Week 6 - Skill Check-off Indwelling Catheter-Female rev 2-19-23--lab

Skill Check-off Indwelling Catheter (Female) Name: ________________________________ Course/Lab: _________________________ Date: _________________________________ Attempt: 1 st □ 2 nd □ Grade: Satisfactory □ Unsatisfactory □ Instructor Signature: __________________ S U Comments 1. Pre-procedure a. Verify order b. Introduce self c. Identify patient d. Explain procedure e. Wash hands f. Gather supplies g. Verify Allergies h. Provide Privacy 2. With gloved hands, examine the patient by using a bladder scanner or by palpating the patient’s bladder for distention. 3. Raise the bed to a comfortable working height. Adjust side rails accordingly. 4. Lower the head of the bed to a comfortable position 5. Positioned the patient in the dorsal recumbent position. Asked the patient to relax her thighs. 6. Placed a waterproof pad under the patient and draped the patient for privacy. 7. Applied clean gloves, cleanse labia and urinary meatus, working from the clitoris toward the anus. 8. Positioned a trash can nearby or placed a bag between the nurse and the patient. Perform hand hygiene and applied clean gloves. 9. Obtained an indwelling catheter kit. Opened the outer wrapping of the kit by tearing the designated edge of the plastic wrap. Placed the empty outer plastic wrap near the end of the bed and used it for waste disposal. Placed the inner catheter tray kit on a clean surface. 10. Open the inner sterile wrap using sterile technique. Using sterile technique, opened the top flap outward to the far side of the kit. Then 1

Skill Check-off Indwelling Catheter (Female) S U Comment opened the side flaps without bringing the arms back over the sterile packaging. Opened the last flap toward yourself. Noted that the tray was sitting open on its own sterile field. 11. Draped the patient’s perineum appropriately: Picked up the square drape and allowed it to unfold without touching unsterile surfaces. Allowed the top edge of the drape to form a cuff over both hands. Placed the drape with the shiny side down on the bed between the patient’s thighs. Slipped the cuffed edge just under the patient’s buttocks while asking her to lift her hips. 12. Applied sterile gloves. Picked up fenestrated sterile drape. Draped this item over the patient’s perineum, exposing her labia. Do not allow drape to touch the unsterile surfaces. 13. Placed the sterile tray on the sterile drape. Arranged all the supplies on the sterile field, maintaining sterility of gloves. Opened the packet of lubricant and squeezed it out onto the sterile field. Opened the package of sterile antiseptic solution. Poured the solution over the sterile cotton balls. Opened the inner sterile wrapper of the catheter. If using a closed system kit, remove the tray with the catheter and the attached drainage bag, and place them on the sterile drape. Made sure the clamp on the drainage port of the bag was closed. If using and open system, attach the catheter to the drainage tubing. Lubricated the catheter. 14. Cleansed the patient’s urethral meatus. Separate the labia with the fingers of the non- dominant hand to fully expose the urinary meatus. Use forceps to hold one cotton ball or swab stick at a time. Cleanse the labia and the urinary meatus from the clitoris toward the anus. Use a new cotton ball or swab for each area. Appropriately dispose the used cotton balls or swabs without contaminating the sterile field. 2

Skill Check-off Indwelling Catheter (Female) within reach. 24. Post-procedure: a. Remove gloves b. Wash hands c. Patient education d. Documentation 25. Must complete in 15 minutes or less 4