Scribd
Upload
21 views

2024 Skills Testing Rubric Catheter Insertion

Uploaded by

nguyenthaiduy.med
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
21 views

2024 Skills Testing Rubric Catheter Insertion

Uploaded by

nguyenthaiduy.med
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

NURS 1100 – Fundamentals of Nursing II (URINARY)

Evaluation of competency 2.5


Student Name: __________________________________ Date: ______________________________

Performance Objectives: The student will demonstrate the insertion of a urinary catheter for males
and females.

You will have 20 minutes to complete this evaluation.

Grading Criteria:
3 Student fully meets the criteria without assistance
2 Student requires minimum assistance to meet the stated criteria (prompt)
1 Student omits one area of stated criteria, even with prompt
0 Student did not meet the stated criteria
Competency 2.5 will be weighted at 15% (testing assessment) of the total grade in NURS-1100. Within
the 15%, 25% of points will be allocated for steps in planning and 75% of points will be allocated for
implementation.

Resources required

 Appropriate urinary catheterization kit—contents vary, but kits typically include the following
sterile items: catheter, drapes, lubricant, cleansing swabs, sterile gloves and a specimen
container.
 Clean gloves X 2
 Supplies for perineal care (face cloths & soap/wash)

Criteria 0-3 Instructor Comments


PLANNING (25%)
Verify the health care provider’s orders.
Gather required equipment and supplies.
Introduce self to the patient & provide privacy
Perform hand hygiene
Identify the patient using two identifiers and check
for allergies.
Explain the physician’s order and explain the
procedure to the patient and ensure that she/he
agrees to treatment.
Sectional Total /18 ( /25)
IMPLEMENTING (75%)
Raise the bed to a comfortable working height.
Adjusted side rails accordingly. Lowered the head
of the bed to a comfortable position.
Position the patient:
Male:
-Position the patient supine.
-Drape the patient’s upper and lower body
so that only the perineum is exposed.
Female:
-Help the patient into the dorsal recumbent
position. Asked the patient to relax her
thighs.
--Drape the patient’s upper and lower
body.
Apply clean gloves and cleanse the perineal area.
Cover area for privacy while removing and
discarding gloves.

Perform hand hygiene and uncover perineal area.

Ensure overbed table is positioned at correct


height and placed so back is never turned to sterile
field.
Remove lid from catheter tray. Remove specimen
collection bottle from tray.
Remove sterile gloves from tray and properly
apply.
Place sterile drape in perineal area maintaining
sterility. Open and place fenestrated drape over
urinary meatus.
Open the packet of lubricant and squeeze it out
onto the sterile field. Open cleansing swabs and
place in an accessible area.
Cleanse the patient’s urethral meatus:
Female:
Separated the labia with the fingers of
nondominant hand to fully expose the
urinary meatus. Kept non-dominant hand
in place there for the rest of procedure.
Use one swab stick at a time. Cleanse the
labia and urinary meatus from the front to
back. Cleansing down the center should be
completed last. Appropriately dispose the
used swabs without contaminating the
sterile field.

Male:
With non-dominant hand, gently grasp the
shaft of the penis below the glans; if the
patient is uncircumcised, retract the foreskin.
Hold the shaft of the penis at a right angle to
the body.
Using uncontaminated dominant hand, cleanse
the meatus with swab sticks, using circular
strokes, beginning at the meatus and working
outward in a spiral motion. Repeat process
three times, using a clean swab stick each time.
Appropriately discarded the cotton balls
without contaminating sterile field.
Pick up catheter and lubricate to a distance of 1-2
inches (this may also be completed prior to
cleansing). Position collection tray so urine will
drain into it.
Ensure non-dominant (contaminated) hand
remains in place throughout procedure.
Inserted the catheter
Female:
Ask the patient to gently push the perineum
down, while slowly inserting the catheter into
the urethral meatus. Advance the catheter
until urine flows through the tubing. After
visual confirmation of urine return into the
tubing, release the patient’s labia, while
maintaining a secure hold of the catheter with
nondominant hand.
Male:
Gently apply upward traction to the penis
while holding it at a 90-degree angle to the
patient’s body. Ask the patient to push down
as if to void, and slowly insert the catheter
through the urethral meatus. Advance the
catheter until urine flows through the tubing.
Stop advancing catheter if there is resistance
or patient reports pain.
Lower the penis and hold the catheter securely
with nondominant hand
Allow the urine to flow into collection tray. When
urine drainage diminishes, withdraw the catheter
slowly and smoothly until it has been withdrawn
completely
Dispose of used supplies and provide perineal
hygiene.

Removed sterile gloves and perform hand hygiene.

Help the patient into a comfortable position, and


place toiletries and personal items within reach, as
well as the call bell (ensure it is working and
patient knows how to use it). Raise the appropriate
# of side rails and lower the bed.

Sectional Total /51 ( /75)

Overall Total /100

Student Signature: _________________________________________________________________


Evaluator Signature: _______________________________________________________________

Additional Comments:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________

You might also like