CATHEREZATION
It allows urine to drain from the bladder for
CARING FOR A PATIENT WITH AN INDWELLING
CATHETHER
1. Place patient on 1.1 In order to
intake and Output assess the
functioning of
the catheter
2. Encourage increased 1.2 In order to have
fluid intake constant flow of
urine out of the
kidneys and bladder.
3. Maintain closed 1.3 To maintain
system Sterility
4. Maintain external 1.4 For infection
cleanliness around control
catheter
5. Keep catheter 1.5 In order to
drainage bag below prevent
level of bladder contamination
6. Keep tubing coiled 1.6 In order to allow
patient’s side urine to sit in the
tubing.
7. Keep drainage bag off 1.7 To prevent
the floor microorganisms in
moving up the
tubing and catheter.
8. Tape catheter to 1.8 for patients
prevent pulling comfort to prevent
Trauma
9. Observe for irritation 1.9 To prevent
at meatus further infection
10.Empty bag at regular 1.10 In order not to
intervals. overfill and cause
urine backup in the
tubing.
Catheterization- is a procedure in which a rubber or plastic
tube (catheter) is introduced through the urethra into the
bladder.
collection or/for diagnosis of a bladder condition.
TYPES OF CATHETER
Indwelling urinary catheter or retention of foley catheter
• Remain in place for continuous drainage
• Is usually attached to a collecting bag thus the bladder is
continually emptied by gravity
• 2-way Foley catheter is usually used. Foley catheter with
two lumens: one for drainage of urine and the other one for
instilling a solution to inflate a balloon around the end of the
catheter inside, connected to the drainage tubing and
collecting bag.
PROCEDURE FOR CATHETERIZATION
ASSESMENT RATIONALE:
1. Assess the patient and 1. To be sure that
check the order. catheterization
2. Determine if the 2. For the effectiveness of
procedure is to be a straight the procedure.
or indwelling
catheterization.
3. Assess the needs for 3.
collection of a specimen
PLANNING RATIONALE
• Wash your hands  For infection control
• Select Specific type and  For patient comfort
size of catheter
• Collect appropriate  To save time
equipment, including
catheterization set, light
source, bath blanket or
sheet for draping, and extra
equipment as individually
determined.
IMPLEMENTATION
7. Identify the patient
8. Explain the procedure.
Answer any questions
9. Draw bed curtains and
position and drape the
patient.
a. Pediatric patient or
confused patient seek an
assistant
3. Female patient in dorsal
recumbent position, with
knees flexed, or in Sims’
position
3. Male patient in supine
position
10. Set up the equipment
d. Drainage bag is in
separate package, open it
and attached to bed.
e. If sterility drape is on top
of set, grasp drape by side
that is to be non-sterile and
place under patient. Then
put on sterile gloves.
f. If sterile gloves (not
drape) are on top of set, put
them on. Then grasp drape
by side that is to be sterile
and place under patient,
protecting your gloves.
g. Place second drape to
enlarge sterile swabs
h. Open cleansing solution-
and pour over swabs.
RATIONALE
7. To be sure you are
performing the procedure on
the correct patient
8. In order to allay fear and
anxiety
9. For patient’s privacy
a. In order to assist the
patient
b. In order to provide good
visualization during insertion
c. For patient’s comfort
10. To save time.
a. In order to provide good
visualization during insertion
b. To maintain sterility
c. For infection control.
d. For patients comfort
e. To maintain sterility
f. To prevent any
contamination
g. In order to secure and
enlarge the sterile field
h. For infection control
i. Open lubricant and place it i. to minimize trauma and
on end of catheter discomfort to the urethra
when the catheter is
inserted.
j. for an indwelling catheter, j. in order to test if there is a
attach syringe and test defect to the balloon port.
balloon by instilling all of the
sterile water and then,
deflating balloon by
withdrawing water. Leave
syringe attached.
k. set the specimen l. In order to maintain
container and its cap upside sterility
down.
L. if drainage bag is in set, J. In order to test if there is
connect distal end of defect
catheter to drainage tubing. To the balloon port.
11. Catheterize the patient. K. In order to maintain
a. Use non-dominant hand sterility
to expose the meatus.
b. After meatus is identified I. In order to prevent
cleanse the area spillage from the collecting
surrounding the meatus, container while performing
using swabs held in forceps. the procedure.
Use circular motion on
males. Swab from anterior
or posterior on females.
Discard swabs away from
sterile field.
11. Catheterize the patient. 11.
a. use non-dominant hand to a. For visualization
expose the meatus.
b. After meatus is identified, b. To maintain sterility and
cleanse the area for infection control.
surrounding the meatus,
using swabs held in forceps.
Use circular motion on
males. Swab from anterior o
posterior on females.
Discard swabs away from
 the sterile field.

Purpose of catheterization
1. to relieve bladder distention
2. to instill medications into the bladder.
3. to irrigate bladder.
4. to measure hourly urine output accurately
5. to collect urine specimen for culture
6. to measure residual urine
7. to maintain continence amount of incontinent client
8. To promote healing of the genito-urinary structures post-
opt
9. To empty the bladder in preparation for diagnosis
procedure and surgery.

Materials needed:

1. Sterile gloves
2. Sterile catheter set
3. Sterile gloves
4. Sterile wrapper
5. Sterile Cleaning swabs
6. Thumb Forceps
7. Tape
8. Cleaning Solution
9. Pre-filled syring with Sterile Water.
10. water Soluble Lubricant (K-Y Jelly)
11. Draining tubing and collecting bag.
12. Standing Lamp or flashlight.