Republic of the Philippines ISABELA STATE UNIVERSITY Ilagan,
Isabela
CATHETERIZATION: FEMALE
A. Straight catheterizationPURPOSE: 1. To relieve discomfort due
to bladder distention and or provide gradual decompression of a
distended bladder. 2. To assess the amount of residual urine if the
bladder empties incompletely. 3. To obtain a urine specimen. 4. To
empty the bladder completely prior to surgery.
EUIPMENT: Flashlight or lamp Mask if required by the agency Bath
blanket or drape Soap, a basin of warm water, a wash cloth, and a
towel Sterile gloves Forceps Sterile catheterization kit
containing: a. water soluble lubricant b. fenestrated drapes c.
anti-septic solution c. cotton balls/gauze square Basin for urine
(Base of kit can be use) Sterile catheter of appropriate size
ACTION IMPLICATION
PREPARATORY PHASE1. Percuss and palpate the bladder to assess
for urinary retention. a. To Percuss: place the middle finger of
one hand against the skin, and strike it sharply with the middle
finger of the other hand. b. To palpate: indent the skin more than
1.3 cm (0.5 inches) just above the symphysis bubis by pressing the
fingers of one hand on the fingers of the others. 2. Prepare the
client a. Explain the catheterization to the client and provide
privacy
3. Open catheter tray using aseptic technique. Place receptacle
in accessible place.
4. Direct light for visualization of genital area.5. Place the
patient in a supine position with knees bent, hips flexed and feet
resting on bed about 0.6m. (2 feet) apart.Drape the patient.6.
Position moisture-proof pad under the patients buttocks. 7. Wash
hands. Put on sterile gloves.
a. when the bladder is full the resulting sound will be duller
than the normal sound.
b. This increases the pressure for palpation.
a. exposure of the genitals is embarrassing to the most client.
b. some people fear that the procedure will be painful: explain
that normally a catheterization is painless and that there may be a
sensation of pressure .
a. catheterization requires the same aseptic procedure
PERFORMANCE PHASE1. Separate labia minora so that urethral
meatus is visualized. One hand is to maintain separation of the
labia until catheterization is finished. 2. Cleans around the
urethral meatus with povidine- iodine solution. a. Manipulate
cleansing sponges with forceps, cleansing with downward strokes
from anterior to posterior. b. Dispose of the cotton sponge after
each use. c. If the patient is sensitive to povidine-iodine,
benzalkonium chloride or other cleansing agent is used.
3. Introduce well lubricated catheter 5-7 cm (2-3 inches) into
the urethral meatus using strict aseptic technique. a. Avoid
contaminating surface of catheter. b. Ensure that the catheter is
not too large or too tight at urethral meatus
4. Allow some bladder urine to flow through catheter before
collecting a specimen.
5. Pinch off catheter and remove gently when urine ceases to
flow. 1. The maneuver helps prevent labial contamination of the
catheter.
2. Bacteria that normally colonize the distal urethra may be
introduced into the bladder during or immediately after catheter
insertion. Inadequate preparation of the urethral meatus is a major
cause of infection
3. A well-lubricated catheter reduces friction and trauma to the
meatus. The female urethra is relatively short canal, measuring 3-4
cm in length.
4. This is a representative by bladder aliquot.
5. Pinching off the catheter prevents air from entering the
bladder as the catheter removed.
FOLLOW-UP PHASE1. Dry area, make patient comfortable.2. Measure
urine and dispose of equipment.3. Send specimen to laboratory as
indicated. 4. Record time, procedure, amount and appearance of
urine.
Republic of the Philippines ISABELA STATE UNIVERSITY Ilagan,
Isabela
CHECKLIST PROCEDURE: Performing Urinary Catheterization:
FEMALE
Name: ______________________________________
Date:__________________School:
______________________________________ Score:
_________________Instructor:____________________________________Course:______________________________________Performing
Urinary catheterization Able to perform Able to perform with
assistance Unable to PerformInitials and Date
Assessment
1. Assess the need for catheterization and type of
catheterization ordered. Comments:
2. Assess the need for Perineal Care before catheterization.
Comments:
3. Assess the urinary meatus. Ask the client for any history of
difficulty with urinary catheterization, latex allergy or urinary
strictures. Comments:
4. Assess the clients ability to assist with the procedures.
Comments:
5. Assess the light Comments:
6. Assess for allergy to povidine-iodineComments:
7. watch for indications of distress Comments:
Planning/Expected outcome
