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Catheter Care
Question | Answer |
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Step 1 | Knock before entering the room. Identify and greet resident. Explain procedure. Wash your hands. Provide for privacy. Ask for consent. |
Step 2 | Fill bath basin 2/3 full of warm water. 105° - 109°F |
Step 3 * | Raise side rails. Raise bed to the best level for good body mechanics. |
Step 4 | Lower side rail nearest you, place resident in supine position, and drape resident. Fanfold linens to foot of bed. |
Step 5 * | Put on disposable gloves. |
Step 6 | Place bed protector on bed under buttocks. |
Step 7 | Expose perineal area. (may verbalize, perineal care tested separately) |
Step 8 | Separate the labia of the female or retract the foreskin (uncircumcised male) and check for any crusts, abnormal drainage, or secretions. (Must verbalize) |
Step 9 * | Gently wash around the opening of the urethra with soap and water. |
Step 10a * | Holding the catheter near the meatus, clean the catheter from the meatus down the catheter about 4 inches, using soap, water and a clean washcloth. Clean downward away from the meatus with one stroke. |
Step 10b * | Repeat as needed with a clean area on the washcloth each time. Rinse and pat dry. (Only wipe 1x and verbalize the entire step) |
Step 11 | Secure catheter properly. Coil and secure tubing to the bed. |
Step 12 | Remove the bed protector. (Double check the coil and security of the tubing. |
Step 13 * | Remove and discard the gloves. |
Step 14 | Cover resident and remove bath blanket. Place in dirty linen hamper. |
Step 15 | Make sure the resident is comfortable. |
Step 16 * | Raise side rail. Lower bed. Lower side rail. Attach signal light within resident’s reach. Empty, clean and store supplies. |
Step 17 | Wash hands and report & record observations. |