Our Lady of Fatima University

College of Nursing
Quezon City

Foundations in
Nursing
NCM 100

Urinary
Catheteriza
tion

Urinary Catheterization
Is the insertion of urethral catheter into
the urinary bladder to drain urine or instill
solution.

Types of Catheter

Indwelling
Catheter

Suprapubic 4Cathe
Intermittent

LOGO

Straight Catheter
Also called a red-rubber catheter or
straight
catheter.
It is a single lumen and do not have
a balloon near the tip.
Straight catheter is inserted only for
as much time as it takes to drain the
bladder or obtain urine specimen.

Indwelling Catheter
Also called foley or retention
catheter.
It has 2 lumen, one for the urine
drainage and the other for inflation of
the balloon near the tip. There are
three-way foley catheters with a third
lumen for irrigation.

Intermittent
The catheter is inserted and removed
immediately after emptying the
bladder.
To relieve acute urinary retention or
when medically indicated to obtain a
urine specimen, or to check post void
residual bladder volume

Straight Catheter

Coude Catheter

2 Way Foley Catheter

3 Way Foley Catheter

Condom Catheter

Catheter length
Catheters are available in 3 lengths: Pediatric,
Regular length and Female length.
Female length is a shorter length catheter (2025cm). A shorter length catheter may be more
convenient for ambulant women with a long
term catheter.
A shorter length catheter is not appropriate for
all women particularly those who are bedridden
or obese.
In obese women, the inflation valve of the
shorter catheter may cause soreness by rubbing
against the inside of the thighs, and the catheter
is more likely to pull on the bladder neck

BALLOON SIZE

Balloon sizes: 5 30 mls. The most

commonly indicated balloon size is 10ml.
Always inflate the balloon to the
manufacturers recommended volume
indicated on the inflation valve of the
catheter as well as written on the
packaging. The balloon should be fully
inflated to the recommended size.
Under-inflated balloons may occlude the
drainage holes of the catheter, or cause
distortion of the catheter tip, leading to
irritation and trauma to the bladder wall

Purposes
To relieve acute or chronic urinary retention / bladder
distention.
To promote urinary drainage prior to diagnostic procedure or
surgery.
To empty the urine from the bladder, prostate or vaginal
surgery.
To determine amount of residual urine output in critically ill
patient.
To collect urine specimen from a client with bladder
incontinence or from a female with menstruation.
To instill a medications into the bladder.
To keep perineal area dry to assist healing
Determine accurate fluid balance
To collect a sterile specimen of urine.

Special
Considerations
Check the doctors order.
Provide privacy. Invasive procedure elicit
anxiety and feeling of embarrassment.
Use a calm, straight forward, professional
manner to relieve the patients anxiety.
Practice aseptic technique. Urinary bladder
is a sterile cavity.
Provide perineal care before catheterization.
Facilitate insertion of the catheter, prevent
pain

Equipment
Tray with towel lining containing the following:
Catheterization Set:
Sterile drape or towel
Sterile kidney basin
Sterile medicine glass
Sterile specimen bottle
Urinary catheter: Single lumen straight catheter
Double lumen indwelling catheter
Triple lumen indwelling catheter
Sizes

Fr. 8 - infants and children

Fr. 14 16- females
Fr. 16 20
- males

Urinary Catheterization
Sterile gloves
Droplight
Sterile cotton swabs
Povidone iodine
solution
Sterile pick-up
forceps
Water soluble
lubricant
Sterile 4x4 gauze
Clean emesis basin

Additional
equipment for
indwelling catheters
Drainage tubing and
collecting bag
Sterile syringe and
needle with 5 ml or
30 ml
Adhesive tape
Bed pan

Urinary Drainage Bag

CATHETER DRAINAGE BAG

SELECTION
1. Disposable 2 litre plastic bags (night bag)
For general use.
Catheter bags should have 120cm
length tubing with an outlet port to allow
emptying.
It is recommended that catheter bags
also have one-way valves to prevent urine
backflow, and an access port for the
collection of urine specimens.
Bags should be changed when they
become damaged, contaminated,
malodorous and at catheter changes

