Intermittent catheterisation in children September 2016 9. Remove cover that is maintaining the patient's privacy and position a disposable pad under the patient's buttocks and thighs. To ensure urine does not leak onto the bed. 10. Hand hygiene using soap and water / bactericidal alcohol hand rub. Hands may have become contaminated by handling the outer packs. 11. Spread the legs in a gynaecological position. To obtain a good view of the meatus. 12. Separate with one hand the labia and give traction upward. To ease cleaning of the labia and meatus. 13. Clean the labia majora exterior and interior, and then the labia minor exterior and interior and finally the urethral meatus. To avoid wiping any bacteria from the perineum and anus forwards to the urethra. 14. Put on sterile gloves To work aseptically and prevent infection. 15. Place the receptacle between the patient's legs (if a receptacle is used) 16. When using a hydrophilic catheter or a catheter without coating, put some lubrication on the catheter. Adequate lubrication helps to prevent trauma. Use of a local anaesthetic minimises the discomfort experienced by the patient and can aid success of the procedure. 17. Separate with one hand the labia and give traction upward with one hand. To obtain a good view of the meatus and to minimise the risk of contamination of the urethra. 18. Take the catheter in the hand with the sterile glove. Insert the catheter in the meatus, and gently advance the catheter into the urethra until it is in the bladder and urine drains. 19. Make sure the urine collection bag is below the level of the bladder. Assists in urine flow. 20. When urine flow stops, withdraw the catheter very slowly, in small centimeter steps. If the urine flow starts again during withdrawal, discontinue withdrawal and wait for the flow to stop before resuming catheter withdrawal. Makes sure that the entire bladder is empty. 21. Discard the catheter completely. 22. Clean the labia and meatus. To avoid skin irritation. 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 renal function and fluid balance. It is not necessary to measure the amount of urine if the urinary catheter is routinely changed. 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.
RkJQdWJsaXNoZXIy NjM1NTk=