Catheterise a Female Patient (Breakdown of the Skill)

Catheterise a female patient (breakdown of the skill) Student copy  Confirms patients identity, explains the procedure and obtains verbal consent (remember to check for any allergies i.e. latex, instillagel)  Place on the bottom of a clean trolley Catheter pack Appropriate size catheter Syringe for balloon inflation Water for injection for balloon inflation Cleaning solution Local anaesthetic gel Clinical waste bag Forceps (if you want to use them) Sterile Gloves x2 Catheter bag

 Wash Hands and put on a disposable apron  Open catheter pack using sterile technique Carefully open onto the sterile field the supplementary equipment  Open the syringe pack and remove carefully, only touching the handle-end of the syringe. Twist the cap off the water for injections and draw up volume according to manufactures instructions. lay syringe on the side of sterile field with the handle-end positioned off the sterile field as this part is now un-sterile  Correct positioning of patient, maintain privacy and dignity  Cleanse hands with alcohol gel and apply gloves (or double gloves)  Lay sterile drape over the patient so genitalia are exposed  Labia minora are parted with non dominant hand  Urethral meatus identified correctly  Urethral meatus is cleaned with swab in a downward motion, Keeping the labia parted  Insert local anaesthetic gel into the meatus. Wait 3-5 minutes  Remove outer gloves or change gloves  Position kidney dish/tray between the patients thighs to catch any spillages  Remove tip of plastic wrapper around the catheter. Insert catheter tip into the urethral meatus, advance slowly feeding the catheter out of the remaining packaging  On entering the bladder urine should start to drain. Advance the catheter fully to ensure the balloon is in the bladder  Inflate balloon with correct volume of water for injection via the catheter port. If patient experiences any pain then stop  Once the balloon is inflated gently withdraw catheter until resistance is felt. Do Not Pull on the catheter  Attach sterile drainage system (catheter bag)  Clean and redress patient as necessary. Address any concerns  Clean up, removes gloves and apron and put all waste in clinical waste bin. Wash hands  Record in the patients notes; Date and Time, reason for catheter, size and make of catheter, batch No, Balloon size, residual urinary volume and sign