b. Performance Phase.
(1) Using your non-dominant hand, separate the labia, so that the urethra
meatus is visualized. This hand maintains separation of the labia until catheterization is
finished. This helps prevent labial contamination of the catheter.
This glove is no longer sterile.
(2) With dominant sterile hand, pick up cotton ball (with forceps) or one
swab stick. With downward stroke, from anterior to posterior, cleanse the labia farthest
from you. DO NOT RETRACE.
Repeat the procedure to cleanse the labia closest to you.
(4) Repeat the procedure a third time to cleanse the area between the two
labia. Stroke from top to bottom, cleansing the urinary meatus. Discard cotton balls or
(5) Grasp the catheter about 3 inches from the tip and lubricate it, keeping
the remainder coiled in the palm of the hand.
(6) Gently insert the catheter about 2 inches into the urethra or until urine
begins to flow. Aim the catheter downward and to the back.
If the catheter is accidentally introduced into the vagina, remove the catheter
and discard it. Obtain another sterile catheter and begin the procedure again.
Allow the urine to flow into the catheter tray (drainage bag, if retention
**If inserting a retention catheter, skip steps (8) through (11) and go to
(8) Collect a sterile specimen (if ordered) in the sterile specimen cup
contained in the kit.
Never allow more than 1000 cc of urine to drain from the bladder at one time.
Clamp the catheter and wait about 15 minutes before allowing the remainder
of the urine to drain.
When the urine has stopped flowing, pinch off the catheter and gently
(10) Dry the patient and leave her in a comfortable position. Replace any