How to Insert a Catheter: 11 Steps
Inserting a catheter is a medical procedure that may be required for various reasons, such as urinary retention, monitoring urine output, or during surgery. It’s essential to follow proper steps and maintain sterility while performing this procedure. Here are 11 steps to guide you in inserting a catheter:
1. Gather your supplies: Before you start the procedure, make sure you have all the necessary supplies including a catheter kit, sterile gloves, lubricant, cleansing solution, drape, and a collection bag ready.
2. Wash your hands: Hand hygiene is crucial in preventing infection. Thoroughly wash your hands with soap and water before putting on sterile gloves.
3. Open the catheter kit: Carefully open the catheter kit without touching any of the items inside to avoid contamination.
4. Prepare the patient: Have the patient lie down comfortably on their back with their legs apart and knees bent. If they’re wearing underwear or pants, remove them carefully.
5. Position the drape: Place the drape over the patient’s lower half while making sure to keep it sterile.
6. Cleanse the area: Using the cleansing solution provided in the kit, gently clean the patient’s urethral opening in one smooth motion from front to back. This helps minimize the risk of introducing bacteria into the urethra.
7. Apply lubricant: Lubricate approximately 2-4 inches of the catheter tip with a sterile lubricant.
8. Hold the penis or spread the labia: If you’re inserting a catheter into a male patient, hold his penis at a 90-degree angle away from his body while keeping it straightened; for female patients, spread their labia using your non-dominant hand.
9. Slowly insert the catheter: Gently insert the lubricated catheter tip into the urethral opening and advance it gently until urine starts to flow. If you encounter resistance, don’t force the catheter – wait a few seconds and try again.
10. Attach the collection bag: Once urine begins to flow, advance the catheter a little more and then connect it to the urine collection bag.
11. Secure the catheter: Lastly, ensure that the catheter is safely taped or fastened to the patient’s leg to prevent accidental removal or damage.
It’s important to remember that inserting a catheter can cause discomfort and anxiety for the patient. So, always explain each step of the process beforehand and approach the task with patience and care. If complications arise or you’re unsure about anything during the procedure, seek medical assistance immediately.