Name: _____________________________________________________Date: ________________
Course: _______________________________________ ____ Grade:_______________
COMPETENCY CHECKLIST
FEMALE CATHETERIZATION
Expected Outcome: Bladder is not palpable; minimum 30ml/hr in urine bag; patient verbalize relief from bladder
discomfort and minimal pain during procedure.
Rate the student as follows:
1 - Needs Practice 3 - Very Satisfactory
2 - Satisfactory 4 - Excellent
4 3 2 1
1. Verify physician’s order
2. Prepare needed equipment
3. Perform hand hygiene
4. Establish rapport
5. Verify the patient’s identity using two patient identifiers
6. Explain procedure to patient and/or significant others and encourage
patient’s interaction and questions.
7. Provide privacy
8. Raise the bed to a comfortable working height
9. Place underpad under the lumbosacral area
10. Assist to dorsal recumbent position
11. Drape with blanket
12. Put on clean gloves
13. Wash perineal area with soap and water using sterile gauze; one
stroke from front to back; rinse and dry
14. Remove gloves and perform hand hygiene again.
15. Prepare urine bag set up if separate urine collection system is to be
used. Secure to bed frame below level of bladder
16. Open sterile catheter pack and connect to drainage tubing
17. Put on sterile gloves
18. Expose the labia and wipe with antiseptic solution
19. Lubricate the tip of the catheter
20. Instruct patient to bear down gently as if to void, and slowly insert
catheter through urethral meatus approximately 5-7.5 cm (2”-3”) or
until urine begins to flow
21. As soon as urine appears, advance catheter another 2.5-5 cm (1”-2”)
22. Release labia and hold catheter slowly with non-dominant hand (with
the hand that was separating the labia)
23. Use dominant hand to inflate balloon with prefilled syringe
24. Pull gently on the catheter tubing until resistance is felt
25. Secure catheter tubing to inner thigh; allow some slack so leg
movement does not create tension on catheter
26. Assist patient in comfortable position
27. Aftercare
28. Remove gloves and perform hand hygiene
29. Documentation
TOTAL
Formula: Final Grade (in percentage) = total score divided by 116, multiply by 100.
______________________________________________
SIGNATURE ABOVE PRINTED NAME OF EVALUATOR
