FOLEY CATHETER CARE

If possible, remove the catheter. Consider use of a condom catheter (for males) or urinary wicking device (for females).

*External (non-indwelling) catheters may not effectively collect output, since they do not necessarily empty the bladder immediately. Therefore, output measurements may be falsely low if using an external-collection catheter to measure active resuscitation efforts.*

Catheter care should be performed as a part of daily bathing routine, after bowel incontinence, and if secretions build up around the urinary meatus. It should be completed at least every 24 hours. This helps to reduce the risk of catheter-associated urinary tract infection. The drainage bag should be emptied every 24 hours or whenever the main chamber becomes full. A securement device included in the foley bag kit or tape should be used to secure the tubing to the casualty’s thigh to prevent the foley from being accidentally removed if pulled.

Use a basin, warm water, non-irritating soap, and towels to perform catheter every 24 hours.

Guide for performing catheter care:

- Wash hands thoroughly with soap and water, apply gloves, and place a dry towel under the casualty.
- Using mild soap and water, clean genital area.
- For male casualties: retract the foreskin, if needed, and clean the area, including the penis.
- For female casualties: separate the labia and clean the area from front to back.
- Clean urethra (urinary opening), where the catheter enters the body.
- Clean the catheter from where it enters the body and then down, away from urethra. Hold the catheter at the point it enters the casualty so that tension is not placed on it.
- Rinse the area well, dry gently, and remove the towel under the casualty.
- Secure the drainage bag and tubing loop below the level of the bladder. Ensure the tubing is not kinked and nothing is impeding the flow of urine.
- Empty the contents of the drainage bag at least every 24 hours and document the amount of urine output each time.