Instructions for 'Indwelling catheter care'

1. Take equipment to the bedside, place it in a convenient position, and identify the patient.
2. Provide privacy (close the door and draw the privacy curtains)
3. Wash your hands.
4. Explain the procedure to the patient.
5. Raise bed to the proper height; over the side rail on your working side.
6. Place patient in the supine position and expose the perineal area to visualize the meatus.
7. Open and cuff the plastic bag, and tape to the down-positioned said rail on your right if you are right handed, and to your left if you are left handed.
8. Arrange the sterile kit and equipment on the over bed table, (remember to remove the caps of the Betadine bottle).
9. Unwrap the sterile daily care kit using aseptic technique.
10. Glove the hand that will remain sterile during procedure.
11. Put on a sterile glove on your other hand.
12. For a female; if you are right handed, separate the labia minora with your left hand to expose the urinary meatus. Cleanse the urinary meatus with Betadine using a circular motion and moving from the center towards the outside.
13. For male: separate the prepuce and clean the meatus. Cleanse the catheter with Betadine solution starting as close as possible at the insertion site and down the catheter toward the drainage bag 4-5 inches. (One motion only; do not repeat the motion).
14. Apply Betadine ointment at the meatus and down the tubing for approximately 1 inch.
15. Apply dressing and anchor the catheter to the thigh / lower abdomen to prevent injury to the internal sphincter.
16. Discard the cotton balls in paper or plastic bag; close the bag. Remove gloves.
17. Position the patient for comfort –lower the bed; raise the side rail.