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 12-12

Caring for a Suprapubic Urinary Catheter

Goal:The patient's skin remains clean, dry, intact, and without

evidence of irritation or breakdown; and the patient verbalizes

an understanding of the purpose for, and care of the catheter,

as appropriate. Comments

1. Bring necessary equipment to the bedside stand or overbed
   table.


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. Explain what you are going to do, and why you
   are going to do it, to the patient. Encourage the patient to
   observe or participate, if possible.


5. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center, 2009).
   Assist patient to a supine position. Place waterproof pad
   under the patient at the stoma site.


6. Put on clean gloves. Gently remove old dressing, if one is in
   place. Place dressing in trash bag. Remove gloves. Perform
   hand hygiene.


7. Assess the insertion site and surrounding skin.


8. Wet washcloth with warm water and apply skin cleanser.
   Gently cleanse around suprapubic exit site.Remove any
   encrustations. If this is a new suprapubic catheter, use ster-
   ile cotton-tipped applicators and sterile saline to clean the
   site until the incision has healed. Moisten the applicators
   with the saline and clean in circular motion from the
   insertion site outward.


9. Rinse area of all cleanser. Pat dry.


10. If the exit site has been draining, place small drain sponge
    around the catheter to absorb any drainage. Be prepared
    to change this sponge throughout the day, depending on
    the amount of drainage. Do not cut a 4 4 gauze to make
    a drain sponge.


11. Remove gloves. Form a loop in tubing and anchor the
    tubing on the patient’s abdomen.

ExcellentSatisfactoryNeeds Practice