Question 1

1.  Checks chart for order

Accepted Answer

2.  Review policy and procedure

Question 2

3.  State goals
 a.  maintain sterility
 b.  provide for urinary drainage
 c.  relieve bladder distention
 d.  provide means to get sterile specimen for urine C&S tests

Accepted Answer

4.Gather equipment
   a.clean gloves for washing pt
   b.check expiration dates  of 
     catheterization kit

Question 3

5.  Provides privacy for patient

Accepted Answer

6.  Performs hand hygiene

Question 4

7.Identify 2 ways:
   a. wrist band & MR#
   b.have pt. state name and DOB
   c.pt allergies
   d.Explains procedure to patient
   e.Allow to verbalize questions
   f.Establishes method of  
     communication

Accepted Answer

8.  Raise bed to working height, rail up on the opposite side

Question 5

9. Perform urinary assessment.  
     a. when patient last voided
     b. presence of bladder  distention
     c.  incontinence
     d. history of prostate enlargement
     e.  mobility/physical limits
f. patients ability to understand and cooperat

Accepted Answer

10. Correctly positions patient and drapes accordingly
    a.  Female – dorsal recumbent position
    b.  Male – supine
*** Provides support for patient’s legs if patient is unable to

Question 6

11.  Inspects perineal area for cleanliness and using clean gloves, washes area with
       soap and water PRN, and dry
Removes gloves and performs hand hygiene

Accepted Answer

12.  Opens cath tray and establishes sterile field

Question 7

**DONS STERILE GLOVES CORRECTLY

Accepted Answer

13.  Applies sterile drape properly
         a.  female:  under buttocks, absorbent side up
         b.  male:  over thighs, below penis

Question 8

14.  Organizes supplies

Accepted Answer

15.  Female patient: sterile fenestrated drape over perineal area (optional)
       Male patient:  fenestrated drape over penis (required)
       Does not contaminate gloves

Question 9

16.  Test balloon of indwelling catheter (some manufacturers do not encourage this)

Accepted Answer

17.  Lubricates tip of cath (Female – 1-2”, Male 5-7”) If available in syringe, lubricant can be injected directly into male urethra.

Question 10

18.  Opens antiseptic swabs ( if cotton balls present-pour antiseptic over cotton balls)

Accepted Answer

**PROCEDURE:Female:  retracts labia, cleanse perineal area front to back. Cleanse far labial fold, near labial fold and directly over the urethral meatus.

Question 11

**Male: no circumcised, retracts foreskin. Cleanses in circular motion from urethral meatus down to base of glans.  Repeats x 3, using new swab.

Accepted Answer

Discards used cotton swabs in prepared trash bag.  Goes around sterile field each time with soiled material.

Question 12

Picks up cath with dominant sterile hand.

Accepted Answer

* MAINTAINS STERILITY OF FOLEY CATHETER AT ALL TIMES

Question 13

Inserts catheter: Female:  pt bear down as if voiding, inserts 2-3 inches When urine appears, insert 1-2 more
Male: pt bear down as if voiding, inserts to bi-furcation and balloon inflation port.  (or if urine return advance 1-2 inches), pt breathe deepl

Accepted Answer

Female:  release labia and hold cath securely with non-dominant, contaminated hand
Male:  lower penis, holds cath securely in non-dominant contaminated hand

Question 14

Inflates balloon of indwelling catheter according to balloon size.  Verbalize if patient complains of sudden pain, to aspirate back solution immediately. (Give rationale)

Accepted Answer

Removes syringe leaving balloon inflated.  Release the catheter, pulling gently to check for resistance

Question 15

Secures the catheter to patient
  Female:  secure tape to inner thigh
  Male:  tapes catheter to top of thigh or lower abdomen

Accepted Answer

Removes gloves correctly and performs hand hygiene

Question 16

Places excess tubing on bed and attaches plastic clip to bottom sheet

Accepted Answer

Attach bag to bed frame

Question 17

Removes supplies from the bed

Accepted Answer

Assess the urine and note its characteristics, (amount, color & clarity)

Question 18

Discards equipment according to agency procedure

Accepted Answer

Follow-up:
a.  start I&O, empty urinary drainage Q8H (per agency protocol)
b.  keep free of kinks, excess tubing coiled on bed and clipped to sheet
c.taped to leg or lower abdomen
d.  keep drainage bag below level of bladder
  e.  perform foley care

Question 19

Education:
  a.  keep bag below level of bladder
  b.  do not kink or lie on top of tubing
  c.  increase fluid intake to 2,000-3,000 ml/day, unless contraindicated

