Virginia Department of Health
Purpose:
To provide each resident, with or without a catheter, the appropriate care and
services to prevent infections to the extent possible.
Policy:
The facility will strive to minimize the occurrence of symptomatic urinary tract
infections in accordance with resident needs, goals, and recognized standards of
practice.
Procedure:
1. Follow standard infection control practices in managing catheters and associated drainage system.
• Perform hand hygiene (wash hands with soap and water or use an alcohol-based hand rub) before and after handling of the catheter, drainage tubing or collecting bag.
• Use smallest bore catheter possible (small enough to minimize urethral trauma, but large enough to prevent leakage).
• Insert catheter using sterile technique.
• Use closed-drainage system.
• Stabilize catheter to reduce tissue trauma (inner thigh for women, upper thigh or lower abdomen for men)
• Position catheter to ensure urinary flow
o Keep the bag BELOW the level of the bladder
o NEVER hang on bedrail, back of chair, top of walker
o No kinks, no obstruction
• Use sterile technique when obtaining a specimen
o Use the port designed to take specimens
o NEVER take the specimen from the bag
• Cleanse the perineal area daily and after each bowel movement
o Use plain soap and water
o Include the catheter – meatal junction
• Use care when emptying the collection bag
o Assign each resident a collection container
o NEVER share these containers
o Always use gloves when emptying the drainage bag.
o Do not let the drainage bag touch the floor
• When ever possible, use alternatives to Foley catheters (ie. incontinence pads or condom catheters, etc.)
• Keep resident well-hydrated
• Remove the catheter as soon as medically feasible to reduce and prevent infection.
2. Keep the resident clean of feces to minimize bacterial migration into the urethra
and bladder.
• Clean fecal material away from, rather than towards, the urinary meatus
(Clean the perineal area from front to back).
3. Assess for resident’s fluid needs and implement a fluid management program
(using alternative approaches as needed) based on those assessed needs.
• Offer fluids as often as possible
• Fill up water pitchers in resident’s room
• Monitor intake and output, if indicated
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