Applying an External Catheter

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Implementation
1. Use Standard Protocol.
2. Assist client to supine position, covering upper torso and lower extremities.
3. Prepare urinary drainage system.
Clamp drainage exit port
Secure bag to bed frame with tubing between bed and side rails 
4. Wash, rinse, and dry penis thoroughly with warm soapy water.
5. Clip hair at base of penis if necessary.
6. Apply skin preparation to penis and allow to dry. 
7. Apply self-adhesive external catheter:
Pinch catheter closed and place against glans so that tip protrudes ¼-inch into opening.
Unroll catheter up shaft of penis.
Discard plastic collar.
Gently squeeze catheter to adhere sheath to skin. 
8. Apply external catheter without adhesive: 
Apply sheath to penis.
Allow 1 to 2 inches of space between tip of penis and end of catheter.
Encircle penis with strip of elastic adhesive kept only in contact with sheath.
9. Connect drainage tubing to end of catheter.
10. Secure tubing so that it is not twisted or looped.
To leg bag when ambulatory.
To larger bedside drainage bag at night. 
11. Remove catheter for 30 minutes every 24 hours to cleanse and inspect skin.
12. Discard gloves and wash hands.
13. Use Completion Protocol.

Assessment

1. Determine appropriateness.
2. Assess mental status of client and knowledge of treatment.
3. Assess condition of penis.
Evaluation

1. Observe urinary output every 4 hours.
2. Assess condition of skin and circulation to penis 1 hour after application, then every 4 hours.
3. Identify unexpected outcomes and intervene as necessary

 

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