CATHETERIZING

Question 1

c.

Answer 1

Check the order and the equipment
Review patients chart for any limitations in physical activity and allergies
Confirm medical order for catheter insertion

Question 2

W.

Answer 2

Wash your hands

Question 3

P.

Answer 3

Provide for privacy

Question 4

Prepare

Answer 4

Clean work area
Assemble supplies
Trash receptacle 
Bed at working height
Lower bed rail

Question 5

Assess- Subjective

Answer 5

Ask the patient if they have been having difficulting urinating and how often they have been urinating
Apply PQRST

Question 6

PQRST

Answer 6

Provocation/palliation
Quality/Quantity
Region/Radiation
Severity Scale
Timing

Question 7

Assess- Objective

Answer 7

Abdominal assessment-
inspection- rounded, concave, convex, presence of incisions or scars
Palpation- soft, firm, rigid, tenderness, distention or masses

Question 8

Assess- Objective pt 2

Answer 8

TACO
Type: void, urinary catheter
Amount
Color/Clarity: straw, yellow, amber, red, tea colored/ clear, sediment, clots

Question 9

T.

Answer 9

Teach the patient about what you are doing and assess patient’s ability to assist with the procedure

Question 10

Position

Answer 10

patient in recumbent position

Question 11

Verbalize

Answer 11

Pericare. “I would then put on clean gloves and clean the perineal area from front to back. Then i would rinse and dry. Remove my gloves and wash my hands”

Question 12

Open

Answer 12

Sterile kit

Question 13

Apply sterile drape

Answer 13

Apply drape and done sterile gloves

Question 14

Place

Answer 14

sterile tray between thighs

Question 15

Open suplies

Answer 15

Ensure clamp on bag is closed
Fluff cotton balls on tray and pour antiseptic solution over them
Set specimen container aside
Open lubrication, pour on tray
Insert sterile water syringe

Question 16

Lubricate

Answer 16

1 to 2 inches of catheter tip

Question 17

With non-dominant hand

Answer 17

spread the labia. DO NOT LET GO.

Question 18

Use dominant hand

Answer 18

to clean both labial folds and meatus

Question 19

Dominant hand

Answer 19

position catheter and setup within easy reach on sterile feed

Question 20

Inserting

Answer 20

hold 2-3 inches from tip.
do not force catheter
ask patient to breathe deeply and rotate catheter slightly if there is slight resistance
insert until urine drains, then advance 2-3 more inches

Question 21

Hold

Answer 21

catheter securely at the meatus with non-dominant hand
inject sterile water
pull gently to feel resistance
remove syringe with plunger depressed so fluid remains in balloon

Question 22

Verbalize

Answer 22

remove equipment and dispose of it according to facility policy
Wash and dry perineal area

Question 23

Remove

Answer 23

gloves and perform hand hygiene

Question 24

Secure catheter tubing to patients inner thigh

Answer 24

Leave slack in catheter for leg movement

Question 25

Assist

Answer 25

patient into comfortable position