Nursing
The University of the West Indies
Faculty of Medical Sciences
The UWI School of Nursing, Mona
Year II Semester II
BScN
Catheterizing the Female Urinary Bladder
Overview:
Urinary Catheterization is the introduction of a catheter through the urethra into the bladder for the purpose of withdrawing urine.
Purpose of the Urinary Catheterization is to 1. Prevent or relieve bladder distension 2. Promote urinary elimination 3. Obtain a sterile specimen of Urine 4. Obtain accurate measurements of bladder function 5. Provide continuous urinary drainage 6. Instil medication 7. Measure the amount of residual urine 8. Monitor the output of a critically ill patient 9. Facilitate studies of the urinary system 10. Prevent skin breakdown in incontinent bedridden patients.
Equipment: • Sterile Catheter kit that contains: o Sterile Gloves o Sterile Drapes (fenestrated) o Cotton balls or Gauze o Forceps o Medium size receiver/kidney basin o Receiver • Basin with soap and water (For perineal care) o Wash cloth o Disposable gloves • Sterile Catheter (Appropriate size Catheter) • Additional pack of cotton balls • 20cc syringe with sterile needle • Antiseptic lotion (sterile savlon 1:200 for swabbing) • Urine collecting bag • Sterile water base lubricant • Water to inflate the balloon • Waterproof disposable pad • Hand sanitizer • Tape • Sterile specimen container
Assessment 1. Assess the patient’s normal elimination habits 2. Assess patient’s ability to understand information and to cooperate 3. Assess for patency of the urethra and for contraindication for insertion of the catheter. 4. Assess for latex allergy
Nursing Diagnosis 1. Impaired Urinary Elimination 2. Urinary Incontinence 3. Risk for Infection 4. Risk for Impaired skin integrity
Faculty of Medical Sciences
The UWI School of Nursing, Mona
Year II Semester II
BScN
Catheterizing the Female Urinary Bladder
Overview:
Urinary Catheterization is the introduction of a catheter through the urethra into the bladder for the purpose of withdrawing urine.
Purpose of the Urinary Catheterization is to 1. Prevent or relieve bladder distension 2. Promote urinary elimination 3. Obtain a sterile specimen of Urine 4. Obtain accurate measurements of bladder function 5. Provide continuous urinary drainage 6. Instil medication 7. Measure the amount of residual urine 8. Monitor the output of a critically ill patient 9. Facilitate studies of the urinary system 10. Prevent skin breakdown in incontinent bedridden patients.
Equipment: • Sterile Catheter kit that contains: o Sterile Gloves o Sterile Drapes (fenestrated) o Cotton balls or Gauze o Forceps o Medium size receiver/kidney basin o Receiver • Basin with soap and water (For perineal care) o Wash cloth o Disposable gloves • Sterile Catheter (Appropriate size Catheter) • Additional pack of cotton balls • 20cc syringe with sterile needle • Antiseptic lotion (sterile savlon 1:200 for swabbing) • Urine collecting bag • Sterile water base lubricant • Water to inflate the balloon • Waterproof disposable pad • Hand sanitizer • Tape • Sterile specimen container
Assessment 1. Assess the patient’s normal elimination habits 2. Assess patient’s ability to understand information and to cooperate 3. Assess for patency of the urethra and for contraindication for insertion of the catheter. 4. Assess for latex allergy
Nursing Diagnosis 1. Impaired Urinary Elimination 2. Urinary Incontinence 3. Risk for Infection 4. Risk for Impaired skin integrity
References: Taylor, C.R., Lillis, C., LeMone,P. & Lynn, P. (2011) Fundamentals of Nursing. The art and science of nursing care. (7th ed.). Philadelphia PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. Pg 613-621 Lynn, P. (2011). Taylor’s Handbook of Clinical Nursing Skills. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams Wilkins. Pg 923-930