(4)
Place a sterile moisture proof drape across upper thighs.
(5)
Place waste receptacle in accessible place.
(6)
Direct light for visualization of genital area, if necessary.
(7)
Wash hands.
(8)
Open catheter kit using aseptic technique.
(9)
Squeeze lubricant into plastic tray.
(10) Pour cleansing solution over cotton balls or open swab packet.
(11) Wash hands and put on sterile gloves.
**If inserting a retention catheter, you must also:
(12) Inspect catheter for defects. Test the balloon by injecting 10 cc of sterile
water into the balloon. Allow the water to drain back into the syringe.
NOTE:
If there is a leak in the balloon, the catheter must be discarded and replaced.
(13) Connect catheter to the connecting tubing on the drainage bag.
Maintain sterility of catheter and bag.
b. Performance Phase.
(1) Using your non-dominant hand, grasp penis, raising it almost straight up.
(This maneuver straightens the urethra and facilitates catheterization.) Maintain grasp
on penis until procedure is completed.
NOTE:
This glove is no longer sterile.
(2) With dominant sterile hand, pick up cotton ball (with forceps) or one
swab stick. Cleanse urethra meatus in a circular motion. Repeat as required, using a
new swab or cotton ball each time. DO NOT RETRACE. Discard swabs/cotton balls.
(3) Grasp the catheter about three inches from the tip and lubricate it,
keeping the remainder coiled in the palm of the hand.
(4) Gently insert the catheter into the urethra until urine begins to flow (6-9
inches). The catheter may be held with Kelly forceps rather than the gloved hand, if
preferred.
MED918
2-19