Cebu Doctors’ University
College of Nursing
Mandaue City
URINARY CATHETERIZATION
Definition: Emptying the bladder with the use of a sterile catheter.
Indications:
1. Urinary retention due to surgery, childbirth, or trauma of the urinary tract.
2. Pre-operative measure as a precaution to prevent possible surgical error in identifying
abdominal organs.
3. Collection of urine specimen for diagnosis.
4. Adjust for bladder irrigation and instillation.
5. Other urinary disturbances: incontinence, polyuria, dysuria, oliguria and enuresis.
Preparation/Materials:
Foley catheter
Kidney basin
Sterile gloves
KY jelly
10-cc syringe and sterile water
Bandage scissors
Eye Sheet (in the stock tray)
Bath Blanket
Urine bag (for indwelling catheterization)
Hypotray
Kelly Straight
URINARY CATHETER INSERTION
PROCEDURE RATIONALE
1. Secure doctors’ order for catheterization.
2. Introduce self and verify the patient’s
identity.
3. Explain the purpose of the procedure to the
patient, what to expect and relaxation
techniques during catheter insertion.
4. Place the client in the appropriate position.
• Female: supine with knees
flexed, feet about 2 feet apart,
and hips slightly externally, if
possible
• Male: supine, thighs slightly
abducted or apart
5. Establish adequate lighting. Perform
perineal flushing and drape the patient.
6. Perform medical handwashing.
7. Bring materials to patient’s bedside. Stand
on the right side of the patient if you are right-
handed and left side if you are left-handed.
8. Prepare the materials. Open the stock tray
and place the sterile catheter, 10-cc syringe
inside, and eye sheet. Unwrap kidney basin
and Urobag.
9. Prepare syringe with 10 cc sterile water.
and place it on the hypotray.
10. Bring the equipment/materials in the foot
part of the patient.
11. Put on sterile gloves.
12. Place sterile drape over vulva.
13. Place kidney basin at the base of the
buttocks.
14. Determine the natural bend of catheter.
15. Attach the pre-filled syringe to the
indwelling catheter inflation hub and test the
balloon.
16. Lubricate and hold firmly 1-2 inches (for
female) and/or 6 to 7 inches (for male) from
the tip.
17. Separate labia using the non-dominant
hand.
18. Locate urinary meatus.
19. Ask client to take a slow deep breath and
insert the catheter gently and slowly as the
client exhales. Check patient’s reaction.
20. Place free end of catheter to kidney basin.
Watch for flow of urine. Catch urine in sterile
specimen container if for laboratory
examination.
21. Observe the characteristics of urine (color,
odor, and consistency)
22. Inflate the retention balloon with the
designated volume.
23. Remove sterile drape.
24. Avoid emptying the bladder completely.
Attach urine bag and anchor if indicated. If
not, withdraw catheter. Pinch and pull out
slowly and gently.
25. Wipe patient’s genitalia to remove traces
of lubricants.
26. Have all articles cleaned and reset.
Perform medical handwashing.
27. Record observation: amount of urine
obtained, characteristics of urine, pain,
difficulty, or discomfort if any, during any
phase of the procedure.
28. Procedure for male patient. Use same
steps except that prior to insertion of catheter
lift penis to approximately at 90 degrees of the
urethra.
**revised August 2022
REMOVAL OF INDWELLING CATHETER
Materials:
Wet cotton balls
Tissue paper/wipes
Waste receptacle
Clean 10 cc syringe
Clean gloves
Empty bottle or urinal
Bath blanket
PROCEDURE RATIONALE
1. Secure doctor’s order for removal of
catheter.
2. Explain the procedure to the patient.
3. Bring the materials at bedside.
4. Drape the patient.
5. Don gloves.
6. Drain the urine from the urinary bag.
7. Remove plaster using wet cotton.
8. Attach the 10-cc syringe to the indwelling
catheter inflation hub and deflate the balloon.
9. Pull out the catheter slowly and gently.
Observe for intactness of catheter and
patient’s reaction.
10. Wipe patient’s genitalia. Place the used
catheter in the waste receptacle and discard.
11. Perform medical handwashing.
12. Document the procedure on the patient’s
chart.
**revised August 2022
