FUNDAMENTALS OF NURSING

1. CATHETERIZATION PROCEDURE
- MS. KHYATI CHAUDHARI

2. INTRODUCTION
 In urinary catheterization or urinary elimination is a procedure in which a
latex, polyurethane, or silicone tube known as a urinary catheter is inserted
into a patient's bladder via the urethra.
 Catheterization allows the patient's urine to drain freely from the bladder for
collection. It may be used to inject liquids used for treatment or diagnosis of
bladder conditions.

3. DEFINITION
 Introducing catheter into the urinary bladder through urethra using aseptic
technique for the purpose of emptying the bladder.

4. TYPE OF CATHETERIZATION
 Intermittent catheterization
 Indwelling catheterization

5. TYPES OF CATHETERS
1. Simple rubber catheter
2. Simple plastic catheter
3. Self retaining catheter
4. Condom catheter
5. Foley's catheter
a. Two way
b. Three way

6.  In three way Foley's catheter
 One lumen is for instillation of fluid or
medicine while bladder irrigation
 One lumen for urine to drain out
 One lumen for inserting sterile fluid in
inflating balloon

7.  Condom catheter
 Is used for male who’s having
incontinence of urine. It is less traumatic
during insertion.
 Catheter comes in many diameter to fix
the size of the client’s urethral canal.

8.  The unit for size of catheter is French gauze (FG).
 In children, usually requires 8-10 FG.
 In women, requires 14-16 FG.
 In men, requires 16-18 FG.

9. INDICATIONS
 Retention of urine
 Incontinence of urine
 Obtain sterile specimen
 Assess presence of residual urine
 Client undergone surgeries
 Client following childbirth
 Bladder irrigation
 Perineal surgery
 Patient having urinary obstruction
 Oliguria/polyuria
 Unconscious patient
 Terminally ill patient

10. ARTICLES
 A sterile tray with:
 Sterile catheter
 Small bowel to take antiseptic
solution
 One bowel with cotton swabs &
gauze piece
 One pair of sterile gloves
 Sponge holding forceps
 Sterile specimen bottle
 Kidney tray

11. ARTICLES
 A clean tray containing :
 Lubricant jell
 Operation towel or drape
 Disposable gloves
 Kidney tray
 Adhesive tap & scissors
 10 ml syringe
 Sterile water
 Green/pink needle
 Pint to measure urine
 Mackintosh & draw sheet

12. PROCEDURE
 Introduce yourself to the patient.
 Verbal confirmation of the patient.
 Check the file and confirm.
 Explain the procedure to the patient
 Provide privacy
 Raise the bed to appropriate working level.

13. POSITIONING
Dorsal recumbent with knee flexed &
thighs externally rotated.
Supine with thighs slightly abducted.

14. PROCEDURE
 Spread mackintosh & draw sheet under the patient’s buttocks.
 Place sterile kidney tray between patient legs.
 Wash hands.
 Place operation towel/drape in such a way so only perineum area will expose.
 Don sterile gloving.
 Clean perineum with cotton balls dipped in antiseptic solution using sponge
holding forceps.

15. PROCEDURE
 Clean the perineal area as per perineal care procedure.
 Open the sterile packaging of the catheter
 Apply the xylocaine jelly on the tip to 4cms
 Hands holding 7.5 cm up from tip & place distal end in the sterile kidney tray.
So, urine will flow into kidney tray.

16. PROCEDURE OF INSERTION

17. PROCEDURE OF INSERTION
Female Male

18. PROCEDURE OF INSERTION
 Female
 Insert the catheter approximately 5-6cms. Once urine has started draining
insert a further 3-5cms.
 Inflate the balloon with 10 ml Sterile water
 Male
 Insert catheter until urine has started to drain, then insert a further 5cm or
almost up to the bifurcation.
 Inflate the balloon with 10 ml sterile water

19. PROCEDURE
 Measure the amount of urine
 Assess the patient is comfortable and the genital area

20. AFTER CARE
 On completion of procedure remove and dispose of PPE and the articles.
 Remove drapes and help patient to put on clothe
 Give comfortable position.
 Documentation & report.