9 insertion of a female urethral catheter

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Infection Prevention and Control

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Standard Operating Procedure (SOP) Insertion of a Female Urethral Catheter

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Infection Prevention and Control Inser&on of a Female Urethral Catheter Rationale

Explain and discuss the procedure with the service user verbally and obtain consent

To ensure that the service user understands the procedure • Check service users identity • Check any allergies • Check valid consent

Assist the service user to get into the supine position with knees bent, hips flexed and feet resting about 60cm apart

To enable genital area to be viewed and accessible

Maintain service user’s privacy with covers at this stage and ensure service users comfort

To maintain dignity and comfort while equipment preparation takes place.

Ensure that visibility is adequate using additional light sources if required

To ensure that the genital area is visible

Perform effective hand hygiene by washing hands with soap and water or using alcohol gel if hands are visibly clean

To reduce the risk of infection

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Put on a disposable plastic apron

To reduce the risk of cross contamination through contact with healthcare staffs’ clothing

Prepare equipment and ensure packaging is intact and products are within the expiry date

To ensure equipment is single use, sterile and within the expiry date

To facilitate optimum clean working Using alcohol wipes or similar, clean and prepare a dressing trolley / dressing conditions and minimise the risk of tray or prepare a clean working surface contamination

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Infection Prevention and Control Inser&on of a Female Urethral Catheter To reduce contamination following skin and meatal contact with 1st pair of gloves

Place the sterile urinary catheter, in the sterile receiver, between the service user’s legs

To provide a temporary container to maintain sterility prior to insertion and to catch urine as it drains

Gently introduce the tip of the catheter into the urethral orifice directing the catheter tip upward and backwards; Advance the catheter 5-6cm or until urine starts to flow, then advance it a further 6-8cm

Advancing the urinary catheter prevents the balloon from being trapped in the urethra when inflation occurs

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Remove used gloves; perform hand hygiene and put on a 2nd pair of sterile gloves

Inflate the balloon according to the manufacturer’s instructions, having ensured that the catheter is draining adequately

Inadvertent inflation of the balloon within the urethra is painful and causes urethral trauma

Withdraw the catheter slightly until the balloon is sitting at the bladder neck, and connect it to the drainage system

Maintain service user comfort and prevent urethral trauma

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Support the catheter; ensure it does not To maintain service users comfort and pull or become taut as the service user to reduce potential trauma to urethra mobilises and bladder neck Make the service user comfortable and ensure the area is dry

If the area is left wet or moist, particularly with bodily fluids, secondary infection and skin irritation may occur

Observe and measure how much residual urine drains and document after procedure

To ensure volume of urine in bladder at time of catheterisation is recorded especially when service user has presented with urinary retention or impaired renal function (During routine re–catheterisation there should be a minimal amount of urine in the bladder)

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Infection Prevention and Control xxxxxx

Gordon House, Station Road Mill Hill, London NW2 2JU

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Telephone 020 8906 2777 Fax: 020 8906 2233 8 of 8 - Infection Prevention and Control Insertion of a Female Urethral Catheter www.infectionpreventionsolutions.co.uk