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<div class=3DSection1>

<h3><span style=3D'font-size:16.0pt'>Urinary Catheterization<o:p></o:p></sp=
an></h3>

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l 1]><v:shapetype
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</span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></h1>

<br style=3D'mso-ignore:vglayout' clear=3DALL>

<p class=3DMsoHeader style=3D'tab-stops:.5in'><b><span style=3D'font-size:1=
0.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Clinical Indications:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span></span></b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span><b><i><o:p></o:p></i></b></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l0=
 level1 lfo1;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>1.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Monitoring a patient&#8217;s fluid status and/or
response to therapy during transport<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l0=
 level1 lfo1;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Collection of urine for laboratory analysis<o:p><=
/o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l0=
 level1 lfo1;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>3.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Patient&#8217;s with medical (BUT NOT TRAUMA)
complaints over the age of 16<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'tab-stops:.5in center 3.0in right 6.0in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoHeader style=3D'tab-stops:.5in center 3.0in right 6.0in'><b><=
span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc=
edure:</span></b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>1.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Explain the procedure to the patient.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Maximize patient privacy.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Have a second crew member or other
chaperone if performing the procedure on a member of the opposite sex.<o:p>=
</o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>If there is any concern of traumatic injury to the
genitourinary (GU) region, do not perform this procedure.<o:p></o:p></span>=
</p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>3.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Using a sterile technique, open the catheter
kit.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Test the balloon at the
catheter tip.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Connect the cat=
heter
to the urine collection system.<span style=3D'mso-spacerun:yes'>&nbsp; </sp=
an><o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>4.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Don the sterile gloves from the kit. Use one hand=
 to
come in contact with the patient and the other to use items from the kit.<s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span>Recall that once your hand comes in
contact with the patient, it is no longer sterile and cannot be used to obt=
ain
items from the kit.<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>5.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Using the Betadine swabs from the kit, thoroughly
cleanse the area around the urethra.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>For males this will require retracting the foreskin of the penis for
uncircumcised males and cleansing the glans for all males.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>For females this will require retr=
action
of the labia majora and cleansing the area around the urethra.<o:p></o:p></=
span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>6.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Once the patient has been cleansed with Betadine,
place sterile sheets.<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>7.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Lubricate the distal tip of the sterile catheter.=
<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>8.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>While retracting the skin (foreskin for males and
labia majora for females), visualize the urethral opening.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Gently guide the catheter through
external opening of the urethra.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Advance the catheter slowly until there is a return of urine.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Do not force the catheter through =
any
resistance that is met.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If
resistance is encountered, withdraw the catheter slightly and gently re-dir=
ect
the catheter.<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>9.<span style=3D'font:7.0pt "Times=
 New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Once the urine is returned, gently inflate the
balloon and secure the urine collection device.<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;text-indent:0in;mso-list:l1=
 level1 lfo2;
tab-stops:.5in list 1.0in center 3.0in right 6.0in'><![if !supportLists]><s=
pan
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-f=
areast-font-family:
Arial'><span style=3D'mso-list:Ignore'>______<span
style=3D'mso-spacerun:yes'>&nbsp; </span>10.<span style=3D'font:7.0pt "Time=
s New Roman"'>&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;mso-bidi-fon=
t-size:
12.0pt;font-family:Arial'>Record the procedure, time and patient response in
the electronic PCR.<o:p></o:p></span></p>

<p class=3DMsoHeader style=3D'tab-stops:.5in center 3.0in right 6.0in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoHeader style=3D'tab-stops:.5in'><b><span style=3D'font-size:1=
0.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>Certification Requirements:<o:=
p></o:p></span></b></p>

<p class=3DMsoHeader style=3D'margin-left:.25in;tab-stops:.5in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Succ=
essfully
complete a biannual evaluation including the indications, contraindications,
technique, and possible complications of the procedure.<o:p></o:p></span></=
p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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------=_NextPart_01C5719C.71D5EFD0
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------=_NextPart_01C5719C.71D5EFD0--
