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    Cs2e Skill Checklist 6.16

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    Thea David

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    Cs2e Skill Checklist 6.16

    Uploaded by

    Thea David
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    cs2e_skill_checklist_6.16

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    26 views1 page

    Cs2e Skill Checklist 6.16

    Uploaded by

    Thea David

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SKILLS CHECKLIST

    Name_________________________________ Performance Expectations Met______ Date_ ___________ Signed___________________

    SKILL 6.16: Performing Catheter Care and Removal

    Procedure Performed Comments


    Yes No
    Providing Catheter Care
    1. Introduced self, verified client identity, explained procedure, and provided privacy.
    Performed hand hygiene and donned clean gloves. Provided comfort and safety
    for client.
    2. Placed client in supine position. Obtained a sterile urine specimen if ordered or
    recommended by agency protocol. Exposed perineal area to visualize the meatus
    easily.
    3. Cleansed urinary meatus using circular motion moving outward with washcloth,
    soap and water.
    4. Dried area with towel.
    5. Removed and discarded gloves. Performed hand hygiene.
    6. Documented procedure, assessment data, and client’s response in client’s record.
    Emptying a Collection Bag
    1. Applied clean gloves. Obtained graduated cylinder.
    2. Placed paper towel on floor below bag.
    3. Without touching the end, removed drainage tube from protective housing and
    pointed tube into container. Released clamp.
    4. After bag emptied completely, cleansed end of tube according to facility policy.
    Replaced it in protective housing.
    5. Noted volume and characteristics of urine. Emptied container into toilet if urine
    did not need to be saved.
    6. Rinsed container and returned it to storage.
    7. Removed and discarded gloves. Performed hand hygiene.
    Removing a Retention Catheter
    1. Placed a towel or receptacle between the client’s legs. Removed tape attaching
    catheter to client. Performed hand hygiene and donned clean gloves.
    2. Inserted syringe into balloon port of catheter. Did not cut port with scissors.
    3. Withdrew fluid from balloon (usually 10 mL water in balloon). Did not pull catheter
    while balloon was inflated.
    4. Pulled gently on catheter to ensure balloon was deflated before attempting to remove.
    5. If resistance was not met, slowly withdrew catheter, observed it for intactness,
    placed it in paper towel or waste receptacle.
    6. Disconnected urine drainage bag from bed frame.
    7. Washed and dried the perineal area.
    8. Emptied drainage bag into graduated container and measure.
    9. Disposed of used supplies.
    10. Removed and discarded gloves and performed hand hygiene.
    11. Positioned client for comfort.
    12. Documented procedure. Recorded the time the catheter was removed; the
    intactness of the catheter, the amount, color, and clarity of the urine, and the
    client’s response in the client’s record.
    13. Determined time of first voiding and amount voided over the first 8 hours. If urine
    retention was suspected, scanned or palpated the bladder for fullness. Notified
    physician if client had not voided in 8 hours.

    Clinical Nursing Skills: A Concept-Based Approach to Learning, Volume III, 2e   Copyright © 2015 by Pearson Education, Inc. All rights reserved.

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