Goal: The patient's skin remains clean, dry, intact, and without evidence of irritation or breakdown; and the patient verbalizes an understanding of the purpose for, and care of the catheter, as appropriate.
1. Bring necessary equipment to the bedside stand or overbed table.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the room, if possible. Explain what you are going to do, and why you are going to do it, to the patient. Encourage the patient to observe or participate, if possible.
5. Adjust bed to comfortable working height, usually elbow height of the caregiver (VISN 8 Patient Safety Center, 2009). Assist patient to a supine position. Place waterproof pad under the patient at the stoma site.
6. Put on clean gloves. Gently remove old dressing, if one is in place. Place dressing in trash bag. Remove gloves. Perform hand hygiene.
7. Assess the insertion site and surrounding skin.
8. Wet washcloth with warm water and apply skin cleanser. Gently cleanse around suprapubic exit site. Remove any encrustations. If this is a new suprapubic catheter, use sterile cotton-tipped applicators and sterile saline to clean the site until the incision has healed. Moisten the applicators with the saline and clean in circular motion from the insertion site outward.
9. Rinse area of all cleanser. Pat dry.
10. If the exit site has been draining, place small drain sponge around the catheter to absorb any drainage. Be prepared to change this sponge throughout the day, depending on the amount of drainage. Do not cut a 4 4 gauze to make a drain sponge.
11. Remove gloves. Form a loop in tubing and anchor the tubing on the patient’s abdomen.
12. Assist the patient to a comfortable position. Cover the patient with bed linens. Place the bed in the lowest position.
13. Put on clean gloves. Remove or discard equipment and assess the patient’s response to the procedure.
14. Remove gloves and additional PPE, if used. Perform hand hygiene.
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