D.Y.

Patil Education Society (Institution deemed to be university)

D.Y. Patil College of Nursing, Kolhapur

LESSON PLAN
ON
Catheter care
Submitted by :
Mrs. Susmita dhanawade
MSc Nursing 1ST Year
Submitted to :
Prof Mrs. Neeta Ranbhise
Dept Of Medical Surgical Nursing
Submitted on:
18/04/2023
Programme : MSc Nursing 1ST Year
Subject : Nursing foundation
Topic : Catheter Care
Group : BSc nursing First year
Teaching method : Lecture Cum Discussion and demonstration
A.V.Aids : PPT, black board, hand outs, roller board,
pamphlets
Student teacher : Mrs. Susmita M. Dhanawade
Guide : Asst. Prof. Mrs. Neeta Ranbhise
Evaluator : Asst. Prof. Mrs. Neeta Ranbhise
Venue : Classroom
Date :
Time : 45minute

Previous Knowledge of the students: The students may have some knowledge about cather
and catheter care.

General objective: At the end of the class students will be able to gain adequate knowledge
regarding catheter care.

Specific Objectives:
At the end of this session, the student will be able to

1. Define the catheter care.

2. Discuss the purposes of catheter care

3. Discuss the articles of catheter care

4. Explain the procedure of catheter care

5. Explain the indications of catheter care

6. Explain the contraindications of catheter care

Bibliography:

1. Clinical Nursing Procedures: The Art Of Nursing Practice, Annamma Jacob, Rekha R,
Jadhav Sonali Tarachand, 3rd edition: pg. no. 192-193
2. SR NANCY. Principles and practice of Nursing, Indore N. R. Brother publication, sixth
edition Pg. No. 420-422
3. Manindar Kaur. Fundamental of nursing, Punjab pee vee publication
Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
1. 2 min Self SELF INTRODUCTION
introduction Good morning, everybody. Myself Mrs. Susmita
dhanawade, student of 1styr. M.Sc. (N). As a part of my
nursing education curriculum, I will be engaging your class
today.
3 min Explainin g Listening PPT
Topic
introduction TOPIC INTRODUCTION
In urinary catheterization or urinary elimination is a procedure in which
a latex, polyurethane, or silicone tube known as a urinary catheter is inserted
into a patient's bladder via the urethra
Catheterization allows the patient's urine to drain freely from the bladder
for collection. It may be used to inject liquids used for treatment or
diagnosis of bladder conditions.
2. 3 min Define the DEFINITION Explainin g Listening Roller
catheter care. Cleansing the urethral meatus, the skin surrounding the catheter insertion and taking board
site and perineum for patients with retention catheter who are bedridden. notes
3. 2 min Discuss the PURPOSES OF CATHETER CARE Explainin g Listening Hand
purposes of 1. To promote patient comfort. outs
catheter care
2. To reduce chances of developing urinary tract infection.

4. 5 min Discuss the ARTICLES Explainin g Listening pampha

articles of and taking let
catheter care
1. A sterile "catheter care kit" containing notes

 Artery forceps.

 Thumb forceps.

 Cotton balls/swabs.

 Bowls for antiseptic lotion and sterile water.

Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity

2. A clean tray containing

 Clean washcloth or towel - 2 Nos.

 Warm water and soap.

 Antiseptic lotion.

 Normal saline.

 Mackintosh/waterproof pads and draw sheets.

 Antibiotic ointment.

 Clean gloves.

 Sterile gloves.

 Drapes.

 Kidney tray.

 Adhesive tape and scissors.

5. 10 min Explain the PROCEDURE Explainin g Listening PPT

procedure of  Prepare necessary equipment and supplies. and taking
catheter care notes
 Explain procedure to patient, offer opportunity for
self care if possible.
Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
 Provide privacy.

 Wash hands.

 Position patient

Female: Dorsal recumbent position with legs

flexed.

Male: Supine position.

 Place waterproof pad/mackintosh and drawsheet

under patient.

 Drape sheet over patient exposing only perineal

area.

 Don clean gloves.

 Remove anchor tapes to free catheter tubing.

 Expose the uretheral meatus (with non-dominant

hand).

 Female: Gently retract labia to fully expose urethral

meatus and catheter insertion site. Maintain position
of hand throughout procedure.

 Male: Retract foreskin if patient is not circumcised

and hold penis at shaft just below glans.
Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
Maintaining position of hand throughout procedure.

 Assess urethral meatus and surrounding tissue for

inflammation, swelling and discharge. Note amount,
color, odor and consistency of discharge. Ask
patient if burning or discomfort is felt.

 Cleanse the perineal area.

Female

a. Wash labia majora, with soap and water, use non

dominant hand to gently retract labia from thigh;
with dominant hand, wash in skin folds and
wipe in direction from perineum to anus. Repeat
on opposite side, using separate section of wash
cloth.

b. Separate labia majora with nondominant hand

to expose urethral meatus and vaginal orifice.
With dominant hand, cleanse thoroughly around
labia minora, clitoris and vaginal orifice using
separate section of cloth.

Male

a. Gently grasp shaft of penis. If client is

uncircumcised, retract foreskin. If client
Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
has an erection, defer procedure until
later.

b. Wash tip of penis at urethral meatus first.

Using circular motion, cleanse from
meatus outward and down the shaft
discard wash cloth and repeat with clean
cloth until penis is clean.

c. Return foreskin to its natural position

d. Wash shaft of penis with special attention

to underlying surface of penis.

 Remove clean gloves and wash hands

 Don sterile gloves.

 Clean the catheter from meatus outwards for

approximately 3-5 cm using saline swabs.

 Remove gloves, dispose off contaminated supplies and

wash hands.

 Record and report condition of perineal tissue, the time

procedure was performed, patient's response and
abnormalities noted.

6. 3 min Explain the INDICATIONS Explaining Listing and PPT

indications of discussion
catheter care
Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
1. To drain the bladder prior to , during, or after
surgery.

2. For investigation.

3. To accurately measure the urine output.

Listing and
4. To relive urinary incontinence. discussion
Explain the Explaining PPT
3 min contraindicatio
ns of catheter
5. Critically ill patients.
care
CONTRAINDICATIONS
1. Blood at the meatus.

2. Gross hematuria.

3. Evidence of urethral infection.

4. Urethral pain or discomfort.

5. Low bladder volume / compliance.

6. Patient refusal.

7. Bladder stone.

8. Allergy or sensitivity to latex.

9. Blood infection (septicemia).

Sr.no. Time Specific Content Teacher’s Student’s AV aids Evaluation
Objectives Activity Activity
10. Urinary tract or kidney infection.

7. 1 min Summary: Explainin g Listening

In this class we all have seen about introduction, definition, purposes,
articles, procedures and after care of the client. In this way I summarise my
topic

8. 1 min CONCLUSION: So far, we have discussed about hot and cold application Explainin g Listening
This topic is very important in nursing and it should be applied whenever
and wherever necessary.