Straight Catheter Rationale

1. Check patients health record to verify physicians order & assess patient. Review health history for any pathological condition that may impair passage of catheter. Write on your card 2. Choose correct supplies and appropriate size sterile gloves before going to the patients room. 3. *Perform hand hygiene 4. *Identify patient by using two identifiers 5. Assess patients knowledge & purpose for catheterization 6. Close curtains or door to provide for patient privacy & raise bed to the appropriate working height 7. Assess for distended bladder; last time voided 8. Apply gloves, then assess & cleanse perineal area. Then remove gloves and hand hygiene. 9. Position self and use side rails appropriately. Position client for procedure and drape with linens to provide for privacy 10. * Open catheter kit in an easily accessible place: maintain sterility (only touch 1 border, dont allow it to close on itself, do not reach over sterile field) 11. *While keeping eyes on the catheter field, apply sterile gloves (refer to sterile glove steps on the back on of this sheet) 12. *Organize supplies on sterile field (open & discard items, maintain sterility of field and gloves) 13. Open patients labia with gloved nondominated hand keep open until urine flows out of the catheter 14. *Cleanse urethral meatus and surrounding area with aseptic solution (away, closest, middle, maintain sterility) 15. *Maintain sterility of catheter while handling and inserting into the urethra until urine flows out (keep labia open, only touch the catheter to the urethra, do not touch labia or nondominated (unclean hand) with dominate (sterile) hand) 16. Once urine flows out, release labia, move nondominated hand down to the catheter and hold catheter securely. Be sure to maintain a hand on the catheter at all times. 17. Allow bladder to empty completely, then slowly and smoothly remove catheter 18. Remove soiled sterile gloves and put on clean gloves 19. Wash and dry perineal area as needed. Assist patient to comfortable, safe position 20. * Dispose of equipment and perform hand hygiene 21. Document urinary catheter insertion in the EHR