(11) Wash hands. Skip steps (12) through (18) and go to follow-up phase
(12) When urine is observed moving through the collecting tubing, advance
the catheter another 1/2 inch. (This will ensure that the catheter tip is fully within the
(13) Inflate the balloon with 10 cc of sterile water.
(14) GENTLY pull on the catheter to ensure that it is properly placed, and
then gently push back into the bladder about 1/4 inch.
(15) Secure catheter in place with adhesive tape. Anchor the catheter to the
skin of the inner thigh.
(16) Dry the patient and leave her in a comfortable position.
(17) Wash hands.
(18) If collection of a sterile specimen is ordered, you may collect it from the
urinary drainage bag at this time. (Closed system is sterile until opened.)
This is the ONLY time it is acceptable to collect urine from the drainage bag
for testing purposes.
c. Follow-Up Phase.
(1) Remove all equipment from the patient's bedside. Discard disposable
items and return other equipment to the appropriate storage areas.
(2) Measure the urine. Send the sterile specimen to the laboratory with the
appropriate request slips.
(3) Record the procedure in the Nursing Notes: include the date, time,
amount and appearance of urine obtained, whether specimen was sent to the lab, and
the patient's tolerance.
2-20. CATHETERIZING THE MALE PATIENT
a. Preparatory Phase.
Check physician's order.
Approach and identify the patient and explain the procedure.
Place the patient in a supine position with legs extended.