Genitourinary

Front 1

prepare pt

Back 1

position (female: dorsal recumbent) (male: supine)
drape to provide max modesty
position lamp to illuminate perineal area

Front 2

set up equipment

Back 2

open cath kit
don sterile gloves
organize supplies within kit

Front 3

apply sterile drape, maintaining sterile technique

Back 3

female: tuck under the buttocks
male: place over thighs just below the penis

Front 4

clean urethral meatus:
female

Back 4

spread labia with non-dominant hand (maintain this position until catheter is inserted); pick up povidone-iodine soaked cotton ball with forceps; wipe from front to back (clitoris to anus) on each side of labia, then directly over center of urethral meatus (using a new cotton ball for each wipe)

Front 5

clean urethral meatus:
male

Back 5

grasp penis at shaft just below glans with non dominant hand; pick up a povidone-iodine soaked cotton ball with forceps; clean tip of penis in circular motion from meatus down to base of glans - repeat at least 3 times (using a new cotton ball each time)

Front 6

insert catheter

Back 6

pick up lub catheter with dominant hand and insert distal end through urethral meatus. advance catheter until urine flows (2-3 inches females, 7-9 inches males); upon flow advance another 1-2 inches

Front 7

straight cath

Back 7

drain urine from bladder using basin; when bladder is empty, remove catheter

Front 8

indwelling cath

Back 8

inflate balloon and place drainage bag below level of bladder; secure cath to pt leg (female), or abdomen (male)

Front 9

complete procedure

Back 9

remove supplies, remove povidone-iodine from skin; document procedure noting color and volume of urine, and pt response to procedure