OSCE of Male and Female Catheterisation

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:

• Video Demonstration of Male Catheterisation

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.