Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Feeling a bit down

I gave a straight catheter for the first time ever today, on a 21 y/o paraplegic, mentally impaired, 55 pound (Yes you read that right) girl today. And although, I was able to keep up with my instructor's teaching (from giving her perineal care, and doing sterile technique) I accidently put the catheter into the wrong hole. It was a whole mess. We had to get another catheter, and do everything over again.

I have been practicing this procedure for about a year already, but what a sim man definitely does not teach you, is the pure difficulty of putting it in the correct urinary hole. In the sim man, there is a huge hole, there is a huge difference. I didn't expect it to be so hard.

I ended up apologizing to my instructor about five times. I was embarrassed for myself. And although, it genuinely seems that my instructor isn't mad...I don't know...I feel embarrassed...and disappointed in myself.

I always have a tendency to be incredibly....hard on myself.

Any advice at how I can get off...this low-mood train? Thanks.

Featured Replies

Stop beating yourself up. The female anatomy is sometimes ridiculously complicated. I recently attempted a Foley catheter on a patient and it went in to the lady parts instead of the urinary meatus. I got another catheter, a third set of hands, and we got the catheter anchored. It takes time, practice, and sometimes lots of help. Don't feel bad and take it as a learning experience. Good luck!

It's the right kind of mistakes to make during nursing school. It's the right time to make these kind of mistakes.

  • Experts

Years later I still get it in the wrong hole once in a while. Don't sweat it.

I wouldn't sweat it. I straight cath patients every shift and I still end up going into the lady parts sometimes. It takes practice. The female anatomy looks different on every female down there. Some will look like a diagram or even like the sim models but some you just look and hope that it's the right hole. Another tip is to aim the catheter upward when going in the perineal area because usually you will end up in the urethra rather than the lady parts.

Don't feel bad. It was a mistake I'm sure thousands of others have made. I said even though I'm a woman, I'm not very familiar with my lady bit parts. Lol. I don't look down there. Unless you have a mirror it's pretty much impossible to do. I know the male anatomy, but not really the female. You will get it, I promise. And I agree the sim lab mannequins are not even close.

This happens, especially since females can have very different anatomy! You did the right thing by getting another catheter and restarting instead of trying to reinsert the first one (seen it done! On more than one occasion!!! Ah!! ). Think of this as an extra chance to practice prepping the sterile field and kit since you had to do it with a second one!

Agree with what others have said, don't beat your self up over this. I have seen experienced nurses that have been doing this for years get the wrong hole it happens. I have even seen female patients who have been self-cathing for years miss the mark.

It's the right kind of mistakes to make during nursing school. It's the right time to make these kind of mistakes.

Lol I'm an RN and still miss.

It's seriously a mistake many nurses make.

I haven't read the replies, but I'm sure you've been told this--this is nothing to beat yourself up over! Some women are just difficult to cath. A few years back I had one whose privy parts had what looked like a meatus, and I ended up putting the catheter there. Obviously couldn't advance it, so then realized it was her privy parts. I missed a couple more times, and when I finally got it, the pt was even saying, "No, that's my lady parts, that's my lady parts!" Then I saw the urine.

Another lady, took a good 8x before we figured out that her urethral meatus was INSIDE her lady parts.

It happens. Real women are not built like the skills lab mannequin with two nice neat orifices. You did nothing wrong.

When I was a student, I once "wasted" 3 catheters on the same patient because I kept hitting the wrong hole. Don't sweat it, nursing takes practice and you'll get there :)

Please don't feel down. It happens to most of us and will happen as an experienced nurse once or twice every now and then. Every woman looks different down there so don't expect it to be easy every time.

If you put the cath in the wrong hole, leave it there so you won't hit it the next time. Then go up.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.