BHARATI VIDYAPEETH (DEEMDED TO BE UNIVERSITY),

COLLEGE OF NURSING,
PUNE

CLINICAL TEACHING
ON
Catheter care

SUPERVISED BY
MRS.SUSHILA DEVI/ MRS SHUBHANGI B
BVCON, PUNE

PRESENTED BY:
MS. LOMA R WAGHMARE
F.Y. MSC NURSING
BVCON, PUNE
TOPIC: CATHETER CARE

DATE OF PRACTICE TEACHING: 13.02.21

TIME: 10am

NAME OF GROUP: F. Y. B.SC (Nursing)

NAME OF THE EVALUATOR: Mrs. SHUSHILA DEVI/ Mrs. Shubhangi B

OBJECTVES

General objectives:

At the end of the clinical teaching the students will gain the practical skill of catheter care and use it in clinical practice.

Specific objectives:

By the end of the demonstration students will be able to

● Define catheter care.

● Prepare the her/himself for catheter care

● Prepare the patient for catheter care

● Arrange the necessary articles required for catheter care

● Perform the procedure of catheter care following all aseptic techniques

● Performs the procedure of emptying the urinary bag

● Terminate the procedure for catheter care

● Perform after care of articles

● Perform documentation of the procedure performed

 METHOD

OBJECTIVES TIME CONTENT OF STUDENT AV AIDS EVALUATION

TEACHING ACTIVITY

1. Define 2 min DEFINITION: Lecture/ Listening Students

catheter Urinary catheter is a tube that is inserted through the Discussion define catheter
care urethra into the bladder to drain urine. care

A catheter may be inserted temporarily and the removed

after the bladder is drained.

Another type of catheter is left in place to drain urine

continuously. A urinary catheter that is left in place is a
Foley catheter or an indwelling catheter. The nurse inflates
the balloon on one end of the catheter with sterile water.
The balloon is inside the bladder and keeps the catheter in
place. The other end of the catheter is attached to the
drainage bag.

Nursing Care:

Urinary catheterization is procedure that is performed by a

nurse or a doctor. Special precautions are necessary when
caring for a resident with a Foleys catheter.
 INDICATION: Lecture/ Listening
- Every day during the sponge bath Discussion
- After every defecation
- Twice a day (to prevent CA-UTI, as per hospital
policy)

CARE OF CATHETER:

2. Prepare Care of catheter can be divided into following steps: Students

the Lecture/ verbalizes the
Listening
her/him Discussion preparation of
self for 1 min her/ him self
1. Prepare the her/himself for catheter care:
catheter for catheter
- The nurse should be through about the procedure
care care
 she will be performing
- She should know and follow all the aseptic
3. Prepare
techniques
the
- She should maintain the privacy of the client Students
patient
verbalizes the
for
2. Prepare the patient for catheter care: preparation of
catheter
- Explain the procedure to the patient. This will help Listening & the patient for
care
to gain the confidence of the patient and Discussion catheter care
1 min Listening
cooperation during the procedure.

4. Arrange
Students
s the
3. Articles Required: arranges the
necessa
articles for
ry A dressing trolley containing:
catheter care
articles
Sr.no Article Quantity
for Demonstrati
catheter 1 Tray with lid 1 on
care 5 min 2 Gallipot 1 Observatio
3 Kidney tray 1 n and
4 Sponge holder 1 Listening
5 Thumb forceps 1
 6 Cotton balls 10-15
7 Gauze pieces 5-7
8 Micro pore 1
9 Scissors 1
10 Clean Gloves 2 paire
11 Antiseptic solution 1
(Betadine solution)- as
per hospital policy
12 Antiseptic Ointment 1
(Betadine ointment)- as
per hospital policy
13. Macintosh/ Disposable 1
Lining(teenabed)

4. Procedure of Catheter Care:

 Wash the hands

 Raise the head of the bed to a correct working height
 and lock the brakes.
 Raise the side rail on the opposite side and lower the
5. Perform Students
rails on the side near to you
the performs the
 Assist the patient to a supine position with the legs
procedu procedure of
separated and the knees bend, if possible.
re of catheter care
 Place a protective pad/ or mackintosh under the
catheter
patients buttocks, and drape the patient.
care
 Wash the hand Demonstrati
followin
g all  Prepare the tray by pouring the antiseptic solution in on
20 Observatio
aseptic the gallipot.
min n and
techniq  Don the Gloves
Listening
ues  Perform perineal care.
 Use Sponge holder to hold the cotton ball and dip in
the antiseptic solution, remove all the extra solution
by squeezing the cotton with thumb forceps into the
kidney tray.
 Female: Separate the labia and clean from upward to
downward direction with the cotton ball. Discard the
cotton ball in kidney tray after each stroke. Repeat for
3-4 times, until visibly clean.
 Male: Clean the head of the penis with the cotton ball
 with motions away from the urinary meatus. The fore
skin must be retracted during the procedure.
 Check carefully for dried secretions
 Using a sterile gauze piece, clean the catheter for
three to four inches, beginning from the urinary
meatus and clean away from it. Dry the tube
thoroughly.

 Make sure there is no kinks in the tube

 Secure the catheter on the mid-thigh of the patient
using the micropore- to prevent the dislodgement of
the catheter
 After covering the patient with top sheet remove the
drape covering the patient and the mackintosh
beneath.
 Remove the gloves and wash hand
 Raise the side rails

5. Performs the procedure of emptying the urinary

bag:

 A urinary bag is emptied at every shift, and the

amount of urine should be measured and recorded
in the patients intake output chart.
 With the gloves donned, clamp the urinary drain
tubing
 Remove the knob of the drainage bag. Empty the
content in the measuring cane (graduate). Don not
use the measurement on the side of the drainage
bag as they not be accurate.
 Make sure that the knob of the drainage bag is
 closed at all time.
 Measure the urine and document it in the intake-
output chart.

6. Terminate the procedure for catheter care:

To complete the procedure perform the following steps

 Make the patient comfortable, positioning in good

6. Perform body alignment.
s the  Make the patient safe, placing call bell within reach,
procedu lowing the bed and raising the side rails.
re of  Washes the hand.
emptyin
g the
urinary
bag
7. After care of articles:

Student re-
 Takes the articles to the utility room.
demonstrates
 Segregates the waste as per hospital policy
the procedure
 Replacement of all articles
  Washes hand
8. Documentation:

Documentation is the very important after performing

5 min
any procedure.
Demonstrati Observatio
The nurse has to document the procedure in the nurse
on n and
note and documents if any changes or abnormal things
Listening
found or observed.

GENERAL GUIDELINES FOR PATIENT WITH

7. Termina
CATETHER CARE
te the
 Keep the urinary bag always below the bladder level
procedu
 Keep the tube free from kinks and folds
re for
 When assisting the patient to move, be careful that
catheter
the catheter is not pulled
care
 Keep the urine drainage close and intact as far as
possible
 Do not dangle the bag on the floor
 The catheter and the bag has to be replaced as per
the hospital policy
Re-
 8. Perform demonstrates
after BIBLIOGRAPHY: the procedure
care of
 Peggy A. Grubbs, Barbara A Blasband; The long
articles term care Nursing Assistant-retrospective approach;
2nd edition; Press of Ohio,pg.340-342, 269
 Sister Nancy,Principle & Practice of
Nursing:Nursing art Procedure, 7th Edition, N.R.
9. Perform Publishing House.

document 2 min Observatio

ation of n and
Demonstrati
the Listening
on
procedure
performed Verbalizes the
procedure

Listening Verbalization
2 min Lecture

Listening

1 min Verbalisation

Lecture

Listening
3 min Lecture