URINAL CATHETER TRAY – PROCEDURE INSTRUCTIONS.

Comprehensive outline of the urinal catheter tray, its components and explanations for the use of each component.

ETO sterilized rigid transparent PVC tray with special chamber for antiseptic solution (later to be used as receptacle for fluids) with peel-open Tyvek^® cover.

Components (in order of Removal/Use from the Tray) :-

v          Pair EVA gloves (optional)

v          Polybacked towel (plastic surface outside, absorbent surface inside)

v          Fenestrated towel (plastic surface outside, absorbent surface inside)

v          Pair Latex Gloves, size Medium

v           Waste Disposal Bag: with adhesive flap for attaching to work surface and later to seal the bag.

v           Disinfectant sachet: (one of the following options)
Aluminum laminated sachet containing 3 X PVP Antiseptic Swabsticks /or,
Aluminum laminated sachet containing CHG based antiseptic solution

v          2 Gauze pads (Swabs), 10 x 10 cm, 8 ply

v          Gauze Tupfers (as required + usually at least 1 Lift Forceps (#1035) – (optional)

v           Aluminum laminated sachet Pedicat™ Water Soluble Antiseptic Lubricating Gel (#881): 
The sachet can be opened in two ways –

a.    peel apart at top edge - catheter tip can be inserted into the sachet for lubrication

b.    Tear open at bottom corner, to enable the gel to be squeezed out on/into the organ for lubrication.

v          Flowclamp™ (#1011)

v          10 cc syringe, 90% water, 10% glycerin (#1058)
note: Water in the syringe is distilled, purified water, without any salts or additives  - to prevent damage to the latex balloon. 10% Glycerin is added to the water to improve the performance of the latex. 
Entire syringe & its contents are sterilized by Gamma Rays, in a validated system that is compatible with the syringe and its contents. Unique syringe rubber cap does not allow penetration of ETO during sterilization of the tray.

ACCEPTED AND RECOMMENDED METHOD OF PROCEDURE

1.               EVA gloves - to be worn by attendant/assistant whilst preparing patient for the procedure.

2.               Polybacked Towel - spread open with plastic surface downwards, absorbent side facing upwards - for use as a sterile field. Turn the open tray upside down, spilling all components out onto the sterile field. Do not discard empty tray which will be used later.

3.               Remove red strip from adhesive flap of waste disposal bag, and by means of the adhesive flap, attach waste disposal bag to edge of work surface, with top edges open to receive discarded used items.

4.               Fenestrated Towel - spread open with plastic surface on the skin of the patient, drape over the area to be treated.

5.               Remove EVA gloves, and replace with Latex Gloves to be worn throughout the procedure.

6.               Disinfectant Sachet: 

        Male:  With help of gauze pad, grip the penis and thoroughly disinfect the penis glans by means of swab sticks (or Gauze Tupfer and Lift Forceps when using other antiseptic solution), working in circular movements from the tip downwards.
Female: With help of gauze pad open labia and disinfect vestibule walls thoroughly by means of  3 swab sticks (2 for each side and the third for the urethral orifice) (or Gauze Tupfer and Lift Forceps when using other antiseptic solution).

7.               Pedicat™ lubricating antiseptic gel - for use as described above.

8.               By means of Flowclamp™, seal off opposite end of catheter.

9.               Grip the organ with the second gauze swab, and insert catheter (Lift Forceps can assist with insertion of lubricated catheter).

10.         Place PVC tray (set aside in 2 above) at end of Catheter; release the Flowclamp™ slightly to permit urine flow into the tray for urine collection/examination.

11.         Tighten the Flowclamp™ again and connect the catheter to the urine bag and remove the Flowclamp™.

12.         To inflate the balloon, connect the 10 cc syringe to the inflating section of the catheter.  Ensure that the catheter is well secured.

13.         Use the Tupfer to absorb any fluids.

14.         Discard all used components and their packaging into the open waste disposal bag; seal the bag by means of its adhesive flap, and dispose of the bag.