Skill 15
Condom Catheter
The external urinary catheter, also called a condom catheter or penile sheath, is a soft, pliable condomlike sheath that fits over the penis, providing a safe and noninvasive way to contain urine. Most external catheters are made of soft silicone, which reduces friction. Latex catheters are still available and used by some patients. The catheters come in a variety of styles and sizes. For the best fit and correct application it is important to refer to manufacturer’s guidelines.
Delegation Considerations
Assessment of the skin of a patient’s penile shaft and determination of a latex allergy are done by a nurse before catheter application. The skill of applying a condom catheter can be delegated to nursing assistive personnel (NAP). The nurse directs the NAP to:
▪ Follow the manufacturer’s directions for applying the condom catheter and securing the device.
▪ Monitor urine output, and record intake and output (I&O) if applicable.
▪ Immediately report any redness, swelling, skin irritation, or breakdown of glans or penile shaft.
