Good day Everyday!
(NAME, 2ND YEAR) AND IN THIS VIDEO I WILL SHOW YOU HOW TO PERFORM THE
FEMALE URINARY CATHETERIZATION.
HAND WASHING
PROVIDE PRIVACY OF THE CLIENT (BY CLOSING THE DOOR AND CURTAINS)
INTRODUCE YOURSELF TO THE CLIENT AND VERIFY THE CLIENT’S IDENTITY BY ASKING THE NAME AND
BIRTHDAY. THEN EXPALIN THE PROCEDURE.
Materials
Sterile Package (sterile gloves, drapes, cotton balls, focep, iodine, non latex catheters , lubricant
solution, water solution, syringe, washcloth)
Procedure in Inserting
Put the bed at nice working height. So that you don’t have to bend over and hurt your back
during procedures.
Then bend the knees of the patient and open the hips and roll the blanket up to expose the
area.
Then put the sterile gloves in both hands in also correct way to avoid contamination.
Place the first drape underneath the patient and then other one is put it to covering their
genitals only exposing the area that needed.
FOR THE CLEANING THE AREA
Take one cotton ball with antiseptic iodine and do furthest away from you first get rid it then the
next one do it in nearest to you get rid of it and then finally the third cotton ball is gonna go
down the middle.
TO INSERT THE TUBE
Then take the tubing and put some lubricant solution.
After that, insert it into the patient. So you have them to take a deep breath.
Insert it until you see urine return.
Now, you can inflate the balloon. You just need to push the sterile water in the syringe. Once
the balloon inflated give it a tug that’s how you know we’re in it’s not coming out.
Perform hand hygiene
Place child in supine position with knees bent and hips flexed
If soiling evident, clean genital area with soap and water first
Perform hand hygiene
Open dressing pack (aseptic field) and prepare equipment needed using aseptic technique
Pour sterile normal saline onto tray
Perform aseptic hand wash and don sterile gloves
Apply sterile drapes/towel
Separate labia with one hand and expose urethral opening. In neonates, the urethral meatus is immediately above the
hymeneal fringes.
Using swabs held in forceps in the other hand clean the labial folds and the urethral opening. Move swab from above the
urethral opening down towards the rectum. Discard swab after each urethral stroke into waste bag or designated waste
area.
Remove catheter wire if a 6Fr catheter is used
Lubricate catheter
Insert catheter into the urethral opening, upward at approximately 30 degree angle until urine begins to flow.
Inflate the balloon slowly using sterile water to the volume recommended on the catheter. Check that child feels no pain. If
there is pain, it could indicate the catheter is not in the bladder. Deflate the balloon and insert the catheter further into the
bladder. ALWAYS ensure urine is flowing before inflating the balloon. Note that in a child under 6 months a balloon is
not typically used. In this case be especially mindful that strapping is secure.
Withdraw the catheter slightly until resistance is felt and attach to drainage system
Remove gloves and perform hand hygiene
Secure the catheter to the thigh with either a catheter securement device or tape
Clean trolley and dispose of used articles into yellow biohazard bag
Perform hand hygiene