Accepted Answer

Patient safety:
  a.  side rails up
  b.  bed in low position
  c.  call light within reach
  d.  reposition patient

Question 20

Performs hand hygiene

Accepted Answer

STEPS
Document
  1.  date/time
  2.  assessment data
  3.  type & size of catheter used
  4.  results (amount, clarity, color)
  5.  patient’s tolerance
  6.  patient teaching
  7.  signature

Lab Skills #2

Catherization

Question	Answer
1. Checks chart for order	2. Review policy and procedure
3. State goals a. maintain sterility b. provide for urinary drainage c. relieve bladder distention d. provide means to get sterile specimen for urine C&S tests	4.Gather equipment a.clean gloves for washing pt b.check expiration dates of catheterization kit
5. Provides privacy for patient	6. Performs hand hygiene
7.Identify 2 ways: a. wrist band & MR# b.have pt. state name and DOB c.pt allergies d.Explains procedure to patient e.Allow to verbalize questions f.Establishes method of communication	8. Raise bed to working height, rail up on the opposite side
9. Perform urinary assessment. a. when patient last voided b. presence of bladder distention c. incontinence d. history of prostate enlargement e. mobility/physical limits f. patients ability to understand and cooperat	10. Correctly positions patient and drapes accordingly a. Female – dorsal recumbent position b. Male – supine *** Provides support for patient’s legs if patient is unable to
11. Inspects perineal area for cleanliness and using clean gloves, washes area with soap and water PRN, and dry Removes gloves and performs hand hygiene	12. Opens cath tray and establishes sterile field
**DONS STERILE GLOVES CORRECTLY	13. Applies sterile drape properly a. female: under buttocks, absorbent side up b. male: over thighs, below penis
14. Organizes supplies	15. Female patient: sterile fenestrated drape over perineal area (optional) Male patient: fenestrated drape over penis (required) Does not contaminate gloves
16. Test balloon of indwelling catheter (some manufacturers do not encourage this)	17. Lubricates tip of cath (Female – 1-2”, Male 5-7”) If available in syringe, lubricant can be injected directly into male urethra.
18. Opens antiseptic swabs ( if cotton balls present-pour antiseptic over cotton balls)	**PROCEDURE:Female: retracts labia, cleanse perineal area front to back. Cleanse far labial fold, near labial fold and directly over the urethral meatus.
**Male: no circumcised, retracts foreskin. Cleanses in circular motion from urethral meatus down to base of glans. Repeats x 3, using new swab.	Discards used cotton swabs in prepared trash bag. Goes around sterile field each time with soiled material.
Picks up cath with dominant sterile hand.	* MAINTAINS STERILITY OF FOLEY CATHETER AT ALL TIMES
Inserts catheter: Female: pt bear down as if voiding, inserts 2-3 inches When urine appears, insert 1-2 more Male: pt bear down as if voiding, inserts to bi-furcation and balloon inflation port. (or if urine return advance 1-2 inches), pt breathe deepl	Female: release labia and hold cath securely with non-dominant, contaminated hand Male: lower penis, holds cath securely in non-dominant contaminated hand
Inflates balloon of indwelling catheter according to balloon size. Verbalize if patient complains of sudden pain, to aspirate back solution immediately. (Give rationale)	Removes syringe leaving balloon inflated. Release the catheter, pulling gently to check for resistance
Secures the catheter to patient Female: secure tape to inner thigh Male: tapes catheter to top of thigh or lower abdomen	Removes gloves correctly and performs hand hygiene
Places excess tubing on bed and attaches plastic clip to bottom sheet	Attach bag to bed frame
Removes supplies from the bed	Assess the urine and note its characteristics, (amount, color & clarity)
Discards equipment according to agency procedure	Follow-up: a. start I&O, empty urinary drainage Q8H (per agency protocol) b. keep free of kinks, excess tubing coiled on bed and clipped to sheet c.taped to leg or lower abdomen d. keep drainage bag below level of bladder e. perform foley care
Education: a. keep bag below level of bladder b. do not kink or lie on top of tubing c. increase fluid intake to 2,000-3,000 ml/day, unless contraindicated	Patient safety: a. side rails up b. bed in low position c. call light within reach d. reposition patient
Performs hand hygiene	STEPS Document 1. date/time 2. assessment data 3. type & size of catheter used 4. results (amount, clarity, color) 5. patient’s tolerance 6. patient teaching 7. signature

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