Urethral Catheterization

Learning task
Title : Urethral Catheterization
Objective : Student is competent to perform Urethral Catheterization on
maniquine.
Competency : 1. Anamnesis skill
(bold letter) 2. Physical examination skill
3. Skill in clinical procedure or interpret data from laboratory
finding and/or imaging to making a diagnosis or differential
diagnosis
4. Management
5. Patient education and communication
6. Profesional behaviour
Instruction for : Clinical Scenario:
the students A 60 years old male patient, come to Primary Health Care Center
with unable to urinate.

Instruction:
Perform Urethral Catheterization on this patient.
Instruction for : 1. Facilitator will allow student to perform urinary
the facilitators catheterization on mannequin in sequence.
2. Facilitator must observe and evaluate each of student
performance with checklist provided below.
3. Facilitator must give feedback to each student based on their
individual performance and also encourage each student to
give feedback to their own performance.

CATHETERIZATION CHECK LIST

Male

Score
No Skills
0 1 2
1 Introduce your self, explain what you would like to do
and obtain concent
2 Hand washing before and afterprocedure
3 Lie the patient comfortably with his legs slightly
separated
4 Choose a catheter, open the catheterization pack, pour
antiseptic into the reciever and put on gloves
5 Clean the penis throughly, retract the prepuce and
 clean around the meatus
6 Drape, so that only penis is in sterile field
7 Hold the penis with a gauze swab; squeeze
anaesthetic/lubricant jelly into the urethra and occlude
it with pressure from the gauze
8 Advance the catheter tip from its sleeve and introduce
to urethra, Advance the catheter using a “no touch
technique”, or with sterile forceps, until the end arm of
the catheter is up to the meatus
9 Inflate the baloon: inject about 5ml of water and check
that it does not cause pain before fully inlating it
10 Attach the bag, gently extend the catheter into
position, reposition the prepuce
11 Record the volume of urine in the bag (residual
volume)
Total Score

Total Score
Final score = --------------- x 100 =
22

Female

Score
No Skills
0 1 2
1 Introduce your self, explain what you would like to do
and obtain concent
2 Hand washing before and after procedure
3 Lie the patient comfortably with his legs slightly
separated
4 Choose a catheter, open the catheterization pack, pour
antiseptic into the reciever and put on gloves
5 Clean the vulva
 6 Drape, so that only vulva is in sterile field
7 Advance the catheter tip from its sleeve and introduce
to urethra, Advance the catheter using a “no touch
technique”, or with sterile forceps
8 Inflate the baloon: inject about 5ml of water and check
that it does not cause pain before fully inlating it
9 Attach the bag, gently extend the catheter into
position, reposition the prepuce
10 Record the volume of urine in the bag (residual
volume)
Total Score

Total Score
Final score = --------------- x 100 =
20