Catheterization Record: Intermittent
Your doctors and nurses will help you set up your catheterization schedule. Please bring the record (below) with you to your next clinic visit.
| Date | Time | Underwear Wet | Underwear Dry | Amount of Urine | Comments |
|---|---|---|---|---|---|
NOTE TO HEALTH PROFESSIONALS
This Helping Hand should be used with one of these Helping Hands:
HH-II-39, Catheterization: Self-Clean Intermittent – Female
HH-II-49, Catheterization: Self-Clean Intermittent – Male
Catheterization Record: Intermittent (PDF)
HH-II-15 8/78, Revised 12/14 Copyright 1978, Nationwide Children’s Hospital