Urinary Catheter Types and How To Care for Them Activity

AHRQ Safety Program for Long-Term Care: HAIs/CAUTI

Staff Role Play—How good are your catheter care skills?

Scenario 1

A staff member comes in to say "hi" to the resident. The staff person does not perform hand hygiene or put on gloves, but proceeds to touch the resident. As the staff member leaves the room they also do not perform proper hand hygiene.

Scenario 2

The staff member enters the resident's room and appropriately performs hand hygiene. She/he does not put on gloves. The staff member checks the catheter drainage bag, touching it in the process. She/he says, "Oh, it looks like we need to empty your bag." She/he exits the room to gather supplies to empty the drainage bag and performs hand hygiene as she/he exits.

Scenario 3

A staff member walks into a resident's room and performs proper hand hygiene. She/he puts on gloves before examining the drainage bag. She/he notices that the bag needs to be emptied and places it on the resident's bed or floor while gathering the appropriate supplies. She/he empties the drainage bag (do not actually discard the water because it will be used for other scenarios) into an unlabeled collection receptacle/urinometer, and then removes his/her gloves and performs proper hand hygiene.

Scenario 4

A staff person walks into a resident's room and performs proper hand hygiene. She/he puts on gloves before examining the drainage bag. She/he notices that the bag needs to be emptied and gathers the appropriate supplies. She/he writes the resident's name on the collection receptacle/urinometer. Next she/he empties the drainage bag (do not actually discard the water because it will be used for other scenarios), but during the emptying process accidently touches the emptying port to the side of the collection receptacle/urinometer. After emptying the bag she removes her gloves, but does not perform hand hygiene since she didn't spill any of the urine.

Scenario 5

Two staff members walk into a resident's room and perform hand hygiene. One person puts on gloves and examines the drainage bag. She/he notices that the bag needs to be emptied and the second staff person (the one not wearing gloves) helps gather the necessary supplies. The first staff person proceeds with emptying the drainage bag. She/he hands the urine collection device to the second staff person who empties the collection device, rinses it out, and dries it with a towel. Both staff members perform hand hygiene as they are exiting the room.

Scenario 6

A staff person enters a resident's room, performs hand hygiene, and puts on gloves. She/he notices that there is not urine in the drainage bag and decides to check to see if there is a blockage. She/he breaks the closed system while examining to check for breaks or blockages. After seeing that the catheter system is free of blocks, she/he puts the device back together. She/he removes their gloves and exits the room.

Page last reviewed March 2017
Page originally created March 2017
Internet Citation: Urinary Catheter Types and How To Care for Them Activity. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementaion/education-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/catheter-maint-scenarios.html