should tape the catheter on patient user thigh
Maintain strict sterile technique during
catheterization

20. Male patient
catheterization
Position:-
supine with leg abducted , Penis upward
and forward at 90 degree
Clean the genital:-
clean the Penis in circular motion center to outward
Dry sterile cotton use to clean

21. insert:-
7-9 inch
Lubricate:-
6-7 inch

22. Female patient
catheterization
Position:-
Dorsal Recumbent Position
Clean the genital :-
clean area from
clitoris down to anus using one swab at atime

23. Insert
- 2-4 inch
Lubricate:-
2-3 inch

24. Procedure
Explain procedure to the patient
Close door or draw curtain or screen the
patient
Wash hand with soap water and put on clean
sterile gloveo
Place a mackintosh with paper or towel under
the patient buttocks

25. Position the patient:-
-male:-Supine position
-Female:-Supine position with knee flexed
Drape the patient with a bath blanket covering
both legs , legs,leaving genitalia exposed

26. Wash the perineal area with warm
soapy swabs, plain water soap
Wait for the dry the genital
Remove gloves and wash hands
Put on sterile gloves

27. Open the sterile catheterization using
sterile technique
Cleanes the perineal area

28. Female:-
Spred labias with finger and thumb, cleanes
area from clitoris down to anus using one swab at a time
Male:-
With a gloved hand ,pick up a cotton ball with forceps
and clean the penis in a circular motion from urethral meatus

29. Pick-up the catheter with a gloved hand 3- 4
inches from the catheter tip
Lubricate tip of the catheter with a sterile
lubricant
Inserting catheter in female 2-4 inch and
in male 7-9 inch

30. Collect the urine specimen if required
,attach the drainage tubing if an
indwelling catheter is put in
Inflate balloon with the required amount
of normal saline
Secure catheter tubing to the inner thigh
with nonallergic tape

31. Secure catheter tubing to the inner
thigh with nonallergic tape

34. At the end of the procedure
Wash and dry the perineum to remove
any urine left on the skin
Provide comfortable position
Replace the articles
Handwashing
Record and report

35. Conclusio
n
Urinary catheterization is a common
intervention used by home healthcare
patients to manage Urinary problems such
us Urinary retention and Urinary
incontinence

36. Bibliograph
y
Fundamentals of nursing a procedure
manual,the trained nurses association of India
Principal and practice of nursing ,Sr.Nancy
volume first
Fundamental of nursing : A South asian edition
potter and perry’s
Clinical nursing practices Churchill livingstone

37. Thankyou!!!!
!