Professional Documents
Culture Documents
Crede Maneuver Procedure
Crede Maneuver Procedure
PURPOSE: Application of manual pressure over lower abdomen to promote emptying of bladder. ACTION TO BE PERFORMED BY: A person who has been trained by a licensed health care professional and successfully completed a skills check.
ACTION
1. Gather equipment in a clean private area. Gloves Diapers Urinal 2. Explain the procedure to the student. 3. Provide a private area for the student. 4. Maintain Standard (Universal) Precautions during procedure. Wash hands. 5. Position student on: toilet, or lying on absorbent material on a changing table. 6. Put on gloves. 7. Place your hands flat on the student's abdomen just below the umbilicus. Then firmly stroke downward toward the bladder about six times to stimulate the voiding reflex. 8. Place one hand on top of the other above the pubic arch. Press firmly inward and downward to compress and expel residual (retained) urine. 9. If collection container is used, discard urine after observing for signs of abnormality and measuring the amount of urine. 10. Remove gloves and discard. 11. Wash Hands. 12. Document procedure and the amount of urine expelled. (If the urine was not measured in a bedpan or urinal, record using the words, small, moderate, large.)
POINTS OF EMPHASIS
1. A bathroom with running water and toilet is the optimum place for purposes of teaching and normalizing the procedure.
2. Use terms that the student can understand. 3. Respect privacy. 4. Use standard procedures while dealing with body fluids. Use approved hand-washing technique. 5.
6. Gloves must be used for protection against body fluids. 7. Identification of anatomical landmarks should begin now. Application of manual pressure over the lower abdomen promotes complete emptying of the bladder.
10. 11. 12. Use AS400 Clinic Program and appropriate log.
10/29/01