Intermittent catheterisation in children September 2016 Appendix C Suggested Step-by-step plan for boys learning self-catheterisation Healthcare professionals in a hospital setting and 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 penis: pull back the foreskin and wash the end of the penis around the urethral opening 13. Remove the catheter from the packaging and hold firmly 14. With the other hand, hold the penis straight out from your body 15. Push the catheter gently against the urethral opening while taking deep slow breaths 16. Slowly insert the catheter into the opening. Try to relax and take deep breaths 17. Push it in further until it reaches the sphincter muscle. Now point your penis towards your toes and apply light pressure 18. Once the catheter has reached the bladder, push it a couple more cm and let the urine flow out 19. When the urine stops draining, slowly remove the catheter and remember the relaxation exercises 20. After removing the catheter tidy everything up 21. Wash the hands
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