OSCE of Male and Female Catheterisation: Catheterization step by step
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Comparison of Male and Female Catheterisation Procedures
| Aspect | Male Catheterisation | Female Catheterisation | Similarities | Differences |
| Equipment | Similar equipment for both procedures | Similar equipment for both procedures | Sterile gloves, apron, catheter, anaesthetic gel, etc. | None |
| Patient Introduction and Consent | Explain procedure, gain consent, check for allergies | Explain procedure, gain consent, check for allergies | Verbal explanation, consent, allergy check | None |
| Cleaning | Clean penis with cotton balls soaked in 0.9% sodium chloride | Clean urethral meatus with cotton balls soaked in 0.9% sodium chloride | Use of sterile cotton balls and sodium chloride | Male: Penis cleaning; Female: Urethral meatus cleaning |
| Positioning | Supine position, retract foreskin (if present) | Supine position, part the labia | Supine position, use of sterile drapes | Male: Retract foreskin; Female: Part the labia |
| Insertion of Anaesthetic Gel | Inject lidocaine gel into the urethra | Inject lidocaine gel into the urethra | Use of lidocaine gel, wait 3-5 minutes | None |
| Insertion of Catheter | Insert catheter through urethral meatus | Insert catheter through urethral meatus | Slow insertion, advance until urine flows | Male: More resistance due to prostate; Female: Generally easier insertion |
| Balloon Inflation | Inflate balloon with sterile water | Inflate balloon with sterile water | Use of 10ml sterile water | None |
| Post-Procedure Care | Clean spillage, provide privacy, document procedure | Clean spillage, provide privacy, document procedure | Cleaning, privacy, documentation | None |
| Patient Communication | Inform about completion, give post-procedure advice | Inform about completion, give post-procedure advice | Communication of post-procedure steps | None |
OSCE Checklist for Catheterisation
General Steps (Common for Both Procedures)
- Preparation:
- Gather equipment.
- Clean the top of a procedure trolley using a disinfectant wipe.
- Verify expiry dates on equipment and solutions.
- Patient Introduction and Consent:
- Wash hands.
- Introduce yourself, explain the procedure, and gain consent.
- Confirm patient details and check for allergies.
- Ensure a clinical waste bin is nearby.
Male Catheterisation OSCE Checklist
| Step | Description | Completion (Y/N) |
| 1. Gather Equipment | All necessary equipment gathered and verified. | |
| 2. Hand Hygiene | Washed hands using alcohol gel or soap and water if soiled. | |
| 3. Don PPE | Wore appropriate PPE. | |
| 4. Introduce and Consent | Explained procedure, confirmed patient details, checked for allergies, gained consent. | |
| 5. Clean Area | Cleaned procedure trolley and set up a sterile field. | |
| 6. Position Patient | Positioned patient supine, retracted foreskin (if present), and ensured privacy. | |
| 7. Clean Penis | Cleaned penis with sterile cotton balls soaked in 0.9% sodium chloride. | |
| 8. Insert Anaesthetic | Injected lidocaine gel into the urethra, waited 3-5 minutes. | |
| 9. Insert Catheter | Inserted catheter, advanced slowly, checked for urine flow. | |
| 10. Inflate Balloon | Inflated catheter balloon with 10ml sterile water. | |
| 11. Attach Bag | Attached catheter bag securely. | |
| 12. Post-Procedure Care | Cleaned spillage, provided privacy, documented procedure. | |
| 13. Patient Communication | Explained completion, provided post-procedure advice. |
Female Catheterisation OSCE Checklist
| Step | Description | Completion (Y/N) |
| 1. Gather Equipment | All necessary equipment gathered and verified. | |
| 2. Hand Hygiene | Washed hands using alcohol gel or soap and water if soiled. | |
| 3. Don PPE | Wore appropriate PPE. | |
| 4. Introduce and Consent | Explained procedure, confirmed patient details, checked for allergies, gained consent. | |
| 5. Clean Area | Cleaned procedure trolley and set up a sterile field. | |
| 6. Position Patient | Positioned patient supine, parted the labia, and ensured privacy. | |
| 7. Clean Genital Region | Cleaned urethral meatus with sterile cotton balls soaked in 0.9% sodium chloride. | |
| 8. Insert Anaesthetic | Injected lidocaine gel into the urethra, waited 3-5 minutes. | |
| 9. Insert Catheter | Inserted catheter, advanced slowly, checked for urine flow. | |
| 10. Inflate Balloon | Inflated catheter balloon with 10ml sterile water. | |
| 11. Attach Bag | Attached catheter bag securely. | |
| 12. Post-Procedure Care | Cleaned spillage, provided privacy, documented procedure. | |
| 13. Patient Communication | Explained completion, provided post-procedure advice. |
Male Catheterisation – OSCE Guide
Gather Equipment:
- Plastic apron
- Two pairs of sterile gloves
- Sterile water-filled syringe (10ml) for catheter balloon inflation
- 0.9% sodium chloride (10ml)
- Lidocaine (1%) anesthetic lubricating gel
- Male urinary catheter (12/14 French)
- Catheter pack (cotton wool balls, sterile gauze, sterile drapes, absorbent pad, gallipot)
- Catheter bag
- Urine collection bowl
Procedure Steps:
- Introduction and Consent:
- Wash hands.
- Introduce yourself, explain the procedure, and gain consent.
- Confirm patient details and check for allergies.
- Preparation:
- Clean a procedure trolley with disinfectant.
- Set up a sterile field and place equipment on it using an aseptic non-touch technique (ANTT).
- Position the patient, ensuring privacy.
- Cleaning:
- Retract foreskin if present.
- Clean the penis with cotton balls soaked in 0.9% sodium chloride.
- Discard gloves, wash hands, and don new sterile gloves.
- Anaesthetic Gel:
- Insert lidocaine gel into the urethra and wait for 3-5 minutes.
- Insertion of Catheter:
- Insert catheter into the urethra slowly, advancing it into the bladder.
- Inflate the catheter balloon with sterile water.
- Attach catheter bag and ensure proper drainage.
Post-Procedure:
- Replace foreskin.
- Clean any spills and provide privacy for the patient to dress.
- Document the procedure details.
Link to Male Catheterisation Guide
Additional Resources:
Female Catheterisation – OSCE Guide
Gather Equipment:
- Same as for male catheterization.
Procedure Steps:
- Introduction and Consent:
- Wash hands.
- Introduce yourself, explain the procedure, and gain consent.
- Confirm patient details and check for allergies.
- Preparation:
- Clean a procedure trolley with disinfectant.
- Set up a sterile field and place equipment on it using an aseptic non-touch technique (ANTT).
- Position the patient, ensuring privacy.
- Cleaning:
- Part the labia and clean the urethral meatus with cotton balls soaked in 0.9% sodium chloride.
- Discard gloves, wash hands, and don new sterile gloves.
- Anaesthetic Gel:
- Insert lidocaine gel into the urethra and wait for 3-5 minutes.
- Insertion of Catheter:
- Insert the catheter into the urethra slowly, advancing it into the bladder.
- Inflate the catheter balloon with sterile water.
- Attach the catheter bag and ensure proper drainage.
Post-Procedure:
- Clean any spills and provide privacy for the patient to dress.
- Document the procedure details.
Link to Female Catheterisation Guide
By following these detailed guides and steps, you can confidently perform catheterization and score excellently in your OSCE exams.
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