1.     Hand hygiene is provided

2.     Identify the patient.

3.     The patient is informed about the procedure. Ask the patient if she has any allergies, especially to latex or iodine

4.     Bring the catheter kit and other necessary equipment to the bedside.

5.     Ensure a good light source.

6.     Close curtains around the bed and close the door to the room in order to provide privacy

7.     Assist the patient to get into the supine position with the legs extended.

8.     Put on clean gloves. Clean the perineal site with a skin cleanser and/or warm water. 

9.     Remove gloves and hand hygiene is provided

10.  Prepare all medical material to be used in the tray and approximate near the patient's bed

11.  Prepare urine drainage setup if a separate urine collection system is to be used. Secure to bed frame

12.  Open sterile catheterization tray on a clean table using sterile technique, then after put on sterile gloves

13.  Lubricate 1 to 2 inches of the catheter tip with sterile gel.

14.  With thumb and one finger of nondominant hand, spread labia and identify meatus.  Be prepared to maintain separation of labia with one hand until the catheter is inserted and urine is flowing well and continuously.

15.  Using your hand, hold the catheter 2 to 3 inches from the tip and insert it slowly into the urethra.

16.  Advance the catheter until there is a return of urine, after seeing urine drains, advance the catheter another 2 to 3 inches.  Do not force a catheter through the urethra into the bladder

17.  In the meantime, constantly observe the patient, and say her to breathe deeply.

18.  Gently inflate the urinary catheter balloon with a sterile fluid-filled syringe according to the manufacturing instructions.

19.  Withdraw gently the catheter and inserted it into the end of your prepared drainage system. Secure drainage bag below the level of the bladder. Clean the perineal area, as needed.

20.  Remove used equipment from the patient's bedside and dispose of it in recommended waste bins (for example; medical waste bin, sharps box).

21.  Assist the patient to a comfortable position

22.  Check that drainage tubing is not kinked 

23.  Obtain urine specimen immediately, if needed, from drainage bag, putting on gloves.

24.  Remove gloves and hand hygiene is provided.

25.  Record the insertion of the indwelling urinary catheter on the nurse form.