Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

251

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 12-5

Applying an External Condom Catheter

Goal:The patient's urinary elimination is maintained, with

a urine output of at least 30 mL/hour, and the bladder is

not distended. Comments

1. Bring necessary equipment to the bedside.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Discuss the procedure with patient. Ask the
   patient if he has any allergies, especially to latex.


5. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center,
   2009). Stand on the patient’s right side if you are right-
   handed, or on patient’s left side if you are left-handed.


6. Prepare urinary drainage setup or reusable leg bag for
   attachment to condom sheath.


7. Position patient on his back with thighs slightly apart.
   Drape patient so that only the area around the penis is
   exposed. Slide waterproof pad under patient.


8. Put on disposable gloves. Trim any long pubic hair that is
   in contact with penis.


9. Clean the genital area with washcloth, skin cleanser, and
   warm water. If patient is uncircumcised, retract foreskin
   and clean glans of penis. Replace foreskin. Clean the tip of
   the penis first, moving the washcloth in a circular motion
   from the meatus outward. Wash the shaft of the penis
   using downward strokes toward the pubic area. Rinse and
   dry. Remove gloves. Perform hand hygiene again.


10. Apply skin protectant to penis and allow to dry.


11. Roll condom sheath outward onto itself. Grasp penis
    firmly with nondominant hand. Apply condom sheath
    by rolling it onto penis with dominant hand. Leave 1 to
    2 inches (2.5 to 5 cm) of space between tip of penis and
    end of condom sheath.
    12.Apply pressure to sheath at the base of penis for 10 to
    15 seconds.


12. Connect condom sheath to drainage setup. Avoid kinking
    or twisting drainage tubing.

Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

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