CATHETERIZATION
1. Explain procedure to the patient.
2. Provide privacy.
3. Prepare trash receptacle.
4. Wash hands.
5. Position the female patient supine with knees
flexed; male patient supine with legs slightly
spread.
6. Place waterproof pad under buttocks.
7. Drape patient, diamond fashion, with sheet.
8. Arrange for adequate lighting.
9. Wash perineum with soap and water if soiled.
10. Open kit using sterile technique.
11. Don sterile gloves.
12. Set up sterile field (off bed if the patient may contaminate).
13. Test balloon if catheter will be indwelling.
14. With nondominant hand, spread labia (female) or
retract foreskin (male). This hand is no longer
sterile. Using provided antiseptic solution and cotton
balls or swabs, cleanse perineum (female) from
clitoris toward anus with top-to-bottom motion or
retract foreskin (male) and use circular motion
from meatus outward. Repeat this step at least
three times.
NOTE: Each swab is used only once and discarded
into the trash receptacle, away from the sterile
field.
15. Lubricate catheter.
16. Slowly insert catheter until urine is noted (2 to
3 inches for female or 7 to 8 inches for male)
17. Collect specimen if needed.
18. Remove catheter if it is not indwelling, and refer to
step 23.
IF INDWELLING
19. Inflate balloon. If patient has sudden pain, deflate
balloon, then advance catheter slightly and reinflate.
20. Pull catheter gently to check adequacy of balloon.
21. Attach catheter to collection tubing if not already
connected by manufacturer.
22. Tape catheter to patient’s inner thigh. Allow slack
for patient movement.
23. Discard gloves and equipment.
24. Wash hands.
25. Document size and type of catheter inserted,
amount and appearance of urine, and patient’s tolerance
of procedure.
