Insertion of Foley Catheter, Female

Competent

Not Competent

1. Wash hands

2. Identify patient (name and d.o.b.)and explain procedure to patient

3. Gather/check/arrange equipment:
    Tray: gloves/antiseptic/drapes/forceps/cotton
    balls/catheter/lubricant/syringe with water/collection bag with tubing

4. Put on gloves, maintain sterile technique for remainder of procedure

5. Drape pubis and proximal thighs

6. Inspect external genitalia and locate urethral orifice below the clitoris
    and above the vaginal opening

7. Cleanse area of surrounding meatus with antiseptic solution using
    cotton balls and forceps. (repeat once or twice more)

8.  Lubricate tip of catheter

9.  Insert tip of catheter into tip of urethral meatus and advance  
       carefully, monitoring for resistance to passage.

10. Carefully continue to insert catheter (approx 4cm) observing for the 

      flashback of urine into the catheter. 

11. Inflate the balloon with 10 cc of water. (*To avoid inflating the
      balloon in the urethra, assure that urine return has been established
       and the catheter has been inserted at least 3.5 - 4 cm.

12. Pull gently on the catheter until you feel the balloon seated against
      the wall of the bladder

13. Connect open end of catheter to port of collection bag  (if bag 

      available)

14. Secure the catheter the patient's thigh using tape or a Velcro strap
      if provided (student to describe not perform)

15. Wash hands before leaving room

                                                                                                             Pass

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                                                                                Remediation Required

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Student Name (please print) _________________________________

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Student  Signature       _______________________________________

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Evaluator  Signature     _______________________________________

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