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Patient Information


Meatal/Catheter Care

Purpose:

Purpose: To decrease the risk of infection from the indwelling foley catheter and later scarring.

Instructions:

Instructions: Using soap and water, wash around the meatus at the entry point of the foley catheter. Rinse well. Place a small amount of bacitracin ointment around the meatus. While you are in the hospital, this will be done 3 times a day. When you go home, you can do it twice a day. Continue this until the doctor removes the foley in the clinic.

Foley catheter holder

Purpose: To secure the foley and offer stability, as well as help prevent meatal irritation from movement of the foley

  • Position leg band high around the thigh with the product label pointing outside of the leg.
  • Stretch legband in place and fasten Velcro tab.
  • Place foley catheter over the green tab. Leave ample loop in the catheter above legband to avoid traction.
  • With catheter in desired position, insert narrow green Velcro tab over the catheter and through the square opening so that Velcro tabs overlap.
  • Pull Velcro tabs in opposite directions and secure in place. To readjust, simply raise either side of the tab, adjust, and refasten tab.
  • Reposition the band every 4-6 hours to prevent pressure on the leg from the elastic. Changing to the other leg or by raising or lowering the leg band can do this.
  • The legband can be washed and dried without any problems to the velcro.

Leg Drainage Bag

Purpose: To provide a drainage collection bag to promote comfort during the daytime or while walking.

Instructions:

  • The nurse will help with the initial set up and will help determine the length of the tube that will best suit you. A connector will be attached to the tubing on the leg bag and once that is attached, it cannot be removed.
  • Put the buttons of leg bag strap through the slits at top and bottom of bag with buttons on facing out to prevent a pressure point on your leg.
  • Position bag with soft backing against the skin. Adjust the straps until comfortable. Excess strap may be trimmed with scissors.
  • Attach urine bag to end of catheter by inserting tapered connector snugly into the catheter port. Be very careful while connecting the leg bag tubing to the catheter so as not to introduce bacteria into the system.
  • Ensure that the outlet valve at the bottom of the bag is firmly closed before connecting it to your foley. Simply flip the valve upwards toward the bag until it snaps firmly in place.
  • Attach urine bag to the end of catheter by inserting tapered connector snugly into the catheter port. Dribbling of urine can be avoided by bending the catheter tubing just below the tip and holding it while you disconnect it from the catheter. Care should be taken to keep the tips clean while connecting the leg bag tubing to the catheter so as not to introduce bacteria into the system.
  • To drain the bag, simply flip the clamp downwards. The flexible outlet tube can be directed to control the flow of urine. You do not have to disconnect the leg bag from the foley to empty it. You can easily reach the leg bag by raising your leg up to the edge of the toilet. Then you can empty the bag directly into the commode. This will avoid bending over and causing discomfort.
  • The connector should be washed with soap and water before placing on the connector.
  • To keep the leg bag clean, rinse daily with equal parts water and vinegar to keep free of bacteria and reduce odor. No matter what drainage source you use, it should be cleansed daily with equal parts vinegar and water.
  • You will also be given a large foley drainage bag like the one you used in the hospital. NO MATTER WHAT DRAINAGE SYSTEM YOU USE, REMEMBER TO KEEP THE DRAINAGE BAG BELOW THE LEVEL OF THE BLADDER to promote drainage.

REASONS TO CALL YOUR PHYSICIAN

  • You notice the incision has become red or swollen.
  • The skin around the incision is warmer than elsewhere.
  • There is pus draining from your incision.
  • There is a significant increase in bleeding and/or clots in the urine that do not clear with increasing your fluid intake.
  • Difficulty passing urine after the foley is removed.
  • Nausea and vomiting occurs.
  • There are chills or fever of 101 or more degrees.
  • Severe pain that is not relieved by pain medication.
  • The foley catheter becomes dislodged before the first clinic visit.

For Urgent or Emergent situations 24 hours a day, page the Urology Resident on call at 734.936.6267. They will contact the physician for you.

 


Reviewed 10/27/2010 Dr. Clemens