Saturday 15 November 2008

catheterisation - points i tend to miss

- explain why to do it
- wash hands
- maintain dignity as far as possible.
- double gloving
- not 'dropping the penis in to the sterile field'
- retracting foreskin before and after
- cleaning clockwise from centre out, each time, from twelve, from 3, from 6 from 9
- making sure the catch tray is there at the end of the catheter to catch the urine
- asking the patient if they feel pain at any point in time- especially at point of distending the balloon to hold in bladder trigone area...cos if ur blowing it up in the middle of the urethra u'll end up with trouble and major pain - do not want that!!

-Note size of catheter and volume of water used for ballooning to document in notes.
- making sure that you wait for 2-3 mins for anaesthetic to work, some say hold tip closed/massage down, but im not sure how to do that effectively

- clean sterile trolly down maintain clean area with alcohol, then open up pack so not touching inner sterile area. Drop everything in inner sterile area.

- make sure that the sterile solution is in the sterile bit filled already by yourself

- tear up the main bit of paper for passing over the penis area..clear field

- clearing everything away
- waiting for 3-4 mins while bag fills, chekcing urine for discolouration, blood, general appearance, and remember to put bag on the end of the tube.

-document in the notes : date, size of catheter, patient name, amount of water used for blowing up balloon, for colour and appearance of urine, any probs etc. sign ur name.

1 comment:

MemMed said...

Good notes! It would be great if you could contribute them to Memorable Medicine's blog pages (http://www.memmed.co.uk).