Male Catheterisation

Introduces self	0	1
Confirms name & date of birth of patient (against wristband if present)	0	1
Explains & gains consent	0	1
Arranges chaperone, closes curtains/sign/locks door	0	1
Gathers equipment	0	1
Puts apron on and cleans trolley with multiple disinfectant wipes and leaves to dry	0	1
Washes hands	0	1
Asks patient to lie on their back, as flat as possible, with their legs slightly apart and asks patient to retract their foreskin.	0	1
Opens sterile pack without touching the inside and drops it onto trolley	0	1
Unwraps the sterile pack touching only the edges	0	1
Checks expiry date of catheter (Foley 12 to 14), opens pack and drops it into sterile field	0	1
Pours sterile water into small bowl with swabs	0	1
Opens plastic prongs onto sterile field	0	1
Assembles syringe of 10ml sterile water and places it under sterile field	0	1
Wears sterile gloves with sterile technique	0	1
Makes hole in drape and places it on patient such that the penis passes through	0	1
Forms a sling using gauze to hold penis	0	1
Cleans around urinary meatus using plastic prongs to hold swabs, disposing each as it is used	0	1
Warning the patient that it may sting, inserts anaesthetic into urethra and gently occludes meatus for 3 to 5 minutes	0	1
Changes gloves (or removes top gloves if using double glove technique)	0	1
Places end of catheter in cardboard container and places container between the patient's legs	0	1
With one hand, holds sling to angle penis vertically and inserts catheter touching only the plastic covering	0	1
Lowers the penis when resistance is felt and continues to insert catheter	0	1
Inflates balloon very slowly with 10ml sterile water asking the patient if they feel any pain	0	1
Tugs on the catheter to check it is secure	0	1
Attaches the catheter to the catheter bag	0	1
Asks the patient to replace foreskin	0	1
Dispose of all equipment in clinical waste bin	0	1
Documents size of catheter, residual volume (using stickers from catheter pack)	0	1
Washes hands	0	1
Deals with any questions or concerns	0	1
Thanks patient	0	1
Examiner global score: confidence, methodical and proficient	0	1	2

Share this

Related Posts