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 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 1.
  

       

3. Examination urine

• Clear urine = no infection
• Cloudy or strong smelly urine, blood in urine or more than normal wet in between = signs of infection
  

At infection:

• Empty the bladder well
• Have the boy / girl drink extra
• If possible use bigger CH
• If urine is still cloudy after 24 hours, start Nitrofurantoin