1. Manikin genitalia (male or female)
2. 3-foley bags per set-up (1 that remains intact and the other for parts)
3. Brush-on super glue
4. Scissors
5. Appropriately sized adapters
6. 1000 ml IV fluid bag
7. Yellow food coloring
8. 10 ml syringe fitted with 18g needle
9. Primary (non-cartridge) straight IV tubing
10. Various sizes of flesh-colored (peach, dark brown, light brown, etc.) leggings made of stretchable material (use the most appropriate colored legging to fit the standardized participant in size and color)

1. Using syringe and needle, withdraw yellow food coloring to fill syringe and use to color 1000 ml IV bag (for simulated urine).

2. Cut a hole in the crotch of each pair of leggings that will still snugly fit around the selected manikin genitalia being used.

3. Remove the rubber catheter off of one of the foley set-ups and cut the largest diameter end off as close to the bifurcation as possible. This piece will be used for the simulated urethra.

4. For the female version: Cut a large section of the clear foley tubing apart form the foley bag set-up. Super glue the large end of the rubber "urethra" to one end of this clear tubing. Feed the rubber urethra through the manikin vagina as shown in photo B. Continue with connection sequence listed in step 6.

5. For the male version: Cut a large section of clear tubing that will be glued to the back of the manikin's genitalia as shown in photo E. Use plumber's tape and super glue to create a water-tight seal. Continue with the connection sequence as listed in Step 6.

6. Connection sequence: attach the following pieces together in this order with super glue and or plumber's tape to prevent leaking.

• Female: simulated urethra in female manikin genitalia--->clear foley tubing segment--->rubber catheter (full piece) with very tip cut off--->tip of IV tubing (cut off the luer-lock portion)--->IV tubing to spike IV bag of simulated urine. See Photo A.
• Male: male genitalia---->clear foley tubing segment--->bifurcation of rubber foley---> IV tubing tip (remove luer lock portion)--->IV tubing spiked IV bag of simulated urine. See Photo E.

7. Standardized participant should then don the leggings over another pair of tight fitting, thin material pants to protect their privacy, and place the appropriate manikin genitalia though the cut hole. The tubing that runs to the bag of simulated urine should run up the side of the head of the bed to an IV pole. This portion should be hidden from the student view (can hide by placing a sheet over it or hanging behind a monitor), while allowing the standardized participant to maintain control of the IV roller clamp (which controls urine flow). See Photo D.

8. Students should be instructed to insert the catheter just slightly further than expected for a normal female but male is about accurate anatomically. Once they are ready to fill the balloon, they should only use about 1mL of fluid. Photo B shows the tip of the catheter as it appears in the clear foley tubing segment.

9. Standardized participant should be instructed to open the roller clamp once they notice that student(s) have filled the balloon and removed the syringe. This will allow urine flow in to the catheter that the students placed. See Photos B and E.

10. Absorbent pads should be used in the bed in case of leaking. The standardized participant should bring a change of clothes in case of leaking.