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,flow whenout. When urine flow stops flowing out, sit up slightly or change position to see if there is any further drainage from the urine stops to flow, push above the pubisbladder
• Withdraw

  Slightly withdraw whilst very slightly turning the catheter slowly and stop whenwithdrawing there is noif more urine comingcomes out

out.
• PutStart withdrawing again when urine flow stops and slowly remove 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