Professional Documents
Culture Documents
Female Catheterisation June 2018-1
Female Catheterisation June 2018-1
Female Catheterisation June 2018-1
Catheterisation
Learning Outcomes
By the end of the session you will be able to:
• Apply ANTT to performing female catheterisation
“Key Parts must only come into contact with other aseptic Key
parts or Key Sites” (www.antt.co.uk)
• Dilatation of stricture
• Limitations
– Difficult catheterisation or false passage
– Ill defined or oedematous genitals
– Pelvic trauma
– Maximum 1 attempt before referral
Preparing the Patient
• Indication
• Assess genitalia
• Chaperone
• Psychological implications
Catheter sizing
• Two lengths: Female 22-26cm
Standard 40-44cm
– Crack easily
• Latex
– Latex free
– Walls of the catheter thinner so internal channel equal
to larger size E.g. 12Ch = 14Ch
– Time insitu up to 12 weeks
– Balloon material can allow diffusion
– Not as flexible
– Sometimes balloon doesn’t deflate fully or ridges form
Documentation
• Insertion and ongoing care record
• Time and date of insertion / removal date
• Indication for catheter
• Material used: length and size of catheter
• Charriere size and balloon infil
• Lot number and expiry
• Difficulties during the catheterisation
• Residual urine / colour / dip stick
• Fluid Balance
Urinary Catheter Insertion &
Ongoing Care Record
Urinary Catheter Insertion &
Ongoing Care Record
Catheter Management
• Change catheter bag every 5-7 days
• Keep catheter bag below bladder
• Maintaining a closed system
• G strap or CliniFix
• Bladder washouts
• Education on cleaning
• Obtaining samples
• Changing of catheter
Discharge Planning
• Education
• Charter Healthcare
• Documentation
Trial without catheter (TWOC)
– Definition:
• Sharps
• Splashes
• Bites
• Scratches
Inoculation injuries QEHB 2016 -2017
Total
Needlesafe Devices
Sharps Containers
Safe Practice