Removal of an indwelling catheter is the act of deflating the balloon and slipping the catheter out after its use.
Requirements
A trolley containing the following:
a. Top shelf
· Gallipot
· Drape
· Kidney dish
· 10-20mls syringe
b. Bottom shelf
· Bed pen
· Measuring jug
· Mackintosh and dressing towel
· Disposable gloves
· Receiver
· Jug of water, bowel, soap and towel
c. Intake and output chart (Manual or Electronic)
Steps
1. Review doctor/physician’s order for catheter removal
2. Explain the procedure to patient
3. Provide privacy
4. Prepare and take trolley to the bedside
5. Put patient into a supine position with the legs opened and flexed
6. Place mackintosh and dressing towel beneath the patient
7. Fold top bed clothings over and exposed the perineal area
8. Perform hand hygiene
9. Wear gloves and place a towel between legs of the female patient/on the thighs of the male patient
10. Insert the syringe into the injection port of catheter and withdraw water from the balloon
11. Instruct patient to take in breath whiles you withdraw the catheter
12. Withdraw the catheter gently and place into a receiver
13. Dry the perineal area with a towel
14. Measure urine in the measuring jug
15. Remove mackintosh and dressing towel
16. Remove gloves
17. Perform hand hygiene
18. Reposition patient
19. Dispose off used items and decontaminate trolley
20. Perform hand hygiene
21. Document findings and record urine output in nurses’ notes, intake and output chart
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