Page 69 - PJ MED OPS Handbook 8th Ed

Female Catheterization:
1. Check patency of catheter balloon.
2. Have patient spread her legs and flex knees.
3. Put on sterile gloves. Place sterile drape in groin and the glove wrapper on the pubic area.
4. Separate the labia majora and minora and clean the exposed area with 4 × 4 gauze moistened
with betadine solution. Wipe in a downward motion from labia to perineum. Repeat 3 times.
5. While keeping labia separated, grasp catheter 3 inches from tip and lubricate catheter. Locate
opening of urethra.
6. Gently insert catheter into the urethra until urine starts to flow, then advance another 3–4cm.
If resistance is met maintain gentle but firm pressure on catheter. Do not force catheter. Have
container ready to collect urine.
7. Inflate balloon with 5–10mL sterile fluid (do not use air). If resistance is met when inflating the
balloon, advance catheter a bit further into the bladder before inflating. Secure catheter to right
leg with tape.
8. Don’t give antibiotics prophylactically for urinary tract infection. Give antibiotics only if the pa-
tient develops a fever or other signs of infection.

Tube Management: Option of draining to bag and gravity or clamp and intermittent drainage. Re-
cord urine output.

Chapter 6. Surgical and Medical Procedures n 67