Male Catheterisation
Competency Tool

Male Catheter Competency Tool1

The Victorian Department of Health is making this document freely available on the internet for health services to use and adapt to meet the National Safety and Quality Health Service Standards of the Australian Commission on Safety and Quality in Health Care. Each health service is responsible for all decisions on how to use this document at its health service and for any changes to the document. Health services need to review this document with respect to the local regulatory framework, processes and training requirements

The author disclaims any warranties, whether expressed or implied, including any warranty as to the quality, accuracy, or suitability of this information for any particular purpose. The author and reviewers cannot be held responsible for the continued currency of the information, for any errors or omissions, and for any consequences arising there from.

Published by Performance Sector, Quality and Rural Health, Victorian Government, Department of Health

February, 2014

Male Catheter Competency Tool1

Key: I – Independent S – Supervised A – Assisted M – Marginal D – Dependent(Refer‘Bondy’ Rating Scale p.4)

Note:Shaded area indicates minimum criteria to meet clinical competency

** Male catheterisation may only be performed by a Registered Nurse who has demonstrated competence and is confident in performing this procedure or a medical officer.

ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
Clean Preparation Zone /
  • Discusses procedure with, and obtains verbal consent from, the patient or nominated representative
/ I / S / A / M / D /

ACORN
S – 2, 11
  • Checks orders and reviews medical history for clinical alerts
/ I / S / A / M / D
  • Confirms patient identity
/ I / S / A / M / D
  • Wipes down trolley with a disinfectant wipe
/ I / S / A / M / D
  • Performs hand hygiene
/ I / S / A / M / D
  • Gathers required equipment and supplies
/ I / S / A / M / D
  • Dons protective eyewear, apron and surgical mask
/ I / S / A / M / D
Patient Zone /
  • Performs hand hygiene (Moment 1)
/ I / S / A / M / D /

ACORN
S – 2, 11, 12
  • Positions adequate lighting
/ I / S / A / M / D
  • Maintains patient dignity and exposes patient only as much as necessary
/ I / S / A / M / D
  • Places bluey under buttocks
/ I / S / A / M / D
  • Positions patient with feet together and knees relaxed apart. Ensures a staff member is available to support patient if necessary
/ I / S / A / M / D
  • Performs hand hygiene (Moment 4, 2)
/ I / S / A / M / D
Scrubbing, Gowning & Gloving /
  • Opens equipment onto critical aseptic field using aseptic technique
-Pours sterile water and appropriate aqueous antiseptic solution into separate bowls
-Opens sterile gloves onto a clean, flat surface / I / S / A / M / D /

ACORN
S - 2, 7, 11, 18, 21
  • Performs hand hygiene
/ I / S / A / M / D
  • Demonstrates correct application of sterile gloves
/ I / S / A / M / D
Asepsis /
  • Handles equipment using aseptic technique
/ I / S / A / M / D /

ACORN
S - 2, 3, 7, 11, 18
  • Fills syringe with 10ml sterile water
/ I / S / A / M / D
ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
  • Gently rolls back foreskin (if applicable) and preps external genitalia using appropriate aqueous antiseptic solution, using a separate swab for each use.
/ I / S / A / M / D
  • Applies aseptic field drapes over genital & between legs, exposing only genitalia
/ I / S / A / M / D
  • Places lubricated catheter in catheter tray between patient’s legs
/ I / S / A / M / D
  • Holds penis at a right angle to the body with non dominant hand. With the other hand, gently inserts lubricated tip of the catheter into the urethral opening (generally about 10cm)
/ I / S / A / M / D
  • Once the urine has started flowing , catheter is not inserted any further
/ I / S / A / M / D
  • Inflates catheter balloon with sterile water according to its capacity
/ I / S / A / M / D
  • Withdraws catheter until balloon sits at the bladder neck
/ I / S / A / M / D
  • Attaches urinary drainage bag using no touch technique
/ I / S / A / M / D
  • Disposes of waste and gloves
/ I / S / A / M / D
  • Performs hand hygiene (Moment 3)
/ I / S / A / M / D
Patient Zone /
  • Secures the catheter to patient’s thigh to prevent pulling on the catheter
/ I / S / A / M / D /

ACORN
S - 2, 3, 7, 11, 12, 18
  • Assists patient to a comfortable position
/ I / S / A / M / D
  • Covers patient
/ I / S / A / M / D
  • Performs hand hygiene (Moment 4)
/ I / S / A / M / D
Dirty Utility Zone /
  • Wipes down trolley with a disinfectant wipe
/ I / S / A / M / D
  • Performs hand hygiene (Moment 5)
/ I / S / A / M / D
Documentation /
  • Document procedure in patients’ medical record including catheter size, volume in balloon, indication for catheter, name of inserter, time and date of insertion
/ I / S / A / M / D /

ACORN
S - , 3, 7, PS4

Staff member being assessed:______

Assessor:______Signed (Assessor): ______

(Please print name)

Date of Assessment: ______

Standard Achieved: (please circle one)Competent (C)Not Yet Competent(NYC)

Comments (if required):

Action Plan

Please document the agreed education plan and completion timelines for staff assessed as not yet competent:

Staff Member Name______

Staff Member Signature______

Staff Member Ward______

Educator Name______

Educator Signature______

Proposed Completion Date______

‘Bondy’ Rating Scale

Scale label / Score / Standard of procedure / Quality of performance / Level of assistance required
Independent / 5 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Expedient / No supporting cues required
Supervised / 4 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Reasonably expedient / Requires occasional supportive cues
Assisted / 3 / Safe
Accurate
Achieved most objectives for intended outcome
Behaviour generally appropriate to context / Proficient throughout most of performance when assisted / Requires frequent verbal and occasional physical directives in addition to supportive cues
Marginal / 2 / Safe only with guidance
Not completely accurate
Incomplete achievement of intended outcome / Unskilled
Inefficient / Requires continuous verbal and frequent physical directive cues
Dependent / 1 / Unsafe
Unable to demonstrate behaviour
Lack of insight into behaviour appropriate to context / Unskilled
Unable to demonstrate behaviour/procedure / Requires continuous verbal and continuous physical directive cues

Bondy, 1983

References

ACORN. (2012-2013). Standards for perioperative nursing including nursing roles, guidelines and position statements. Adelaide: ACORN.

Bondy, K.N. (1984) Clinical Evaluation of student performance: the effects of criteria on accuracy and reliability. Research in Nursing and Health, 7(1), 25-33.

Bondy, K.N. (1983) Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22(9), 376-382

Rowley, S., & Clare, S. (2011). Aseptic Non Touch Technique (ANTT): Reducing Healthcare Associated Infections (HCAI) by Standardising Aseptic Technique with ANTT across Large Clinical Workforces. American Journal of Infection Control, 39(5), 90.

Standards Australia, (2003), Australian/New Zealand Standard: Cleaning, disinfecting & sterilising reusable medical & surgical instruments & equipment, & maintenance of associated environments in health care facilities. Sydney: Standards Australia.

Male Catheter Competency Tool1