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DOCUMENT RESUME ED 346 301 CE 061 355 AUTHOR Lewis, Mary Bell; Moseley, James L. TITLE Catheterization. PUB DATE 92 NOTE 34p. PUB TYPE Guides - Classroom Use - Instructional Materials (For Learner) (051) EDRS PRICE MF01/PCO2 Plus Postage. DESCRIPTORS Adult Education; Children; *Disabilities; *Health Services; Hygiene; *Special Health Problems IDENTIFIERS *Catheterization (Urinary) haSTRACT This module is designed to teach the fundamentals of clean intermittent urinary catheterization for the disabled child, particularly in the school setting. The text includes information on proper hand washing techniques, the supplies needed, suggested settings, and the preparations required before and after the catheter is inserted into the bladder. The steps of clean intermittent urinary catheterization are listed in sequence to facilitate learning. The module is self-contained and was pretested on a select group of learners. The module includes goals and objectives, an overviet7, practice exercises, a post-assessment exercise, a summary, and answers to exercises. (Author/KC) Prigs**************A********************************Pa************a*****0 Reproductions supplied by EDRS are the best that can be made * * * from the original document. 11 *********v*********-*************************************************** CC, CATHETERIZATION DEPARTMENT OF EDUCATION OTN'e F ef,A afional lap% as, terlyt,oaTy, EN/CATIONAt RESOURCES f INFORMATION rENTE :Timm do vraent has Ure, Dy (Pp/p41,...,ITo as ,eciaiwed hum IN. (4,14./Infirlij Mary Dell Lewis, R.N., D.S.N. School Nurse PPITrotT.rtvr, ouk,,ty "PERMISSION TO REPRODUCE THIS MATERIAL HAS BEEN GRANTED BY Macomb Intermediate School District V't,1!, p I, 1<., .npnt ch rli met' Mt. Clemens, Michigan Of ' and James L. Moseley, Ed.D., M.S.L.S. r- Medical Educator T3 THE EDUCATIONAL RESOURCES Wayne State University INrORMATION CENTER (EP:CE" Detroit, Michigan litULLIE BEST ABSTRACT "Catheterization" module designed to teach a the is fundamentals of how do clean to intermittent urinary catheterization disabled the for particularly child, the in school setting. The proper text includes hand washing techniques, supplies tle suggested settings needed, and the preparations required before and after the catheter is inserted into the bladder. steps The clean intermittent of urinary catheterization (C.I.U.C.) are listed in sequence to facilitate learning. This module is self-contained and was pre-tested on a select group of learners. i i TABLE OF CONTENT Introduction 1 Goals and Objectives 4 Overview 6 Hand Washing Technique 8 Supplies, Positions and Settings 12 .. Preparation 18 Post Assessment Exercise 25 Summary 29 APPENDICES Appendix I 31 iii INTRODUCTION: focus of this module is The on catheterization. is It designed for non-medical persons performing clean intermittent catheterization disabled child, the for particularly the in school setting. Traditionally, urinary catheterization was considered to be a sterile procedure. It was performed using sterile techniques. procedure can be performed Today, this using clean techniques anywhere the child's privacy is assured. 1 PREREQUISITES: is essential that you have some basic knowledge and It understanding of the functioning of the urinary system in order you are able to successfully complete this module. sure Be to answer the following questions before beginning to work on prerequisites, help need module. to meet you the the If suggested resources are given. What is the purpose of urinary catheterization? 1. Name the organ that stores the urine. 2. Name the components of the urinary system. 3. State the purpose of the following organs: The kidney, 4. the ureters, the bladder and the renal blood vessels. What is the purpose of the urinary system? 5. 7-3urces for satisfying the prerequisites: (1984) Text Book of Brunner, S. Suddarth, S. 1. Medical-Surgical Nursiag. (5.-1 Edition). Philadelphia. J. B. Lippincott. Haynis, M. "Children Assisted by Medical (1989). 2. Technology in Educational Setting: Guidelines for Care." Health Resources and Service Administration, New York, Dyson Foundation. Kelalis, P. P., King, L. R., and Belman, A. B.: Clinical 3. EdLton, Pediatric Volumes Urology/ and 2nd II. I Philadelphia, W. B. Saunde7s, Company 1985. 2 DIRECTIONS: This module is designed to be self-instructional with 1. all the necessary information presented in this booklet. As you read the text, you are asked to complete the 2. practice exercises at the end of each section. Correct answers are found at the end of each section. 3. This module should take approximately thirty to 4. forty-five minutes to complete. Write your responses in the booklet. This module is yours. 5. The references can Writing helps reinforce learning. be used as needed. A post-assessment exercise is found on page 25 of this 6. The answers to the post-assessment are found module. on the following page. 3 GOAL AND OBJECTIVES TERMINAL GOAL: Upon completion of this module, non-medical personnel will be able to perform clean intermiftent catheterization for the disabled child. OBJECTIVES: Before bef4inning the procedure, the learner will 1. demonstrate proper hand washing technique as described in the booklet. (See page 8) Given a list of supplies, correctly select the items needed 2. to perform the procedure plus state the reasons why items should be assembled for easy reach. After the supplies are assembled, the learner will 3. list the three suggested positions and settings for catheterization as stated on page 12 of the module. Before doing the procedure, the learner will correctly 4. describe the procedures to be completed before the catheter is inserted. Upon completing the procedure, the learner will 5. correctly describe the process of cleaning or discarding the catheter, then prepare to return the student to his/her activity. TURN PAGE AND CONTINUE READING 4 After completing the procedure, the student will 6. express the importance of clean intermittent catheterization as it relates to his/her specific job. TURN PAGE AND CONTINUE READING OVERVIEW Clean intermittent catheterization (C.I.C.) is a procedure used to empty the bladder when the normal micturation (urination) process is interrupted. It prevents overflow incontinence and helps prevent urinary tract infection. When the bladder remains filled with stagnant urine for long periods of it can time, lead to rapid bacteria growth and infection. The bladder should be emptied every three to four hours to reduce the stagnation of urine in the bladder. The urinary_ system filters waste material from the blood and removes it from the body through the process of micturation (urination). kidneys regulate the amount of water in the body and The filter out waste products from the body. The ureters are narrow tubes that conduct the urine from the kidneys to the bladder. The bladder a reservoir for holding or storing urine is until it is ready to be removed for the body. The meatus in the female the external opening between is labia above the vagina. In the male it the the external is opening at the tip of the penis. The renal blood vessels cam blood to and from the kidneys. TURN THE PAGE AND CONTINUE READING 6