2. Identify the patient, discuss the procedure with the patient and assess the patient’s ability to assist with the procedure 3. Bring catheter tray to bedside. 4. Perform hand hygiene 5. Close door and curtains around the bed. Provide good lighting 6. Raise the bed to a comfortable working height. Stand on the right side if you are right handed, left side if you are left handed 7. Assist patient to a dorsal recumbent position with knees flexed, feet about 2 feet apart, and legs abducted. Drape the patient with the sheet 8. Put on clean gloves. Cleanse the perineal area with soap and water. Remove gloves, perform hand hygiene again. 9. Open sterile cath tray on clean overbed table using sterile technique 10. Put on sterile gloves. Grasp upper corners of rectangular drape and fold back each corner to make a cuff over gloved hands. Ask patient to lift her buttocks and slide sterile drape under her. 11. Remove first pair of sterile gloves and discard. Don new sterile gloves from kit. 12. Place fenestrated sterile drape over the perineal area, exposing the labia 13. Open all supplies in kit. Test balloon on catheter by removing protective cap on tip of syringe and attaching syringe prefilled with sterile water to injection port. Inject all 10 ml of fluid. If balloon inflates properly, withdraw fluid and leave syringe attached to port 14. Fluff cotton balls in tray and pour antiseptic solution over them 15. Open lubricant and place in tray 16. Move and place sterile tray on drape between patient’s thighs 17. Lubricate 1” to 2” of catheter tip 18. With thumb and one finger of nondominant hand, spread labia and identify meatus. (Once you have touched the patient’s perineum that hand is no longer ‘sterile’!) 19. Use dominant hand to pick up cotton balls with provided tweezers. Clean one labial fold, top to bottom ONCE then discard. Use a new cotton ball, clean other labial fold ONCE then discard. Use a new cotton ball and clean down the center. Optional—use a fourth cotton ball and touch once directly over meatus to facilitate visualization. 20. Using your dominant hand, hold catheter 2” to 3” from the tip and insert slowly into the urethra. Advance catheter until there is a return of urine (approx. 2-3”). Once urine drains, advance catheter another 2” to 3”. DO NOT force catheter through urethra into bladder. Ask patient to breathe deeply and rotate catheter gently if slight resistance is met as catheter reaches external sphincter. 21. Hold catheter securely at the meatus with your non dominant hand. Use dominant hand to inflate catheter balloon. Inject entire volume supplied in prefilled syringe. Keep plunger depressed! 22. Pull gently on catheter with non dominant hand after balloon is inflated to feel resistance. 23. Remove syringe from tubing by using non dominant hand to hold onto “collar” and dominant hand to remove syringe 24. Obtain urine specimen within first 15 minutes if ordered. 25. Remove equipment and dispose of properly. 26. Remove gloves. Secure catheter tubing to patient’s inner thigh; remember to leave some slack in the tubing. 27. Catheter tubing goes OVER the leg, cover the patient with linens. 28. Return bed to lowest position and secure drainage bag below the level of the bladder. 29. Assist the patient to a comfortable position 30. Perform hand hygiene 31. Chart procedure in nurses’ notes