Description
An indwelling catheter is a tube that is placed in the bladder to allow urine to be drained into a collection bag. Since it can become a portal for infection, daily cleansing of the site of insertion, monitoring of the urine flow, and observation for changes in physical or mental status will be necessary.

Task time
5-10 minutes

Steps for Routine Care

1. Wash your hands with soap and water and put on gloves
2. Wash around the area where the catheter enters the body with soap and water. Rinse with water and then pat dry
3. For uncircumcised males, pull back foreskin, wash with soap and water, rinse with water, pat dry and pull down foreskin back into place
4. Place the urinary collection bag below the level of the bladder
5. Check that the collection tubing is not kinked, and that urine is flowing into the collection bag
6. Wash your hands with soap and water and put on gloves prior to emptying collection bag. Empty the collection bag as needed, at least every 12 hours
7. If there is no urine over an 8 hour period, or if the urine is no longer yellow and clear, notify your physician or medical care provider
8. If a fever develops or you observe changes in mental status, such as agitation or confusion, or If abdominal or back pain occurs, notify your physician or medical care provider immediately

Reminder
Repositioning may be necessary to complete this cleaning process

Important Points to Consider
Because indwelling catheters are held in the bladder by a tiny water filled balloon, they may become dislodged or fall out, notify physician or medical care provider immediately. When emptying urinary collection bags, protect flooring underneath from leakage. If leakage occurs, cleanse with appropriate products. * If urine spills and the smell is noted in carpeting, place several drops of peppermint oil (available in health food stores) on spot.