Page 75 - Demonstrating skill coppysaved colored-converted
P. 75

4.  A receiver with a lid containing a sterile dressing towel
                   5.  A pair of forceps in a receiver
                   6.  A bowl or receiver containing a sterile pack of gloves and sterile specimen bottle
                   7.  A sterile receiver for urine
                   8.  A pair of scissors if required
                   9.  Measuring jag for urine
                   10. Specimen forms for pathological tests
                   11. Receive for dirty forceps and catheter
                   12. Rubber mackintosh to protect the bed linen
                   13. Flashlight, lubricant, screen, IV bag, IV set, glove


                       Procedure
                   1.  Prepare the trolley and take to the patient's bedside. Explain the Procedure to the patient
                       for her co-operation and reassurance
                   2.  The bed is screened
                   3.  Turn top bed linen upwards from the bottom to the patient’s chest to protect her from
                       complete exposure
                   4.  Place the patient in dorsal position with knees flexed and thighs apart, then put
                       mackintosh under her buttocks
                   5.  Wash your hands thoroughly under running water
                   6.  Place the sterile towel in between her thighs under the buttocks and make sure the
                       mackintosh is covered
                   7.  Put receiver for urine near the vulva
                   8.  Put on gloves and clean the vulva by swabbing with the antiseptic lotion using your
                       forceps Discard the forceps in the receiver for dirty instruments. When cleaning the
                       vulva, always clean using up to down motion and discard swab after one use
                   9.  Separate the vulva with two pieces of gauze
                   10. Carefully pick up your catheter lubricate it and introduce it right into the urethral orifice
                   11. A little pressure on the bladder above the symphysis pubis could be useful to ensure
                       complete emptiness of the bladder
                   12. If a laboratory test is prescribed, collect some amount of urine in the sterile specimen
                       bottle straight from the catheter
                   13. Discard the catheter under the trolley, measure the amount of urine by pouring the urine
                       in the measuring jug, swab the vulva and perineum dry with cotton wool, remove
                       mackintosh and towel under the patient's buttocks
                   14. Make the patient comfortable by covering her up properly
                   15. Take the trolley away from the bedside and finally remove the screen
                   16. Take care of the Equipment and send the specimen to the laboratory

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