How to perform CIC for girls

Technique CIC: Training booklet for nurses

1. CIC technique

Explain the importance of CIC and the technique in a simple way to the parents and the child

1.1 .Cleaning hands

1.2 Cleaning the genital area

• Daily 1x with water and soap
• At every soiling or bowel movement
• Always wash from above to below to avoid bacteria from the bowel being brought forward to the urethra
• Change piece of cloth for each wiping action

1.3 Insertion of the catheter

• Use the widest catheter that can enter the urethra without force
• For boys: place gel on the back of the hand and slide the catheter from the tip through the gel to coat the catheter well (if Gel is not available use sunflower oil on the palm of the hand)
• For girls: spread labia so that the urethra is clearly visible (no gel required)
• Advance the catheter into the urethra until urine is flowing out, push the catheter slightly further in the bladder to make sure both holes are into the bladder
• Let the urine flow, when the urine stops to flow, push above the pubis
• Withdraw whilst turning the catheter slowly and stop when there is no more urine coming out
• Put the catheter again a little bit deeper and withdraw again until the bladder is empty
• Remove catheter and wash your hands
  

The bladder needs to be completely empty!

2. CIC for girls

• Show a clear picture of a vulva and let the patient look at her own vulva so that she knows where the urethra is situated
• Learn to catheterize with the help of a mirror or learn to catheterize by feeling with the fingers
• Execute the technique just like explained above in section 3.