Intermittent catheterisation in children September 2016 Appendix E Aseptic procedure for urethral catheterisation in girls by a healthcare professional in a hospital setting a. Materials for catheterisation 1. Non-sterile gloves 2. Sterile gloves 3. Non-sterile swabs 4. Tap water 5. Sterile catheter Selection of appropriate catheters; it is advisable to take a spare catheter in addition to the one you want, and one of a different/smaller size (non-coated, hydrophilic or pre-lubricated). 6. Sterile lubricating jelly (syringe 6 ml) anaesthetic gel if necessary 7. Disposable pad for bed protection 8. 20 ml sterile water for hydrophilic catheter, if necessary 9. Universal specimen container, if required 10. Bactericidal alcohol hand disinfection and one pair of clean gloves 11. Catheter drainage bag or sterile receptacle for urine Action Rationale 1. Check the indication and patient file for past problems, allergies etc. To maintain patient safety. 2. Before the procedure, explain the process to the patient. Clarify that the procedure is different to that at home (gloves) To gain consent and co-operation and to ensure the patient understands the procedure. Because of the greater risk of infection in hospital 3. Undertake the procedure in a clinical treatment area and/or use a changing mat. Do not expose the patient at this stage of the procedure. To ensure patient's privacy. To maintain patient's dignity and comfort during the procedure. 4. Hand hygiene using soap and water / bactericidal alcohol hand rub. To reduce risk of infection. 5. Put on sterile gloves 6. Make the swabs wet with running tap water To cleanse the genitals. 7. The following/ steps may vary if using a coated (a) or non-coated (b) catheter: (a) If using a pre-lubricated ready to use catheter, open the package and hang the package beside the patient or trolley (a) When using a catheter with a lubricating bag or bag of liquid in the package, break the bag, open the outer package, and hang the package with the catheter inside beside the patient. (b) When using a catheter without coating, open the catheter package and lubricating gel To activate the coating of the catheter. To activate the coating of catheter. 8. Using an aseptic technique, connect the bag (if a bag is used) to the catheter. To reduce the risk of cross-infection.
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