How To Guide For Caregivers On Cathing Girls

1. Before starting the process of emptying the bladder with the use of a catheter, we must first gather and open all of your supplies given to you by your supplier, nurse, and/or doctor.
2. Wash your hand using soap and water and if suggested by the doctor you may want to wear sterile or disposable gloves. 
3. It is recommended that girls sit on a toilet, a chair across from a toilet, lay in bed, or stand with one foot on the toilet rim.
4. With one hand, find the two folds that surround the vagina, also known as the labia, and separate them. 
5. Wash the labia from front to back with a mild soap and water or a towelette.
6. Lubricate the catheter if instructed by your doctor from the tip to the first 2 inches of the catheter. If you are using a lubricated or coated (hydrophilic) catheter it will be ready to use. 
7. With the labia still spread apart, try finding the urethral opening located below the clitoris and above the vagina. 
8. Once the urethral opening is found, gently insert the tube until urine begins to drain, approximately 1-1 1.2 inches. Then insert the catheter another 1 inch further and hold it in place until the urine stops draining. 
   * If you are using a curved tip catheter (Coudé) insert the catheter with the curved top pointing up at the ceiling. 

9. When the urine stops draining, slowly start to withdraw the catheter while slowly rotating it. 
10. If you are using a curved tip catheter (Coudé), do not rotate. There may be some urine that drains out as you remove the catheter. 
11. Make sure the bladder is completely empty and the catheter is entirely drained out. 
12. Dispose of the catheter after completing the catheterization process and wash your hands again with warm water and soap.

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