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Skill Checklists for Fundamentals of Nursing:
The Art and Science of Person-Centered Care, 9th edition
Student Name: ___________________________________________
Attemp #1: _________________________
Date: ___________________________________________________
Attempt #2: _________________________
Course Section: ___________________________________________
Attempt #3: ________________________
Unmet
Met
Removing An Indwelling Catheter (pg. 1371)
Goal: The catheter will be removed without difficulty and with minimal
patient discomfort; the patient voids without discomfort a minimum of
250 mL of urine within 8 to 10 hours of catheter removal.
Comments
1. Review the patient’s chart and confirm the order for catheter removal
in medical record. Check the previous documentation on the amount
of sterile water used to inflate the catheter balloon.
2. Gather equipment.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient.
5. Close curtains around the bed and close the door to the room, if
possible. Discuss the procedure with the patient and assess the
patient’s ability to assist with the procedure.
6. Assemble equipment on the overbed table within reach.
7. Put on gloves. Empty the urine drainage bag and note the
characteristics and amount of the urine before discarding. Remove
gloves.
9. Adjust the bed to a comfortable working height, usually elbow height
of the caregiver. Stand on the patient’s right side if you are righthanded, on the patient’s left side if you are left-handed.
10. Position the patient as for catheter insertion. Drape the patient so
that only the area around the catheter is exposed. Slide a waterproof
pad between the female patient’s legs or over the male patient’s
thighs.
11. Put on clean gloves. Remove the leg strap, tape, or other device
used to secure the catheter to the patient’s thigh.
12. Insert the syringe into the balloon inflation port. Allow the pressure
within the balloon to force the syringe plunger back and fill the
syringe with water. Refer the manufacture’s guidelines to deflate the
balloon. Do not cut the tubing with scissors.
13. Ask the patient to take several slow deep breaths. Slowly and
gently remove the catheter. Wrap the catherter in a towel or
disposable waterproof drape. Dispose of catheter and drainge
system according to facility policy.
14. Clean the perineal area after the catheter is removed.
15. Remove the gloves. Assist patient to a comfortable position. Cover
the patient with bed linens. Place the bed in the lowest position.
15. Put on clean gloves. Remove equipment and dispose of it according
to facility policy. Inspect the tip of the catheter.
16. Remove gloves and additional PPE, if used. Perform hand hygiene
and document.
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