What should be included in the management of a patient with an indwelling urinary

catheter?
Use standard precautions like washing hands before and after contact with urinary
catheter, tubing, or bag.
Keep the bag below the bladder or at the feet or hang it to the lower portion of the bed
at all times without kinking and avoid placing it to the ground as it may cause infection to
the patient.

When emptying the bag, do not let outlet port touch anything.

When performing peri-care use only soap and water to avoid irritation.

Indwelling urinary catheter and suprapubic catheter systems must be kept closed.

Make sure not to contaminate the catheter outlet valve when emptying the collection
bag.

Change foley catheter approximately 30 days and suprapubic catheters every 4-6
weeks.

What are the complications of an indwelling catheter?

According to Healthline, indwelling catheters cause health-care associated urinary tract
infections (UTIs). Other complications includes allergic reaction to the material used in
the catheter, such as latex, bladder stones, blood in the urine due to urethral injury,
kidney damage (with long-term indwelling catheters) and septicemia, or infection of the
urinary tract, kidneys, or blood.
Cafasso J. (2018). Urinary Catheters. Healthline. Retrieved Oct. 9, 2020 from
https://www.healthline.com/health/urinary-catheters#complications
What is the purpose of specimen collection?
Specimen collection involves collecting body fluids or tissues for laboratory analysis. It
can be the first step in determining diagnosis and treatment if a disease is present. It
can be used for analysis of components, such as hormones, proteins, and electrolytes.

How do you get a sterile urine sample?

Introduce self to the patient then explain the procedure and provide privacy. First, wash
and dry hands. Use clean gloves then clamp or kink the catheter tube to stop the urine
from flowing and ensure a sterile urine sample. Use alcohol pads or cotton with alcohol
to clean the catheter port. In the Philippine setting, there’s no available catheters with
ports like that so withdrawing on the upperpart of the bag is practiced. Use a syringe in
withdrawing the urine in the catheter port and withdraw the desired amount then
transfer it to the sterile urine container. After transferring, make sure to clean the top of
the container if there is leakage. Clean the catheter port again then unclamp the tube.
Throw the used syringe and cottons as well as the used gloves in the infectious waste
container. The specimen container should be labelled with the patient’s name, the date
and time before sending to the laboratory.