Types of Urinary Catheters

Types of Urinary Catheters

* Indwelling catheters

* Straight catheters

* External catheters

Purpose of Catheter

* Complete loss of bladder control

* Urinary retention

* Before, during and after surgical procedures

When caring for a client with an indwelling catheter it is important to remember that the bladder is considered sterile. The catheter and drainage tube and bag area are not a sterile system. Do not open this system except when the catheter or bag must be changed. If the system is opened, germs may enter, which could lead to an infection

Catheter bags

* Drainage tubing/bags must not touch the floor. Urine drains by the principle of gravity.

* Always hang the catheter bag from an unmovable part of the bed frame or chair. The catheter and tubing should be free of bends or kinks. Tubing should be coiled or looped instead of hanging loosely. Prevent tubing from hanging below the level of the drainage bag. The drainage bag should be below the level of the bladder. If moved above, urine could flow back into the bladder.

Catheter tubing

* When the client is positioned on his back, the tubing is positioned over the top of the leg.

* When the client is positioned on his side, the tubing should be positioned between the client’s legs toward the side he is facing.

* Never pull on the catheter tubing. Secure the tubing by taping it loosely to the inner thigh.

Catheter Guidelines

* When transferring a client from bed to chair, always move drainage bag over to the chair before moving client. Be careful not to step on the tubing.

* Hands must be washed, and gloves must be used every time a catheter bag is emptied.

* The drainage tube must not touch the rim of the container; floor or left out of its pouch after the bag is emptied. Drainage bag must be emptied when it starts getting full and before leaving the client’s home.

Catheter Care

* Clean the perineal area and around the catheter.

* Bag should be emptied and measured according to orders. Generally, it is advised to empty the drainage device at least every 8 hours, or when it is full

* Report complaints promptly to your supervisor

* Follow the rules of asepsis at all times

* Most clients with urinary drainage through a catheter are on intake and output measurements

Emptying a urinary drainage unit

* Follow agency specific procedures for catheter drainage

* Wash hands and put on gloves

* Place paper towel on floor, under bag

* Place graduated container on paper towel

* Remove drain from holder and open, being careful not to touch the drain port with your fingers

* Drain urine into container, without touching sides of the container

* Close drain and return to holder

* Measure urine at eye level and record, as ordered

* Empty urine in toilet

Catheter with a leg bag

* A leg bag is a urine collection bag that is strapped to the client’s leg. It is smaller and allows the client to be more mobile. The leg bag must be emptied more frequently. Empty leg bag when full or at least ever 3-4 hours

External Catheter

* A Texas/external catheter is used only for male clients

* A condom-type device is attached to the penis with a drainage bag

* You may apply an external catheter or assist the client. This is not a sterile procedure; use clean techniques. Various types of external catheters are available. Follow the directions that come with external catheter before applying it. Assist the client with per i care and check the skin around the catheter for skin breakdown, secretions on the penis and skin breakdown. A catheter that is not correctly applied can cause a lack of circulation to the penis. External catheters should be changed at least every 24 hours.

When to contact your supervisor

* Bleeding into or around the catheter

* Catheter draining little or no urine despite enough fluid intake

* Fever, chills

* Leakage of large amounts of urine around the catheter

* Urine with a strong smell or becomes thick or cloudy

Catheter Care Quiz

1. The Bladder is NOT considered sterile.

2. Catheter bags are closed so its ok if they are on the ground.

3. When the client is laying in bed the catheter bag should be placed UNDER the leg and not over the leg.

4. It is NOT necessary to wash hands or wear gloves when emptying a catheter bag.

5. It is mandatory to alert the office manager/nurse if you notice the patients urine has a foul odor and/or is cloudy. You must also chart your findings in your visit note.

Catheter Care Answer Key:

1. False

2. False

3. False

4. False

5. True