Female Urethral Catheterisation Procedure

1/ Wash hands 2/ Introduce yourself to the patient 3/Check identity of patient against notes 4/ Gain valid informed consent 5/ Ascertain allergic status 6/ Prepare trolley 7/ Collect and check equipment for expiry and package integrity 8/ Confirm patients ongoing consent and check for questions 9/ Put on PPE 10/ Prepare environment, ensuring privacy 11/ Prepare patient knees bent, hips flexed and feet comfortably apart 12/ Protect bed with pad or towel 13/ Wash hands or decontaminate using alcohol gel if appropriate 14/ Open equipment maintaining sterile field 15/ Put on sterile gloves (2 pairs) 16/ Arrange sterile drape so it is positioned under the buttocks 17/ Swabbing downwards (i.e. front to back) thoroughly cleanse using 0.9% sodium chloride (Normasol), if using the sachet ask an assistant to swab the opening end of the packet before pouring into the pot. Dry the labia minora and vestibule 18/ Anaesthetise the urethra with Instillagel 19/ Allow 3-5 minutes for effect 20/ Remove top gloves 21/ Arrange sterile receiver or have drainage bag close to hand 22/ Open catheter packaging 23/ Hold the catheter in dominant hand and gently pass female catheter in a slightly upward and backward direction 24/ Ask patient to take deep breaths 25/ Insert the catheter approximately 10 cm 26/ Once urine begins to flow, pass the catheter a further 3-5 cm 27/ Slowly inflate the balloon with the correct amount of sterile water 28/ If the patient experiences any pain STOP withdraw water, reposition and re-inflate again 29/ Clean away any excess gel 30/ Attach suitable drainage bag 31/ Make patient comfortable, dispose of equipment 32/ Remove and dispose of PPE 33/ Wash hands 34/ Place label from catheter packaging in patient notes and document the following: Date, time, indication for catheter. Residual volume, anything unusual about colour/sediment etc. If MSU taken, if any blood/ trauma from insertion Thank patient Clean up and redress patient and make sure patient is comfortable Thank the patient

Male Urethral Catheterisation Procedure

1/ Wash hands 2/ Introduce yourself to the patient 3/Check identity of patient against notes 4/ Gain valid informed consent 5/ Ascertain allergic status 6/ Prepare trolley 7/ Collect and check equipment for expiry and package integrity 8/ Confirm patients ongoing consent and check for questions 9/ Put on PPE 10/ Prepare environment, ensuring privacy 11/ Prepare patient knees bent, hips flexed and feet comfortably apart 12/ Protect bed with pad or towel 13/ Wash hands or decontaminate using alcohol gel if appropriate 14/ Open equipment maintaining sterile field 15/ Put on sterile gloves (2 pairs) 16/ Arrange sterile drape so loins are covered and penis protrudes through window in drape 17/ Swabbing downwards thoroughly cleanse using 0.9% sodium chloride (Normasol), if using the sachet ask an assistant to swab the opening end of the packet before pouring into the pot. Retract foreskin, ensure glans is clean and the meatus 18/ Anaesthetise the urethra with Instillagel 19/ Allow 3-5 minutes for effect 20/ Remove top gloves 21/ Arrange sterile receiver or have drainage bag close to hand 22/ Open catheter packaging 23/ Hold the catheter in dominant hand and gently pass female catheter in a slightly upward and backward direction 24/ Ask patient to take deep breaths 25/ Insert the catheter approximately 20-25 cm 26/ Once urine begins to flow, pass the catheter a further 3-5 cm 27/ Slowly inflate the balloon with the correct amount of sterile water 28/ If the patient experiences any pain STOP withdraw water, reposition and re-inflate again 29/ Clean away any excess gel 30/ Attach suitable drainage bag 31/ Make patient comfortable, dispose of equipment 32/ Remove and dispose of PPE 33/ Wash hands 34/ Place label from catheter packaging in patient notes and document the following: Date, time, indication for catheter. Residual volume, anything unusual about colour/sediment etc. If MSU taken, if any blood/ trauma from insertion Thank patient Clean up and redress patient and make sure patient is comfortable, REPLACE FORESKIN! Thank the patient