Intermitted Catheterization

Intermitted Catheterization: The insertion of a catheter into the urinary tract on a scheduled basis to drain urine out of the bladder. A clean technique is used in the community to complete this procedure.

CSS Considerations

  • The frequency of intermittent catheterization is determined by the Doctor’s Order
  • CSS to ensure the updated Doctor’s Order is in place

PSW Considerations

  • Report to the office at 416-635-2860 if the following are observed or identified:
    • There is no urine during catheterization
      Urine has blood, pus, or discoloration (e.g. cloudy, pink, or red-tinged)
    • Urine has an abnormal odour
    • Pain in the flank (just below the rib cage and above the waist on either side of the back)
    • Pain or burning when urinating
    • A frequent need to urinate without being able to pass much urine
    • Client has a fever
    • Inspect the skin integrity before proceeding. Do not proceed if there are any abnormal findings (e.g. bleeding, sores, redness, lumps etc.)
    • Perform a visual inspection of the catheter and ensure the following:
      • No cracks or breaks
      • No blockages
      • Not dirty

Required Supplies

  • Urinary catheter (with the appropriate size/gauge for the client)
  • Water-based lubricant
  • Gloves
  • Urine collection container
  • Liquid soap
  • Washcloths
  • Towels

Procedure for Cleaning and Storage of a Catheter

  1. Clean and store the catheter by washing the inside and outside of catheter with liquid soap and clean tap water. Rinse the catheter well.
  2. Place the catheter between layers of clean towels or paper towels and let it air dry. When the catheter is completely dried, store it in one of the following ways:
    1. A container with a lid that you can clean
    2. A new zip locked plastic bag
  3. Engage the client or caregiver by having them participate in the cleaning process.

Procedure for Female and Male Catheterization

Click on the following link for more information: https://drive.google.com/file/d/1ZfcTwZr_8dpbR4pH4kf1c13Y_yyHE6qZ/view?usp=sharing 

Video Resource

Please click on the video links below for a visual demonstration of the procedure:

References