Insert, secure and monitor urethral catheters
URN: SFHCHS8
Business Sectors (Suites): Clinical Health Skills
Developed by: Skills for Health
Approved on:
2021
Overview
This standard covers the insertion of urethral catheters, including re-catheterisation, following agreed protocols and procedures. It also covers regular monitoring and care of the urethral catheter after insertion.
It does not include suprapubic catheterisation.
Performance criteria
You must be able to:
- access and accurately interpret all relevant work instructions and information
- work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
- deal promptly and effectively with any problems within your control and report those which cannot be solved
- identify and minimise hazards and risk in the workplace
- communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
- respect the individual's rights and wishes relating to their consent, privacy, beliefs, and dignity
- provide support to the individual and ensure health and safety measures are implemented at all times
- gain valid, informed consent from the individual in accordance with specific procedures
- apply standard precautions for infection control and take other appropriate health and safety measures
- comply with the correct protocols and procedures relating to urinary catheterisation.
- insert the catheter safely and correctly, according to manufacturer's instructions and with minimal trauma to the individual
- secure the catheter after insertion according to instructions and adjust it correctly
- attach the catheter correctly to the appropriate drainage system, confirm it is functioning correctly and measure and record the amount of urine collected immediately after insertion
- make the individual as comfortable as possible following the procedure
- monitor the individual's condition, promptly recognise any adverse effects and take the appropriate action
- check that all catheterisation equipment and materials are functioning correctly and take appropriate action to remedy any problems
- maintain cleanliness of the catheter and surrounding area through regular hygiene care
- empty drainage bags and measure and record urinary output whenever necessary and as instructed
- complete and store all relevant documentation in accordance with organisational requirements
Knowledge and Understanding
You need to know and understand:
- the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
- the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
- how to access and interpret all relevant work instructions and information
- specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
- the duty to report any acts or omissions that could be unsafe/detrimental to you or others
- the hazards and risks which may arise during the execution of your work role and how you can minimise these
- how to adapt communication styles in ways which are appropriate to the needs of the individual
- the correct use of any equipment and PPE to protect the health and safety of you and others
- the principles, practice and procedures associated with informed consent
- organisational management structures, roles, and responsibilities
- the conditions and constraints which might denote who undertakes this procedure and why
- the anatomy of the male and/or female genito-urinary system
- the physiology of the genito-urinary system
- the effects of catheterisation on the individual's comfort and dignity, and ways of minimising any adverse effects
- how aseptic technique contributes to the control of infection
- the ethical issues surrounding catheterisation, as applied to males and females
- the need for chaperones, individual awareness and consent
- potential adverse effects and appropriate actions
- the effective methods of providing verbal and non-verbal support and reassurance to individuals
- the types of catheters that can be used and why you should select the appropriate catheter
- the local anaesthetic agents available
- how to complete and safely store all relevant documentation in accordance with organisational requirements
Scope/range
Scope Performance
Scope Knowledge
Values
Behaviours
Skills
Glossary
Links To Other NOS
External Links
Version Number
2
Indicative Review Date
2026
Validity
Current
Status
Original
Originating Organisation
Skills for Health
Original URN
SFHCHS8
Relevant Occupations
Health and Social Care, Health and Social Services Officers, Health Associate Professionals, Health Professionals, Health, Public Services and Care, Healthcare and Related Personal Services
SOC Code
2259
Keywords
Insert, secure, urethral, catheter, monitor, respond