Intermittent catheterisation in children September 2016 Appendix B Suggested Step-by-step plan for girls learning self-catheterisation Healthcare professionals in a hospital setting or schools etc. should always wear gloves when performing catheterisation. Parents/caregivers/patients in the home setting need only wash their hands. The step-by-step procedure provided below can be practised in stages: Steps for self-catheterisation day 1 2 3 4 5 6 7 1. Wash the hands 2. Lay out the catheter and equipment in the place where you will catheterise 3. If required, fill the catheter packaging with water 4. Hang up the catheter or lay it out ready 5. Lay out a flannel/wet cloth/towel 6. If required, get a collection container ready 7. If required, get an incontinence pad ready 8. If required, get clean underwear ready 9. Wash the hands 10. Remove or push down underwear 11. Sit or lie down on the bed or toilet (whichever position you find most comfortable or easy) 12. Wash the urethral opening and the area around it, from front to back 13. Spread the labia (and pull them up slightly (a mirror can be used if necessary ) 14. Remove the catheter from the packaging and hold firmly 15. Push the catheter gently against the urethral opening while taking deep slow breaths 16. Slowly insert the catheter while remembering the relaxation exercises 17. Once the catheter has reached the bladder, push it a little bit further and let the urine flow out 18. When the urine stops draining, slowly remove the catheter. The relaxation exercises are useful during removal as well 19. After removing the catheter tidy everything up 20. Wash the hands
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