Urinary Catheter: Straight and Indwelling Catheter Insertion Female

  How to insert a Catheter in a Female Patient

   1. Perform hand hygiene. Close curtain or door and raise bed to working height.
   2. Stand on left side of bed if right-handed (on right side if left-handed) and assemble equipment on bedside table. Adjust side rails as necessary.
   3. Place waterproof pad under patient.
   4. Position patient in dorsal recumbent position. Use alternate Sims’ (side-lying) position if patient unable to lie supine.
   5. Drape patient, placing bath blanket diamond fashion over patient, with one corner at patient’s neck, side corners over each arm and side, and last corner over perineum.
   6. Apply disposable gloves; wash and dry perineal area.
   7. Position lamp to illuminate perineal area.
   8. Perform hand hygiene.
   9. Place drainage bag over bottom bed frame; bring tube up between side rail and mattress.
  10. Open catheter kit, and place within reach of work area, maintaining sterility.
  11. Apply sterile gloves.
  12. Organize supplies on sterile field:
  13. Pour solution over cotton ball compartment of catheter kit.
  14. Open packet of lubricant.
  15. Loosen lid of specimen container.
  16. Set specimen container and prefilled syringe on sterile field if needed.
  17. Test catheter balloon integrity.
  18. Lubricate catheter.
  19. Apply nonfenestrated sterile drape over patient first, keeping gloves sterile, and then place fenestrated drape over perineum, exposing labia, maintaining sterility.
  20. Place sterile tray and contents on sterile drape between legs, and open specimen container.
  21. Cleanse urethral meatus using cotton balls saturated with antiseptic solution. With nondominant hand, retract labia to expose urethral meatus, and wipe from clitoris toward anus.
  22. Pick up catheter with gloved dominant hand. Place distal end of catheter in urine tray.
  23. Insert catheter until urine appears. Do not force catheter.
  24. Collect urine specimen if needed.
  25. Allow bladder to empty fully.
  26. Verify institution policy on maximum amount of urine drained with each catheterization (800 to 1000 ml).
  27. If using straight, single-use catheter, slowly remove.
  28. Inflate catheter balloon, and verify correct position.
  29. Attach catheter to collection tube drainage system.
  30. Anchor catheter securely, allowing slack for patient movement. Clip drainage tubing to edge of mattress.
  31. Cleanse perineal area if needed.
  32. Remove gloves, and dispose of equipment, drapes, and urine properly.
  33. Perform hand hygiene.
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