🏥 OSCE Station: Foley's Catheterization
Adult Male Patient | Procedure Skills Assessment
⚠️ Disclaimer: This is an educational tool for learning purposes only. Always follow your local hospital protocols and work under appropriate clinical supervision.
📋 Scenario & Tasks
Category: Procedure | Difficulty: Moderate
Scenario
You are a resident doctor in the Surgery ward. Mr. Rakesh Singh, a 68-year-old man, has been admitted with acute urinary retentioni in emergency. He is known case of BEP. The Consultant Surgeon has advised urethral catheterization to relieve the retention.
Your Tasks
- Obtain verbal consent from the patient, explaining the procedure, risks, and benefits
- Demonstrate the safe technique of urethral catheterization using appropriate aseptic technique
- Discuss potential complications and post-procedure monitoring
- Outline the documentation that should accompany the procedure
Equipment Available
✓ Sterile catheter pack
✓ 16Fr Foley catheter
✓ Sterile gloves
✓ Disposable apron
✓ Chlorhexidine 0.5%
✓ Lidocaine 2% gel
✓ 10ml syringe
✓ Sterile water
✓ Catheter drainage bag
✓ Disposable sheet/pad
🚨 RED FLAGS (Automatic Failure)
- Major breach of sterility (contaminating sterile field or using non-sterile gloves for insertion)
- Forcing catheter against resistance (risk of urethral trauma)
- Inflating balloon while catheter is in urethra (not at bifurcation)
- Failure to maintain patient dignity and privacy
- Not testing balloon before insertion
📖 Reading Time
02:00
⏱️ How to Use
- Read Scenario: Click "Start Timer" to begin 2-minute reading time
- Perform Station: After reading, you'll have 8 minutes to practice
- Self-Score: Go to Checklist tab, tick items you completed
- Submit: Click "End Station" to see your score and feedback
- Review: Check Resources tab for model answers and common pitfalls
📝 Quick Reference
Key Anatomy
Adult male urethra ~20cm long with two curves (penile and membranous); normal resistance at external sphincter (~16-18cm)
Safe Procedure Steps
- Consent & dignity maintained
- Aseptic prep & hand hygiene
- Test balloon before insertion
- Clean & anaesthetize
- Advance with steady pressure
- Inflate only at bifurcation
- Secure & connect bag
- Document & monitor
📊 Your Attempts
No attempts yet. Complete a station to see your history.
ℹ️ Station Info
Category: Procedure
Difficulty: Moderate
Time: 2 min read + 8 min station
Total Points: 22
Pass Mark: 16 (70%)
Last Updated: Nov 2025