Catheterisation is an invasive practical procedure that all junior doctors must be confident with before their first on‐call. It involves passing a small plastic tube through the urethra and in to the bladder. Often you will get called to the difficult ones that the nurses have not been successful with. Most calls to catheterise are for male patients as nurses can often catheterise female patients. This procedure should be carried out in a sensitive manner, with the clinician doing their upmost to maintain patient dignity.
Wash your hands using the Ayliffe technique
Introduce yourself and give your name and grade
“Hi, my name is John Smith and I am a 4th year medical student”
Clarify patients identity by confirming their name and asking for their DOB
Explain what examination you are performing and what this involves
“Today I will be placing a small plastic tube in to your penis to reach your bladder. This will help your pass urine/ monitor your urine output. I will be placing some anaesthetic gel in to your penis to make it as comfortable as possible. One of my colleagues will be here to help and act as a chaperone.”
“Would this be okay with you?”
Catheter pack – bowl, gauze, sterile towels.
2x Sterile gloves
(12 – 16F) Foley male catheter
Catheter drainage bag
Sterile Instillagel – anaesthetic gel
10 ml syringe
Clinical waste bag
Let the patient know you have finished examining them and thank them for their time. Be courteous and offer them help to get redressed.
“That’s the end of the procedure. Thank you for your time.”
Ensure that you have written in the patient notes ‐ date and time, catheter size and type, residual volume and any complications encountered.
Haematuria – trauma
Strictures – long term