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Tuesday, November 4, 2008

Providing Catheter Care on Female Resident for ARC Testing

Equipment: Basin with water (105 degrees), soap, thermometer, gloves, incontinent pad, 2 wash cloths, towel, bath blanket, barrier

Procedure:

1.) Knock on door and listen for residents response.

2.) Address resident by name and identify self.

3.) Wash hands.

4.) Explain procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

5.) Provide for residents privacy during procedure with curtain, screen, or door.

6.) Adjust bed to safe working height;lock wheels.

7.) Test water temperature in basin to determine if it is safe and comfortable before washing and adjust if necessary.

8.) Put on clean gloves before contact with linen and/or resident.

9.) Place towel or pad under residents buttocks before washing.

10.) Cover resident with bath blanket and move top linens to foot of bed.

11.) Expose only area surrounding catheter. (Use towel to cover privates everytime you prepare items to work with)

12.) Apply soap to wet washcloth.

13.) Hold catheter near meatus, without tugging while cleaning at least four inches of catheter nearest meatus, moving in only one direction (i.e., away from meatus) using a clean area of the cloth for each stroke.

14.) Rinse at least four inches of catheter nearest meatus, moving only in one direction (i.e., away from meatus) using a clean area of the cloth for each stroke.

15.) Replace top covers and remove bath blanket.

16.) Dispose of linen in soiled linen container.

17.) Avoid contact between your clothing and soiled linen/pads throughout procedure.

18.) Empty, rinse, and wipe basin and return it to proper storage.

19.) Remove and dispose of gloves per facility policy.

20.) Place signaling device within residents reach.

21.) Wash hands.

22.) Leave bed in the lowest position.  Remove privacy measures.

23.) Report any changes in resident to nurse.  Document procedure according to facility guidelines.

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