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

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

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

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 12-10

Administering a Continuous Closed

Bladder Irrigation

Goal:The patient exhibits free-flowing urine through the catheter. Comments

1. Confirm the order for catheter irrigation in the medical
   record. Calculate the drip rate via gravity infusion for the
   prescribed infusion rate.


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 patient.


6. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center,
   2009).


7. Empty the catheter drainage bag and measure the amount
   of urine, noting the amount and characteristics of the urine.


8. Assist patient to comfortable position and expose the irri-
   gation port on the catheter setup. Place waterproof pad
   under the catheter and aspiration port.


9. Prepare sterile irrigation bag for use as directed by manu-
   facturer. Clearly label the solution as ‘Bladder Irrigant.’
   Include the date and time on the label. Hang bag on IV
   pole 2.5 to 3 feet above the level of the patient’s bladder.
   Secure tubing clamp and insert sterile tubing with drip
   chamber to container using aseptic technique. Release
   clamp and remove protective cover on end of tubing with-
   out contaminating it. Allow solution to flush tubing and
   remove air. Clamp tubing and replace end cover.


10. Put on gloves. Cleanse the irrigation port on the catheter
    with an alcohol swab. Using aseptic technique, attach
    irrigation tubing to irrigation port of three-way
    indwelling catheter.


11. Check the drainage tubing to make sure clamp, if present,
    is open.
    12.Release clamp on irrigation tubing and regulate flow at
    determined drip rate, according to the ordered rate. If the
    bladder irrigation is to be done with a medicated solution,
    use an electronic infusion device to regulate the flow.

ExcellentSatisfactoryNeeds Practice