Nursing Skills
Urinary Catheterization
Insertion of a sterile tube into the bladder to drain urine, typically performed using aseptic technique to prevent CAUTI.
Insertion Protocol
- Perform meticulous hand hygiene and use sterile gloves/field.
- Cleanse urethral meatus using antiseptic solution front-to-back.
- Advance catheter until urine flow is observed, then advance another 2 inches.
- Inflate balloon only after urine return is confirmed.
Safety and Maintenance
- Secure catheter to the thigh to prevent tension.
- Keep drainage bag below the level of the bladder at all times.
- Maintain a closed drainage system to prevent infection.
- Empty bag every 8 hours or when two-thirds full.
Clinical Monitoring
- Monitor output for color, clarity, and presence of sediment.
- Assess for signs of UTI: fever, cloudy urine, or suprapubic pain.
- Perform perineal care daily and after bowel movements.
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