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  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 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 disposable pad under patients buttocks

  • Clean hands again with bactericidal hand rub

  • Put on sterile gloves

 

  • Place sterile towels across patients thighs.

  • Wrap sterile topical swab around the penis. Retract the foreskin and clean glans penis with 0.9% sodium chloride

  • Apply the lubricating gel onto your glove on the dorsal aspect. You can also apply the gel directly on the glans penis if child older

  • Grasp the penis firmly at the glans raising it until it’s almost extended .

  • Place receiver containing the catheter between the patients legs.

  • Insert the catheter for few centimeter until urine begins to flow

 

  • If resistance is felt at the external sphincter, increase the traction on the penis slightly and apply steady pressure on the catheter.

  • Once you get the flow, insert the catheter for a few more centimeters until the end of catheter to make sure it’s in the bladder .

  • Gently inflate the balloon according to the recommendations

  • Now withdraw the catheter slightly and attach it to the drainage system

  • Support the catheter by attaching it to the thigh with tape.

 

Record the information including

  • Reason for catheterisation

  • Date/ time of insertion

  • Catheter length, size

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