Female Catheterisation

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Introduces self
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1

Confirms name & date of birth of patient (against wristband if present)
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1

Explains & gains consent
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1

Arranges chaperone, closes curtains/sign/locks door
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1

Gathers equipment
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1

Puts apron on and cleans trolley with multiple disinfectant wipes and leaves to dry
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1

Washes hands
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1

Asks patient to lie on their back, as flat as possible, putting their ankles together and letting their legs naturally fall apart
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1

Opens sterile pack without touching the inside and drops it onto trolley
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1

Unwraps the sterile pack touching only the edges
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1

Checks expiry date of catheter (Foley 12 to 14), opens pack and drops it into sterile field
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1

Pours sterile water into small bowl with swabs
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1

Opens plastic prongs onto sterile field
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1

Assembles syringe of 10ml sterile water and places it under sterile field
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1

Wears sterile gloves with sterile technique
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1

Makes hole in drape and places it on patient such that the urinary meatus can be seen
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1

Cleans around urinary meatus using plastic prongs to hold swabs, disposing each as it is used
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1

Warning the patient that it may sting, inserts anaesthetic into urethra and waits for 3 to 5 minutes
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1

Changes gloves (or removes top gloves if using double glove technique)
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1

Places end of catheter in cardboard container and places container between the patient's legs
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1

Holds labia apart with one hand and inserts catheter touching only the plastic covering
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1

Inflates balloon very slowly with 10ml sterile water asking the patient if they feel any pain
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1

Tugs on the catheter to check it is secure
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1

Attaches the catheter to the catheter bag
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1

Dispose of all equipment in clinical waste bin
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1

Documents size of catheter, residual volume (using stickers from catheter pack)
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1

Washes hands
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1

Deals with any questions or concerns
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1

Thanks patient
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1

Examiner global score: confidence, methodical and proficient
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1
2