CATHETER DRAINAGE BAG

SELECTION
2. Disposable Leg Bags (500-750mls)
Designed for day wear and can be secured to
the leg in a variety of ways eg straps, legi fix
catheter bag holders strapped from the waist. (Leg
bags can also be used to reduce trauma for the
confused or forgetful patient while in hospital)
Tubing on leg bags is available in different
lengths and can be tailored to individuals
requirements. Some people may choose to wear the
leg bag on their thigh, others prefer to wear the leg
bag on their calf. Again others may prefer the
bellybag
The general recommendation for changing
disposable drainage bags is weekly or when they
become damaged, odorous or have sediment in the
bottom.

CATHETER DRAINAGE BAG

SELECTION
3. Disposable 4 liter plastic bags
Bags with non returnable valve.
Used post operatively in urology and
for bladder
irrigation.
Usually short term and only changed
if damaged, contaminated or
malodorous.

Male Catheterization

1.Assess the patients need for

catheterization and refer patient to the

doctor.
2.Verify the doctors order for catheterization.
3.Prepare for the necessary materials.
4.Perform handwashing.
5.Identify the right patient.

 Explain the procedure.

Position the patient properly, supine
position. Ensure privacy.
Practice aseptic technique in the
entire procedure.
Open the catheterization kit.
Add and prepare the materials to be
used.

Male Catheterization

11.Don first glove and fill the syringe with

sterile water.
12.Don second glove and applies sterile
drapes for the patient.
13.Grab the penis firmly behind the glans
with the non-dominant hand and retracts
the foreskin of the uncircumcised male.

 With the dominant hand, use sterile forcep

to pick up swabs. Clean first from the
meatus and then wipe the tissue
surrounding the meatus in circular motion
using a new swab for each stroke.
Pick up the catheter and place the
drainage end of the catheter in the urine
receptacle using the uncontaminated hand.
Lubricate the insertion end or tip of the
catheter.

Male
Catheterization
17.Lift the penis to a position of 90 degree angle and insert
the catheter until urine flows.
18.Connect the catheter to the urine bag and ensure that

the emptying base of the bag is closed.

19.Inflate the balloon by injecting 5 10 cc of PNSS and

check for anchorage.

20.Tape the catheter into the thigh using non-allergenic

tape.
21.Dispose soiled materials properly.
22.Accurately record the procedures done.

Female Catheterization
1.Assess the patients need for catheterization

and refer patient to the doctor.

2.Verify the doctors order for catheterization.
3.Prepare for the necessary materials.
4.Perform handwashing.
5.Identify the right patient.

 Explain the procedure.

Position the patient properly, supine
position. Ensure privacy.
Practice aseptic technique in the
entire procedure.
Open the catheterization kit.
Add and prepare the materials to be
used.

Female Catheterization

11.Don first glove and fill the syringe with sterile water.

12.Don second glove and applies sterile drapes for the patient.
13.With the non-dominant hand, separate the labia minora with thumb
and index finger. Never remove fingers until catheter is inserted.
14.With the dominant hand, use sterile forcep to pick up swabs. Clean
first from the meatus and then wipe the tissue surrounding the
meatus in circular motion using a new swab for each stroke.
15.Pick up the catheter and place the drainage end of the catheter in
the urine receptacle using the uncontaminated hand.
16.Lubricate the insertion end or tip of the catheter.

Female Catheterization

17.Lift the penis to a position of 90 degree angle and insert

the catheter until urine flows.
18.Connect the catheter to the urine bag and ensure that the
emptying base of the bag is closed.
19.Inflate the balloon by injecting 5 10 cc of PNSS and
check for anchorage.
20.Tape the catheter into the thigh using non-allergenic tape.
21.Dispose soiled materials properly.
22.Accurately record the procedures done.

Female Catheterization

Female Catheterization