21.14 Checklist for Straight Catheterization – Female/Male (with Urine Specimen
21.14 Checklist for Straight Catheterization – Female/Male (with Urine Specimen Collection)
Please follow the checklist below to review the steps for completion of “Straight Catheterization for Female/Male.”
Steps
Disclaimer: Always review and follow agency policy regarding this specific skill.
- Gather supplies: peri-care supplies, nonsterile gloves, straight catheter kit, extra pair of sterile gloves, and preprinted patient label.
- Perform safety steps:
- Perform hand hygiene.
- Check the room for transmission-based precautions.
- Introduce yourself, your role, the purpose of your visit, and an estimate of the time it will take.
- Confirm patient ID using two patient identifiers (e.g., name and date of birth).
- Explain the process to the patient.
- Be organized and systematic.
- Use appropriate listening and questioning skills.
- Listen and attend to patient cues.
- Ensure the patient’s privacy and dignity.
- Assess ABCs.
- Assess for latex/iodine allergies, joint limitations for positioning, and history of previous difficulties with catheterization:
- Female: Ask about previous gynecological surgeries.
- Male: Ask about previous diagnosis of enlarged prostate.
- Place the hand sanitizer and other supplies for use during/after procedure on the table near the bed.
- Place the catheter kit and peri-care supplies on the over-the-bed table.
- Ensure adequate lighting. Enlist assistance for positioning if needed.
- Raise the opposite side rail. Set the bed to a comfortable height.
- Position the patient supine and uncover the patient, exposing the patient’s groin, legs, and feet for positioning and sterile field (male = supine, legs extended; female = dorsal recumbent; may need assistance to position patient and help support legs).
- Wash your hands, apply clean gloves, and clean the perineal area.
- Remove your gloves and perform hand hygiene.
- Open the package. Take out the sterile package and place it on the table. Place the plastic package wrapping at end of the bed or on the side of the bed near you.
- Open the kit extending the outer wrapping to create a sterile field; position the sterile field on the table to create space for opening gloves at the end of the table.
- Place the sterile pad/sheet under the patient without contaminating the center of the drape by only holding onto the edges of the drape.
- Perform hand hygiene and apply sterile gloves.
- (Optional use of fenestrated drape). Place the fenestrated drape over the patient’s perineal area, keeping your gloves sterile by folding the corners of the sterile drape over the sterile gloves before approaching the patient.
- If a urine specimen is ordered, remove the sterile specimen container and remove the lid, if attached. Set the container on the sterile drape and invert the lid to maintain sterility. Position the container on the sterile drape to be within reach during the procedure.
- Place the plastic tray with cotton balls and forceps on the sterile drape. Simulate opening the io