Straight Catheterization
Chen, Alex
Before You Begin
Explain the Procedure
You have a standing order for straight cath. You go into the room to explain the procedure to Alex.
You
"Hey Alex, we are going to do a procedure to help with your abdominal discomfort."
Alex
"Wait, a procedure? Right now? I don't, I don't think I'm ready for that."
How do you explain the procedure to Alex in simple terms?
Plain language that tells Alex what's happening and why, plus the offer to walk her through it, gives her something clear to hold onto without overwhelming her with terminology.
This is accurate, but clinical terms like "decompress" and "distention" don't mean much to Alex and can make an already-anxious patient feel more confused than informed. Try again.
Brushing past an explanation doesn't actually tell Alex what's about to happen to her body, and minimizing it can come across as dismissive. Try again.
You step out to gather your supplies.
Back in the Room
One More Question
You come back to her room with the supplies to perform the straight cath.
Alex
"I'm really nervous about this. Is it going to hurt?"
How do you respond?
A brief, honest description of what she'll feel gives Alex something concrete to hold onto, which tends to be more calming for an anxious patient than vague reassurance or dismissiveness.
This doesn't actually answer her question. Vague reassurance without any real information can feel dismissive rather than calming. Try again.
Minimizing her feelings can make Alex feel unheard, and less likely to bring up concerns with you later. Even a routine procedure deserves to be taken seriously when a patient is anxious. Try again.
Standing Order
Straight Catheterization
With Alex more at ease, put the steps of straight catheterization in the correct order.
Verifying the order and gathering supplies comes first, then privacy and positioning, then a clean-glove visual check of the meatus before anything touches the sterile field. Sterile cleansing, insertion, and drainage follow, and measuring output plus documentation always comes last.
Collection Container
Read the Output
Time to see how much urine was retained. Tap the container to read the collection chamber, and note the number. You'll need it in a few minutes.
675 mL
Tap the container to read it
Right After
How Did This Happen?
Alex
"My stomach feels so much better already! Why did this happen to me? I've never had an issue with this before."
What is the nurse's best response?
This explains the likely cause in terms Alex can understand, normalizes a common post-op issue, and reduces anxiety by giving her a clear reason instead of leaving her to wonder if something is seriously wrong.
This misses a real chance to educate Alex, and offers no actual answer to a fair question. Try again.
This was an expected, common post-op issue, not a sign of a bigger problem. Suggesting otherwise raises alarm without cause. Try again.
Wrapping Up
You clean up the workspace, make sure Alex has her call light within reach, and step out to complete your documentation.
EMR Documentation
Chart the Procedure
Select the correct patient chart, then find the right place to document.
Wrong patient. Alex Chen is the patient you just cared for, make sure you're charting in the right chart.
Chen, Alex
A complete note ties the procedure to what you actually observed and measured, exactly the picture the next nurse (or you, on a busy shift) will need at a glance.
Great Work
Documenting as close to the event as possible, while the details are still fresh, is an important part of accurate, trustworthy nursing care.
Take Card #39
Card 39 back
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