PPE, female catheter care and handwashing

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1. Spread hand sanitizer over every surface of both hands, then rub your hands together until dry.
2. Unfold the gown.
3. Put on the gown so it covers your torso fully and wraps around your back.
4. Fasten the gown at your neck and waist.
5. Put on gloves.
6. Pull the gloves over the gown’s wrist cuffs.
7. Tell the resident what you will do.
8. Fill a basin with warm water.
9. Close the privacy curtain.
10. Raise the far side rail, or ask the RN Test Observer to stand on the opposite side of the bed.
11. Raise the bed to a height between your mid-thigh and waist.
12. Cover the resident with a bath blanket or clean sheet for privacy.
13. Turn the manikin side to side or raise the hips to place a waterproof pad underneath.
14. Physically check that urine can flow freely into the drainage bag, and say what you are checking.
15. Use a new, clean washcloth with soap and water to gently clean around the catheter at the urethral opening.
16. Hold the catheter near the urethra with one hand to prevent tugging.Critical · source marked
17. With your other hand and a new, clean, soapy washcloth, clean at least 3–4 inches down the catheter from the urethra.
18. Clean with strokes directed only away from the urethra. Wrapping the cloth around the tubing for one stroke is acceptable.Critical · source marked
19. Use a clean area of the washcloth for every stroke.
20. Rinse the catheter tubing with water and a new, clean washcloth.
21. Rinse with strokes directed only away from the urethra. Wrapping the cloth around the tubing for one stroke is acceptable.Critical · source marked
22. Use a clean area of the washcloth for every stroke.
23. Pat dry with a clean towel.
24. Prevent pulling on the tubing throughout the procedure.
25. Replace the resident’s top cover.
26. Remove the bath blanket or sheet.
27. Turn the manikin side to side or raise the hips to remove the waterproof pad without friction.
28. Put all used linens in the designated container.
29. Empty, rinse and dry the equipment, then return it to storage.
30. Lower the bed.
31. Lower any side rails you used.
32. Leave the resident comfortable and safely positioned.
33. Open the privacy curtain.
34. Keep interactions respectful and courteous throughout the task.
35. Leave the call light or signaling device within the resident’s easy reach.
36. Remove your gloves before the gown, peeling them inside out.
37. Discard the gloves in the designated container.
38. Undo the gown at the neck.
39. Undo the gown at the waist.
40. Pull the gown away from your neck while touching only its inside.
41. Turn the gown inside out and roll it into a bundle.
42. Discard the gown in the designated container.
43. Turn on the water.
44. Wet every hand surface before adding soap.
45. Wet your wrists before adding soap.
46. Apply soap to your wet hands.
47. Rub your hands together with friction.
48. Rub your hands together for at least 20 seconds away from the running water.
49. Interlace your fingers with them pointing downward.
50. Wash every surface of your hands and wrists with soap.
51. Rinse your hands and wrists thoroughly under running water with fingers pointing down.
52. Dry your hands and wrists with clean paper towels.
53. Throw the used paper towels into the trash immediately.
54. Use a clean, dry paper towel to turn off the faucet.
55. Keep your hands from becoming contaminated again throughout handwashing. Using a wet paper towel to turn off the faucet counts as recontamination.Critical · source marked