1-9.
CARE OF THE PATIENT WITH AN INDWELLING CATHETER
a. General. Catheter care is to be performed twice daily on all patients with
indwelling catheters unless otherwise ordered by the doctor. Daily catheter care should
include cleansing of the metal catheter junction with soap and water and the application
of water-soluble microbicidal ointment (Betadine, unless other ointment or cream is
ordered by the physician. The urinary catheter should be inserted only by adequately
trained personnel using sterile technique.
b. Important Points.
(1)
(2)
Never elevate the bag above the level of the patient's bladder.
(3) Always use a sterile, closed-drainage system with disposable, clear
plastic bag and connecting tubes.
(4)
Do not break the sterile continuity when removing the urine.
c. Procedure.
(1)
Check the physician's orders.
(2)
Introduce yourself and explain the procedure.
(3)
Provide privacy.
(4)
Obtain supplies:
(a) Betadine (or ointment of physician's choice).
(b)
Soft washcloth.
(c)
Soap and water.
(d) Sterile, cotton-tipped applicator and gloves.
(5)
Wash your hands and don gloves.
(6)
Position the patient for comfort.
(7) Cleanse around urethral meatus and adjacent catheter. Cleanse entire
catheter with soap and water.
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