CNA Skill 17

SKILL 17: PROVIDES CATHETER CARE FOR FEMALE

1. Introduce yourself and explain the procedure to the patient.
2. Provide privacy.
3. Perform hand hygiene
4. Get water and check water temperature for safety.
5. Put on gloves.
6. Fill the basin with warm water and place it on a flat surface with a barrier underneath. Have the patient check the water temperature by placing their hand in the basin or putting a wet washcloth on the back of their hand.
7. Raise the bed height to a working height.
8. Expose only the urethra and catheter.
9. Follow the tubing from the patient toward the drainage bag, ensuring that the tubing is at a lower level as it goes toward the bag. Be sure no kinks or elevation can cause backflow to the bladder.
10. Turn the patient or raise their hips and place a barrier (e.g., a towel, waterproof soaker pad, or disposable pad) under their buttocks.
11. Use the first washcloth with soap and water to carefully wash around the catheter where it exits the urethra.
12. Hold the catheter where it exits the urethra with one hand.
13. While holding the catheter, clean 4 inches down the catheter tube.
14. Clean with strokes moving away from the urethra.
15. Use a clean portion of washcloth for each stroke.
16. Put the soiled first washcloth in the linen bag.
17. Wet the second washcloth and rinse, using strokes only away from the urethra while continuing to hold the catheter where it exits the urethra.
18. Rinse using a clean portion of washcloth for each stroke.
19. Put the soiled second washcloth in the linen bag.
20. Pat dry with a towel.
21. Do not allow the tube to be pulled at any time during the procedure.
22. Replace the gown over the patient’s perineal area.
23. While wearing gloves, empty the basin.
24. Rinse the basin.
25. Dry the basin.
26. Return the equipment to storage.
27. Dispose of soiled linen in a designated laundry hamper.
28. Remove the gloves, turning them inside out.
29. Ensure the bed is low and locked.
30. Place the call light or signaling device within reach of the patient.
31. Perform hand hygiene.