⚠ī¸ 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

  1. Obtain verbal consent from the patient, explaining the procedure, risks, and benefits
  2. Demonstrate the safe technique of urethral catheterization using appropriate aseptic technique
  3. Discuss potential complications and post-procedure monitoring
  4. 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

⏱ī¸ How to Use

  1. Read Scenario: Click "Start Timer" to begin 2-minute reading time
  2. Perform Station: After reading, you'll have 8 minutes to practice
  3. Self-Score: Go to Checklist tab, tick items you completed
  4. Submit: Click "End Station" to see your score and feedback
  5. 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

  1. Consent & dignity maintained
  2. Aseptic prep & hand hygiene
  3. Test balloon before insertion
  4. Clean & anaesthetize
  5. Advance with steady pressure
  6. Inflate only at bifurcation
  7. Secure & connect bag
  8. Document & monitor

📊 Your Attempts

No attempts yet. Complete a station to see your history.

ℹī¸ Station Info

Category: Procedure
Difficulty: Moderate
Time: 2 min read + 8 min station
Total Points: 22
Pass Mark: 16 (70%)
Last Updated: Nov 2025