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

259

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

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 12-8

Removing an Indwelling Catheter

Goal:The catheter is removed without difficulty and with

minimal patient discomfort. Comments

1. Confirm the order for catheter removal in the medical
   record.


2. Bring necessary equipment to the bedside.


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


4. Identify the patient.


5. Close curtains around the bed and close the door to the
   room, if possible. Discuss the procedure with the patient
   and assess the patient’s ability to assist with the procedure.


6. 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, patient’s left side if you are left-handed.


7. Position the patient as for catheter insertion. Drape the
   patient so that only the area around the catheter is exposed.
   Slide waterproof pad between the female patient’s legs or
   over the male patient’s thighs.


8. Remove the leg strap, tape, or other device used to secure
   the catheter to the patient’s thigh or abdomen.
   9.Insert the syringe into the balloon inflation port. Allow
   water to come back by gravity (Mercer Smith, 2003). Alter-
   nately, aspirate the entire amount of sterile water used to
   inflate the balloon. Refer to manufacturer’s instructions for
   deflation. Do not cut the inflation port.


9. Ask the patient to take several slow deep breaths. Slowly
   and gently remove the catheter.Place it on the waterproof
   pad and wrap it in the pad.


10. Wash and dry the perineal area, as needed.


11. Remove gloves. Assist the patient to a comfortable
    position. Cover the patient with bed linens. Place the bed
    in the lowest position.


12. Put on clean gloves. Remove equipment and dispose of
    it according to facility policy. Note characteristics and
    amount of urine in drainage bag.


13. Remove gloves and additional PPE, if used. Perform hand
    hygiene.

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

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