*WRITTEN ON / BY / RN
*To be reviewed by RN at least annually.
1
Reviewed 11/13
If PROCEDURE IS IMPLEMENTED: PHOTOCOPY PROCEDURE NOTE TIME,
DATE, AND ACTION. SIGN YOUR LEGAL SIGNATURE. GIVE TO THE DISTRICT NURSE.
1.Gather equipment before procedure:
a.Towel to place under student
b.Calibrated container to collect urine
c.Water soluble lubricant (e.g., K-Y Jelly,
Surgi-lube, never Vaseline)
d.Soap and water
e.Paper towels
f.Gloves
g.Catheter
2.Provide private area for student.
3.Inform student of your actions as you proceed.
4.Wash your hands and have student wash hands also.
5.Assist student as needed with removal of pertinent clothing.
6.Apply glove.
7.Set out supplies. Squeeze lubricant onto tip of catheter; place catheter tip on clean paper towel, putting large end of catheter in collection container.
8.Gently cleanse around the urethral meatus, rinsing off soapy residue. Cleanse in a downward motion. Assess the area for redness, skin eruptions, swelling or discharge.
9.With your thumb and middle finger, separate the labia minora. Maintain uninterrupted separation with slight backward and upward tension. (You must clearly see the meatus to introduce the catheter without injuring the student.)
10.Tell the student you are going to insert the catheter. Ask the student to breathe deeply. Then slowly insert the catheter into the meatus until urine begins to flow; then advance on to tow inches. Never force the catheter. Stop immediately if pain occurs.
11.Inform student when catheterization is finished. Pinch off catheter while it is gently removed.
12.Assist student as needed to redress.
13.Measure and record the amount of urine obtained.
14.Observe and record the urine for color, clarity, odor, or foreign particles (blood, mucous.)
15.Wash catheter with soap and water. Allow to air dry, if possible. Otherwise, vent storage box until catheter is dry.
16.Properly dispose of urine. Wash collection container with soap and water. Dry with paper towels.
17.Remove gloves and dispose of in appropriate receptacle.
18.Wash your hands well with soap and water and assist student to do likewise.
19.Report promptly any discomfort, swelling, redness, change in urine color, clarity/odor, to school nurse if in building; otherwise parent by note/telephone call.
20.Record procedure on flow sheet.
1
Reviewed 11/13
If PROCEDURE IS IMPLEMENTED: PHOTOCOPY PROCEDURE NOTE TIME,
DATE, AND ACTION. SIGN YOUR LEGAL SIGNATURE. GIVE TO THE DISTRICT NURSE.