Catheterization Procedure Male & Female
Catheterization Procedure Male & Female
Catheterization Procedure Male & Female
1. Gather equipment in a clean, private area: 1. A bathroom with running water and
Gloves. a toilet is the optimum for purposes
Catheter. of teaching and normalizing the
Soap, water, and cotton balls or disposable wipes. procedure.
Water-soluble lubricant (e.g. K-Y Jelly, never Vaseline).
Container to collect urine, if student is unable to use the
toilet for positioning in the case of a female or to be
positioned near the toilet in the case of a male.
Towel to place under student if student is unable to use the
toilet for positioning in the case of a female or to be
positioned near the toilet in the case of a male.
4. Explain the procedure and its importance as it is being carried 4. Use terms that the student can
out. understand.
5. Position the student, assisting with removal or adjustment of 5. If the student will be learning self-
clothing or diaper. Have the female student maintain a sitting catheterization, try to use the
position on the toilet whenever possible, otherwise position the position that will be used later on.
student on her back with feet flat on cot, knees flexed and
apart. Have the male student positioned near the toilet
whenever possible, otherwise, try to maintain a comfortable
sitting position.
7. Squeeze lubricant onto tip of catheter; leave in protective 7. Lubrication prevents trauma.
wrapper if available, otherwise place on clean paper towel,
putting the large end of catheter in a collection container if
student is not on toilet.
8. Female student: With the thumb and middle finger of the non- 8. Identification of anatomical
dominant hand, gently separate the labia, exposing the landmarks should begin now.
uretheral meatus. Maintain separation with slight backward
and upward tension.
Male student: With the non-dominant hand, hold the penis
by the shaft and at an angle straight out from the student’s
body.
9. Female student: With the opposite hand, cleanse around the 9. Front to back cleansing prevents
meatus using cotton balls saturated with soap and water, or contamination.
disposable wipes. Make three single downward strokes, using
a clean cotton ball or wipe for each stroke.
Clean Intermittent Catheterization (CIC) Procedure, Female and Male, Continued
10. Female student: While continuing to separate the labia with 10. Slight resistance as the catheter
one hand, use the other hand to pick up the catheter passes through the urinary
approximately 3 inches from the tip; insert the catheter into the sphincters may be met as you
meatus, until urine begins to flow; then advance the catheter advance the catheter into the
another one or two inches. Never force the catheter. Hold in bladder. If strong resistance is met,
place until urine stops flowing. do not force the catheter. Remove
the catheter and notify the student’s
parents and/or public health nurse
immediately.
Male student: Use the other hand to pick up the catheter
Approximately 3 inches from the tip; insert the catheter
into the meatus, until urine begins to flow; then advance
the catheter another one or two inches. Never force the
catheter. Hold in place until urine stops flowing.
11. Remove the catheter, pausing if urine begins to flow again. 11. Urine may start and stop with
changes in the position of the
catheter.
13. If collection container was used, observe urine for signs of 13. Observe and document the color,
abnormality, measure the amount and document, then discard. clarity, and odor.
14. If reusing the catheter, wash with warm soapy water, rinse, and 14. Using friction to clean catheter and
dry. Place in plastic bag or other container. Send home if creating a dry environment for
requested by parent/guardian. storage will retard growth of germs
on catheter.
15. Wash collection container with soap and water, rinse, and dry. 15.
Dispose of wipes or cotton balls.
18. Document procedure and results. Promptly report any 18. Use AS400 Clinic Program and
abnormality to the parent and public health nurse. Catheterization Log.