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PROCEDURE
FOR APPLICATION AND MAINTENANCE OF AN EXTERNAL CATHETER (MALE)
PURPOSE:
To outline procedure for
proper application and maintenance of external urinary catheter
(male) in order to prevent skin excoriation and vascular compromise
or necrosis
EQUIPMENT:
- External catheter
- Drainage system
- Wash basin and soap
- Towel and washcloth
- Scissors
- Skin sealant/protectant wipes
- Non-sterile gloves
NURSING ACTION:
PROCEDURE STEPS:
- Application:
- Wash hands and don
non-sterile gloves.
- Identify correct patient
and explain procedure to patient.
- Provide
privacy - wash and dry genital area.
KEYPOINT: If uncircumcised,
retract foreskin, cleanse and dry, and replace foreskin
to natural position.
- Trim
hair back from shaft of penis so that no hair will get into the
adhesive or tape.
- Obtain appropriately sized
condom by measuring shaft circumference.
(Small-Pediatric/Geriatric - 24mm, Medium - 29mm, Large - 36mm)
- Remove catheter from
packaging, unroll it one "notch" to loosen the adhesive as it
sticks to itself. Then re-roll and apply.
- Hold rolled catheter
sheath and place inner flap against glans so tip- NOT ENTIRE
GLANS - protrudes 1/4" into opening.
- Slowly unroll the adhesive
coated sheath along the penis. Squeeze the sheath all
around the penis to seal the adhesive to the skin. **Once
applied, do not attempt to reposition the catheter. Pinch
wrinkles to seal any openings.
KEYPOINT:
If there are a lot of wrinkles or channels present, consider
using next smaller size catheter.
- Attach collection bag to
external catheter.
- Maintenance.
-
Assess for skin breakdown or
allergic reaction with daily cleansing. Be sure the tip of
penis is positioned in the cone of the catheter but is not rubbing.
-
Check for swelling or
discoloration of penis every shift.
-
Check for twisting of catheter and kinking of tubing
every shift.
-
Check for leakage; replace catheter if present.
-
Replace catheter daily or according to recommendations
from specific company.
-
Check and empty urine
collection bag regularly and look for tubing kinks.
REFERENCES:
Daughty, Dorothy. (1991) Urinary
and Fecal Incontinence. St. Louis: CM Mosby Co.
(Accessed December 2004).
www.homecaredelivered.com
(2204) Hollister Package Directions
for Self-Adhesive Extended Wear Urinary External Catheter
RESOURCE PERSON(S): Kathy Cochran, RN,
COCN
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