Comparison of Male and Female Catheterisation Procedures
Aspect | Male Catheterisation | Female Catheterisation | Similarities | Differences |
Equipment | Similar equipment for both procedures | Similar equipment for both procedures | Sterile gloves, apron, catheter, anaesthetic gel, etc. | None |
Patient Introduction and Consent | Explain procedure, gain consent, check for allergies | Explain procedure, gain consent, check for allergies | Verbal explanation, consent, allergy check | None |
Cleaning | Clean penis with cotton balls soaked in 0.9% sodium chloride | Clean urethral meatus with cotton balls soaked in 0.9% sodium chloride | Use of sterile cotton balls and sodium chloride | Male: Penis cleaning; Female: Urethral meatus cleaning |
Positioning | Supine position, retract foreskin (if present) | Supine position, part the labia | Supine position, use of sterile drapes | Male: Retract foreskin; Female: Part the labia |
Insertion of Anaesthetic Gel | Inject lidocaine gel into the urethra | Inject lidocaine gel into the urethra | Use of lidocaine gel, wait 3-5 minutes | None |
Insertion of Catheter | Insert catheter through urethral meatus | Insert catheter through urethral meatus | Slow insertion, advance until urine flows | Male: More resistance due to prostate; Female: Generally easier insertion |
Balloon Inflation | Inflate balloon with sterile water | Inflate balloon with sterile water | Use of 10ml sterile water | None |
Post-Procedure Care | Clean spillage, provide privacy, document procedure | Clean spillage, provide privacy, document procedure | Cleaning, privacy, documentation | None |
Patient Communication | Inform about completion, give post-procedure advice | Inform about completion, give post-procedure advice | Communication of post-procedure steps | None |
OSCE Checklist for Catheterisation
General Steps (Common for Both Procedures)
Preparation:
Gather equipment.
Clean the top of a procedure trolley using a disinfectant wipe.
Verify expiry dates on equipment and solutions.
Patient Introduction and Consent:
Wash hands.
Introduce yourself, explain the procedure, and gain consent.
Confirm patient details and check for allergies.
Ensure a clinical waste bin is nearby.
Male Catheterisation OSCE Checklist
Step | Description | Completion (Y/N) |
1. Gather Equipment | All necessary equipment gathered and verified. | |
2. Hand Hygiene | Washed hands using alcohol gel or soap and water if soiled. | |
3. Don PPE | Wore appropriate PPE. | |
4. Introduce and Consent | Explained procedure, confirmed patient details, checked for allergies, gained consent. | |
5. Clean Area | Cleaned procedure trolley and set up a sterile field. | |
6. Position Patient | Positioned patient supine, retracted foreskin (if present), and ensured privacy. | |
7. Clean Penis | Cleaned penis with sterile cotton balls soaked in 0.9% sodium chloride. | |
8. Insert Anaesthetic | Injected lidocaine gel into the urethra, waited 3-5 minutes. | |
9. Insert Catheter | Inserted catheter, advanced slowly, checked for urine flow. | |
10. Inflate Balloon | Inflated catheter balloon with 10ml sterile water. | |
11. Attach Bag | Attached catheter bag securely. | |
12. Post-Procedure Care | Cleaned spillage, provided privacy, documented procedure. | |
13. Patient Communication | Explained completion, provided post-procedure advice. |
Female Catheterisation OSCE Checklist
Step | Description | Completion (Y/N) |
1. Gather Equipment | All necessary equipment gathered and verified. | |
2. Hand Hygiene | Washed hands using alcohol gel or soap and water if soiled. | |
3. Don PPE | Wore appropriate PPE. | |
4. Introduce and Consent | Explained procedure, confirmed patient details, checked for allergies, gained consent. | |
5. Clean Area | Cleaned procedure trolley and set up a sterile field. | |
6. Position Patient | Positioned patient supine, parted the labia, and ensured privacy. | |
7. Clean Genital Region | Cleaned urethral meatus with sterile cotton balls soaked in 0.9% sodium chloride. | |
8. Insert Anaesthetic | Injected lidocaine gel into the urethra, waited 3-5 minutes. | |
9. Insert Catheter | Inserted catheter, advanced slowly, checked for urine flow. | |
10. Inflate Balloon | Inflated catheter balloon with 10ml sterile water. | |
11. Attach Bag | Attached catheter bag securely. | |
12. Post-Procedure Care | Cleaned spillage, provided privacy, documented procedure. | |
13. Patient Communication | Explained completion, provided post-procedure advice. |
Male Catheterisation – OSCE Guide
Gather Equipment:
Plastic apron
Two pairs of sterile gloves
Sterile water-filled syringe (10ml) for catheter balloon inflation
0.9% sodium chloride (10ml)
Lidocaine (1%) anesthetic lubricating gel
Male urinary catheter (12/14 French)
Catheter pack (cotton wool balls, sterile gauze, sterile drapes, absorbent pad, gallipot)
Catheter bag
Urine collection bowl
Procedure Steps:
Introduction and Consent:
Wash hands.
Introduce yourself, explain the procedure, and gain consent.
Confirm patient details and check for allergies.
Preparation:
Clean a procedure trolley with disinfectant.
Set up a sterile field and place equipment on it using an aseptic non-touch technique (ANTT).
Position the patient, ensuring privacy.
Cleaning:
Retract foreskin if present.
Clean the penis with cotton balls soaked in 0.9% sodium chloride.
Discard gloves, wash hands, and don new sterile gloves.
Anaesthetic Gel:
Insert lidocaine gel into the urethra and wait for 3-5 minutes.
Insertion of Catheter:
Insert catheter into the urethra slowly, advancing it into the bladder.
Inflate the catheter balloon with sterile water.
Attach catheter bag and ensure proper drainage.
Post-Procedure:
Replace foreskin.
Clean any spills and provide privacy for the patient to dress.
Document the procedure details.
Additional Resources:
Female Catheterisation – OSCE Guide
Gather Equipment:
Same as for male catheterization.
Procedure Steps:
Introduction and Consent:
Wash hands.
Introduce yourself, explain the procedure, and gain consent.
Confirm patient details and check for allergies.
Preparation:
Clean a procedure trolley with disinfectant.
Set up a sterile field and place equipment on it using an aseptic non-touch technique (ANTT).
Position the patient, ensuring privacy.
Cleaning:
Part the labia and clean the urethral meatus with cotton balls soaked in 0.9% sodium chloride.
Discard gloves, wash hands, and don new sterile gloves.
Anaesthetic Gel:
Insert lidocaine gel into the urethra and wait for 3-5 minutes.
Insertion of Catheter:
Insert the catheter into the urethra slowly, advancing it into the bladder.
Inflate the catheter balloon with sterile water.
Attach the catheter bag and ensure proper drainage.
Post-Procedure:
Clean any spills and provide privacy for the patient to dress.
Document the procedure details.
By following these detailed guides and steps, you can confidently perform catheterization and score excellently in your OSCE exams.
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