Bladder Catheterization checklist and grading tool

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1 Wash hands with antiseptic soap for at least 30 seconds OR

use alcohol based rub for 15 seconds, allowing it to dry

2 Perform “Time out”

Check patient’s name

3 Verify all equipment is available

-prepackaged Foley catheter tray

-a drainage bag

-catheter of choice

4 Verify that patient is in correct position

-males are supine

-females are supine with knees flexed wide and heels

together for adequate exposure of meatus

Verbalize the position in the awake patient

5 Open sterile portion of catheter tray

Put on sterile gloves

Prepare materials before insertion of catheter

Open the prep solution and soak applicator cotton balls

Apply the sterile drapes

6 Inflate and deflate Foley balloon with 5-10 cc sterile water

to ensure proper function

Coat the end of the Foley catheter with sufficient lubricant

jelly

7 For females use one gloved (non dominant) hand to prep

urethra in pubic to anus motion; separate labia with other

gloved hand

For uncircumcised males retract foreskin and hold penis in

upright position; use other gloved hand to prep urethra in

circular motion

8 Use gloved hand to insert Foley catheter with gentle but

steady pressure; encourage patient to take slow deep breaths

and not to “bear down”

Place catheter to the hilt of the drainage end of Foley

catheter

9 Inflate Foley balloon with 5-10 cc sterile water

10 Pull Foley catheter back to desired length until feel

resistance from balloon

11 Connect Foley catheter to drainage bag

12 Secure drainage bag to leg

13 Dispose of equipment safely

Total points (out of 11)

Indications: relief of urinary retention, collection of sterile urine specimen, monitoring of urinary output

accurately, performance of formal bladder examinations (VCUG, cystogram)

Contraindications: urethral disruption with pelvic fracture (be suspicious of blood at meatus, perineal

ecchymosis, high riding boggy prostate, pelvic hematoma), acute prostatitis