Intermittent catheterisation in children September 2016 19. Do not use force if there are difficulties inserting the catheter. Make sure the urine collection bag/receptacle is below the level of the bladder. To prevent injuries of urethra and bladder neck. To ensure the urine flows. 20. When urine flow stops, withdraw the catheter very slowly, in centimeter steps. If the urine flow starts again during withdrawal, discontinue withdrawal and wait for the flow to stop before resuming catheter withdrawal. To ensure that the bladder is empty and prevent residual urine. 21. Discard the catheter completely. 22. Ensure that the glans penis is cleansed after the procedure, and reposition the foreskin if present. If this is not done, retraction and constriction of the foreskin behind the glans penis resulting in paraphimosis may occur. 23. Help the patient into a comfortable position. Ensure that the patient's skin and bed are both dry. If the area is left wet or moist, secondary infection and skin irritation may occur. 24. Measure the amount of urine. To be aware of the bladder capacity of patients with previous occurrence of urinary retention. To monitor fluid balance. 25. Take a urine specimen for laboratory examination, if required. To rule out UTI. 26. Dispose of equipment in plastic clinical waste bag and seal the bag. To prevent environmental contamination. 27. Record information in relevant documents; this should include: reasons for catheterisation residual volume date and time of catheterisation catheter type and size colour and odour of urine problems negotiated during the procedure patient experience and problems. To provide a point of reference or comparison in the event of later queries.
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