j. Record that the irrigation was done, by whom, and the patient's response to
3-10. REMOVING AN INDWELLING CATHETER
Eventually, a catheter must be removed because the need for it no longer exist
or it is crusting and must be changed. The nurse usually removes the catheter.
a. Assemble all supplies and equipment.
10 cc syringe.
Washcloth and towel.
Soap and water.
b. Identify the patient and explain the procedure to him. Advise him that there
will be a slight burning during removal of the catheter.
c. Provide privacy and assist the female patient into a dorsal recumbent
position. The male should be in a supine position. Place Chux under the patient's
buttocks and provide proper draping.
d. Wash your hands and put on exam gloves.
e. Empty the balloon by inserting the barrel of the syringe and withdrawing the
amount of fluid used during inflation.
f. Pinch off and gently pull on the catheter near the point where it exits from the
g. Clean the perineum or penis with soap and water. Dry the area well.
h. Inspect the catheter to be sure no remnants remained in the bladder. If the
catheter is not totally intact, report this promptly and save the catheter for further
i. Empty the drainage bag. Measure the amount of urine and record on the
intake and output (I&O) sheet.
Remove the gloves and wash your hands.