1. www.drjayeshpatidar.blogspot.com

2. Cleansing the urethral
meatus, the skin surrounding
the catheter insertion site &
perineum for patients with
retention catheter who are bed
ridden.
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3.  To promote patient comfort.
 To reduce chances of
developing urinary tract
infection.
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4. 1. A Sterile “catheter care Kit”
containing
 Artery forceps
 Thumb forceps
 Cotton balls/ swabs
 Bowls for antiseptic lotion &
sterile water
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5. 2. A clean tray Containing
 Clean washcloth or towel – 2
 Warm water & soap
 Antiseptic lotion
 Normal saline
 Mackintosh / waterproof pads & draw sheets
 Antibiotics ointment
 Clean gloves
 Sterile gloves
 Drapes
 Kidney tray
 Adhesive taps & scissors
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6.  Prepare necessary equipment &
supplies
 Explain procedure to patient, offer
opportunity for self-care if possible.
 Provide privacy for maintain patient
self-esteem.
 Wash hand for reduces microorganism
transmission.
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7.  Position patient
Female: Dorsal recumbent position
with leg flexed
Male: supine position.
 Placed waterproof pad/ mackintosh &
drawsheet under patient for protect
bed linen from soiling.
 Drape sheet over patient exposing
only perineal area for prevent
unnecessary exposure of body parts.
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8.  Don clean gloves
 Remove anchor tapes to free catheter
tubing.
 Exposure the urethreral meatus (with
non-dominant hand)
Female: Gently retract labia to fully
expose urethral meatus & catheter
insertion site. Maintain position of
hand throughout procedure.
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9. Male: Retract foreskin if patient is not
circumcised & hold penis at shaft just
below glans. maintaining position of
hand throughout procedure.
 Assess urethral meatus & surrounding
tissue for inflammation, swelling &
discharge. Note amount, colour, odour
& consistency of discharge. Ask
patient if burning or discomfort is felt.
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10.  Cleanse perineal tissue
Female: Use clean cloth, soap & water &
clean towards anus. Cleanse catheter
first & than meatus, labia minora &
majora, be sure to cleanse each side &
dry area well.
Male: Cleanse catheter first & than
clean from urethral meatus till glans
penis in circular motion.
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11.  Reassess urethral meatus for any
discharge.
 Remove clean gloves & wash hands.
 Don sterile gloves
 Clean the perineal area with disinfectant
Female: Retract labia & wipe using sterile
cotton swabs dipped in antiseptic
solution from center to periphery in
straight stroke from front to back, using
one cotton ball for each stroke.
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12. Male: Retract foreskin & wipe using swabs
from center to periphery in circular stroke.
 Repeat the previous steps using cotton
swabs soaked in sterile water/normal
saline.
 Apply antiseptic ointment at urethral
meatus & along 2.5 cm of catheter
 Place patient in safe & comfortable
position.
 Remove gloves, dispose of contaminated
supplies & wash hand 4/28/2013 12www.drjayeshpatidar.blogspot.in

13.  Record & report condition of perineal
tissue, the time procedure was
performed, patient’s response &
abnormalities noted.
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14. 4/28/2013 14www.drjayeshpatidar.blogspot.in