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Suprapubic Catheterization

Medicine/Nursing > Bladder Catheterization

Materials Included:

  • text-icoText
  • video-icoVideo
  • 3d-anatomyAnatomy
  • simulation-icoSimulation
  • practiseQuiz
This module enables you to learn how to safely perform a suprapubic bladder catheterization

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Urinary catheterization is one of the most commonly performed procedures in healthcare, to allow the patient's urine to drain freely from the bladder for collection. When placement of a urethral catheter is contraindicated or unsuccessful, suprapubic urinary bladder catheterization is commonly performed, where the catheter is introduced through an incision in the lower abdomen.

Step 1 - Preparation
Step 1.1 - Tray preparation
Step 1.2 - Patient preparation
Step 1.3 - Operator preparation
Step 2 - Prepare the lower abdomen and test the equipment
Step 2.1 - Test the equipment
Step 2.2 - Prepare the lower abdomen
Step 3 - Infiltrate local anesthetic and aspirate urine
Step 3.1 - Infiltrate local anesthetic
Step 3.2 - Aspirate urine to confirm bladder position
Step 4 - Incision
Step 5 - Insert the introducer into the bladder
Step 6 - Insert the catheter
Step 7 - Remove the cannula
Step 8 - Secure the catheter
  • Indications, contraindications, and complications related to this procedure
  • Correct tray set up
  • Preparation of the patient
  • How to prepare yourself as the operator
  • Familiarity with the equipment
  • Choosing the correct type and size of catheter
  • Providing and maintaining an aseptic operative field
  • Administration of local anesthetic
  • Confirmation of the bladder position
  • Making the skin incision
  • Insertion of the introducer into the bladder and confirmation of its position
  • Insertion of the catheter into the bladder and withdrawal of the cannula
  • How to secure the catheter
  • Correct post-procedure considerations and documentation

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

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