How to insert a catheter

Hand hygiene
Introduce
Gain consent
I've been asked to insert a catheter to allow us to monitor your urine output
This will involve putting a thin flexible tube into thebladder
Before I put the tube in I will insert some local anaesthetic which should make the procedure as comfortable as possible.
One of the staff will be present as a chaperone
Chaperone
Do you have any allergies at all?
Urinary retention?
Check in the notes about bladder scan?


Assemble equipment:
APRON
Woundcare pack
Saline
Catheter
Catheter bag
Instilagel

Sterile gloves (x2 There is one in the pack)
Incopad

Check patient ID using bracelet

Clean trolley
Open pack
Put in saline and instilagel in field

Arrange patient
Perform hand hygiene and put on gloves

Arrange the sterile towel
Retract foreskin
Clean head of the penis with saline
Wiping away from the urethral meatus
How many
Use intilagel and wait for up to 3 minutes
Inject a bit in the tray


Remove gloves
Put in catheter and bag on field
Perform hand hygeine and replace gloves

Attach catheter to bag
Coil catheter and put bag between patients legs
Insert catheter
Ask to cough if resistance at prostate
Put in 10cm after the flow of urine

Inflate bladder
Gently pull on catheter so it sits in neck of bladder

Thank the patient
Clean up
Document procedure in notes


Perform hand hygiene

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