A rehabilitation nurse is providing discharge education to a female client with a spinal cord injury who will be managing a neurogenic bladder. The nurse is teaching the client how to perform clean intermittent self-catheterization (CISC) at home. In which order should the client perform the following steps? Arrange the actions in the correct chronological sequence.
- 1Wash hands thoroughly with soap and water and gather all required catheterization supplies.
- 2Assume a comfortable position, spread the labia, and cleanse the urinary meatus from front to back.
- 3Apply water-soluble lubricant to the catheter tip and gently insert it into the urethra until urine begins to flow.
- 4Allow the bladder to empty completely, then slowly withdraw the catheter.
- 5Wash the reusable catheter with soap and water, allow it to air dry, and store it in a clean container.
Answer
The correct sequence is: Wash hands and gather supplies; Position and cleanse the meatus; Lubricate and insert the catheter; Drain completely and withdraw; Clean and store the equipment.
The correct sequence prioritizes medical asepsis and logical skill progression for home self-catheterization. Hand hygiene and supply preparation must occur first. Cleansing the perineum from front to back occurs immediately prior to insertion to prevent introducing bacteria into the urethra. The catheter is then lubricated and inserted until urine flows. Complete drainage is allowed before slow withdrawal, and the final step involves the hygienic maintenance of the reusable equipment to promote continued safe self-care.
Step-by-Step Solution
Key Concept
Clean Intermittent Self-Catheterization (CISC) Technique and Home Self-Care Maintenance