CNA Catheter Care Procedure

Introduction

• CNA introduces herself as Patti to the patient, Miss Jones.
• Explains the need to perform catheter care.
• Ensures patient consent and privacy.

Preparation

• Curtain: Closed to ensure privacy.
• Handwashing: Hands are washed before gathering supplies.
• Supplies Needed:
  • Barrier
  • Four washcloths
  • Towel
  • Chucks (absorbent pads)
  • Privacy blanket
  • Basin
  • Soap
  • Gloves

Setting Up

• Water Preparation:
  • Water temperature checked by the patient.
  • Washcloths placed in water to stay warm.
• Privacy Blanket:
  • Used to cover and keep the patient warm.
• Arranging Bed:
  • Sheet pulled down to knees.
  • Chucks placed under the patient to keep the bed dry.

Patient Positioning

• Patient is asked to scoot and roll to assist with placing the chucks.
• Care is taken to ensure catheter tubing is not pulled.

Cleaning the Catheter

• Gown rolled within the privacy blanket.
• Cleaning Steps:
  • Soap applied to the washcloth.
  • Catheter cleaned by holding it and wiping away from the body.
  • Procedure repeated four times.
• Rinsing Steps:
  • Same method as cleaning using a rinsed washcloth.

Perineal Care

• Cleaning Steps:
  • Labia and surrounding areas cleaned using a five-leaf system.
  • Process includes holding the catheter out of the way and cleaning from top to bottom.
• Rinsing Steps:
  • Repeat cleaning steps with clear water.
• Drying:
  • Area gently patted dry from top to bottom.

Final Steps

• Covering Up:
  • Patient covered back with a blanket, gown adjusted.
• Checking Catheter:
  • Ensures tubing is coiled and not kinked or on the floor.
• Cleaning Up:
  • Soiled items and gloves disposed of properly.
  • Basin cleaned and stored correctly.
• Patient Comfort:
  • Offers magazine, ensures patient comfort.
  • Provides call light for patient assistance.

Completion

• Opens curtain and washes hands.
• Reflects on the procedure and makes any necessary corrections.
• Skill completion reported to the evaluator.