Urinary Catheterisation

• Use sterile technique and remember reduction of foreskin

• Do not put in latex type Foley catheter if the catheter is for long term use, instead choose a silastic catheter

• Use plenty of lubrication, ideally with anaesthetic jelly

• Don't force catheter in, beware of causing urethral damage

• Don't inflate the balloon until urine has drained into the tube, it may be necessary to aspirate the anaesthetic lubricant from the catheter before the urine will appear, or a gentle push suprapubically may be required in paralysed patients

• Ensure record of residual volume post catheterization

• When removing long standing catheter, antibiotic cover may be required (Gentamycin 80 millegrammes IM STAT dose prior to catheter removal)

• Document insertion and removal of catheter in patient's notes.