CNA Procedure for Catheter Care

Introduction

• CNA: Xavier
• Patient: Mrs. Smith
• Procedure: Catheter care

Initial Steps

1. Introduction & Consent

   • Xavier introduces himself as the CNA for the day.
   • Confirms the patient's name, "Mrs. Smith," and how she prefers to be addressed.
   • Explains he will assist with catheter care and obtains consent.

2. Preparation

   • Xavier washes hands and gathers necessary supplies.
   • Closes curtains for privacy.

Catheter Care Procedure

1. Setup

   • Knocks before re-entering the room and announces his return.
   • Adjusts the bed to a comfortable position and lowers the side rail.
   • Puts on gloves before starting the procedure.
   • Checks water temperature and asks Mrs. Smith to confirm comfort.

2. Procedure Execution

   • Places a Chuck under Mrs. Smith for protection.
   • Assists Mrs. Smith to cross her arms and legs and gently turns her.
   • Lowers the bath blanket and applies soap.
   • Cleans the catheter:
     • Holds catheter at the meatus without tugging.
     • Cleans at least 4 inches from the meatus, moving in one direction.
     • Uses a clean area of the washcloth for each stroke.
     • Rinses and dries with separate washcloths.
   • Turns Mrs. Smith again to ensure thorough cleansing.

3. Final Steps

   • Removes gloves and sanitizes hands.
   • Raises side rail and lowers bed to the lowest position for safety.
   • Empties, rinses, and dries the basin; stores it in the designated dirty supply area.
   • Disposes of used linen appropriately and avoids contact with clothing.
   • Provides Mrs. Smith with a call light, phone, tissue, water, and magazines.
   • Ensures Mrs. Smith knows to call if she needs anything else.
   • Opens curtains, washes hands, steps outside to record and report the procedure.

Conclusion

• Ensures patient comfort and safety throughout the procedure.
• Maintains hygiene and proper disposal of materials.