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Catheter Care

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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.  
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Step 2   Fill bath basin 2/3 full of warm water. 105° - 109°F  
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Step 3 *   Raise side rails. Raise bed to the best level for good body mechanics.  
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Step 4   Lower side rail nearest you, place resident in supine position, and drape resident. Fanfold linens to foot of bed.  
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Step 5 *   Put on disposable gloves.  
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Step 6   Place bed protector on bed under buttocks.  
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Step 7   Expose perineal area. (may verbalize, perineal care tested separately)  
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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)  
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Step 9 *   Gently wash around the opening of the urethra with soap and water.  
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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.  
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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)  
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Step 11   Secure catheter properly. Coil and secure tubing to the bed.  
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Step 12   Remove the bed protector. (Double check the coil and security of the tubing.  
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Step 13 *   Remove and discard the gloves.  
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Step 14   Cover resident and remove bath blanket. Place in dirty linen hamper.  
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Step 15   Make sure the resident is comfortable.  
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Step 16 *   Raise side rail. Lower bed. Lower side rail. Attach signal light within resident’s reach. Empty, clean and store supplies.  
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Step 17   Wash hands and report & record observations.  
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Created by: na3
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