Urinary catheterisation in females
Equipment
Sterile catheter pack with following-
- Gallipot/ receiver.
- Swabs and Disposable towels
- Disposable pad
- Sterile gloves
- Appropriate catheter
- Sterile aesthetic lubrication jelly
- Specimen container
- 0.9% sodium chloride solution
- Alcohol rub
- Hypoallergenic tape
- Sterile water
- Syringe
- Plastic apron
- Drainage bag
PROCEDURE
- Explain the procedure to the patient and the parents
- Get the child in the supine position with legs extended
- Wash hands with bactericidal soap and water
- Put on the disposable apron
- Prepare the trolley to patients bedside
- Open the outer cover of catheterisation pack
- Using aseptic technique, open the supplementary pack
- Place the disposable pad under patients buttocks
- Clean hands again with bactericidal hand rub
- Put on sterile gloves
- Place sterile towels across patients thighs.
- Place sterile towels across patients thighs
- Separate the labia minora so that the urethral meatus is seen. Use one hand to maintain labial separation until catheterization is completed
- Clean around the urethral orifice with 0.9% saline
- Insert the lubricating jelly in the urethra. Allow 5 min for the jelly to act
- Place the catheter in the receiver between the patient’s legs
- Introduce the tip of the catheter into the urethral orifice in an upward and backward direction .
- Push gently until backflow of urine is seen in the catheter
- If the catheter has a cuff, insert air into it with the help of a syringe( generally the amount of air is 3 or 5 ml, as per the instruction on the catheter)
Post-procedure
- Document in the notes
- Discard the instruments
- Send samples after labelling them