Providing Catheter Care to a Female Patient

 

In a nursing home, a certified nursing assistant will often come across patients, who are incapable of showing physical movement. They are not able to get up from bed and hence, cannot walk to the bathroom for urinating. If the CNA is made in charge of such kind of a patient, then it will be CNA’s duty to help the patient in these activities. As the patient cannot get up from the bed, he passes urine with the help of catheter.

Catheter is a tube composed of rubber or plastic and it is used to drain urine from the bladder of the patient. One end of the tube is placed inside the bladder using a balloon like structure and the other end is attached with the drainage bag. The bag is called the catheter bag and it is used to accumulate the urine that comes out from the bladder of the patient. The catheter and the tube are required to be cleaned on a daily basis. It is CNA’s job to clean them and make the patient feel safe and comfortable.

Before you begin the process of providing catheter care, wash your hands properly. We have explained the method of washing hands in our demonstration of “hand washing” skill. Read it to know the correct way to wash hands. Whenever possible, try to maintain face to face contact with the patient. Speak to them directly and in a clear manner. Talk to them slowly, so that they understand your instructions easily. Give them enough privacy. Draw the curtains to block the view from outside and try to keep them covered whenever possible. Make sure that you have gathered everything you will need during the process. The things you will require are – one bath blanket, two wash clothes, warm water in wash basin and one large towel.

Steps to Follow for Providing Catheter Care to a Female Patient

  • Greet the patient in a polite manner and with a big smile on your face. Introduce yourself and explain to her that you will be providing her catheter care.
  • Fill warm water in the water basin. Let the patient touch the water and confirm that its temperature is suitable for her. If she is not capable of doing that, you should check this for her. Adjust the level of the bed according to your comfort.
  • Before beginning the process, put on gloves.
  • Next, spread a linen protector sheet over the linens, below the perineal area of the patient. This will prevent the contaminated content from falling on linen sheets. For this, you can roll the patient to one side and place the protection sheet or you can lift their legs a little and then place the sheets under their perineal region.
  • Next, uncover the portion of the patient’s body around the catheter. Make sure that the patient is not overexposed.
  • Wet the wash cloth and apply soap on it.
  • Without tugging, hold the catheter near the meatus. Clean at least 4 inches of the tube, starting from the closest possible region of the tube (from the meatus). The cleaning should be done in a single direction – starting from the meatus region and extending outwards. You must use a different and clean portion of the washcloth for each stroke of cleaning. If the cloth becomes dirty, use a fresh one
  • In the middle of the process, if the linens get dirty or soiled, replace it with a clean one immediately.
  • Without tugging, hold the catheter very near to the meatus. Rinse at least 4 inches of the tube, starting from the closest possible region of the tube (from the meatus). The rinsing should be done in a single direction – starting from the meatus region and extending outwards. You must use a different and clean portion of the washcloth for each stroke of rinsing. If the cloth becomes dirty, use a fresh one.
  • Without tugging, hold the catheter nearby meatus. Dry at least 4 inches of the tube, starting from the closest possible region of the tube (from the meatus). The drying should be done in a single direction – starting from the meatus region and extending outwards. You must use a different and clean portion of the washcloth for each stroke of drying. If the cloth becomes dirty, use a fresh one.
  • Remove and dispose the linen protection sheet and the linens in an appropriate receptacle. Make sure that the soiled linens do not come in direct contact with the clothes of the patient.
  • Lower down the clothes of the patient and cover her perineal area. Cover her body with a clean blanket or a sheet.
  • Empty the basin, rinse it and dry it properly.
  • After rinsing the basin, place it in the disposal area (as directed to you).
  • Dispose the equipments you used for cleaning. After that, remove your gloves and try not to contaminate yourself. Next, wash your hands properly. We have demonstrated the method of washing hands in our CNA skill demonstration of “hand washing” skill. Read it to know the correct way to wash hands.
  • Ask her if she is feeling comfortable. If not, help her to get into a comfortable position
  • Make sure that the calling button is within her reach and the bed has been brought back to an appropriate level.

What Does the Examiner See when You Perform this Skill?

When a student is performing a skill, the examiner notices each and every step taken by him very minutely. Below, we have made a list of such pointers:

  • If you have performed the activities you had to do in the start.
  • If you allowed the patient to test the temperature of water.
  • If you gave enough privacy to the patient.
  • If you spread the protection sheet before starting the procedure.
  • While rinsing or cleaning the catheter, if you held the meatus properly.
  • If you cleaned, rinsed and dried at least four inches of the tube of the catheter.
  • If you used a different portion of the cloth for each stroke of cleaning.
  • If you used a different portion of the cloth for each stroke of rinsing.
  • If you used a different portion of the cloth for each stroke of drying.
  • If you used the bath blanket.
  • If you have performed the activities you had to do at last.

Video Demonstration

Below, we have posted a video that shows the best technique to demonstrate how to provide catheter care to the female patient when you are performing the CNA skill in the certified nursing assistant skill examination. Try to notice every single detail demonstrated in the video:

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