Health Topics

It is very important to take good care of the foley catheter, tubing and drainage bag. They should be kept very clean. The bag should not drag on the floor.

If the bag should accidentally be cut or begin to leak for some reason, it must be changed. An opening anywhere along the entire system will allow bacteria (germs) to enter. If these would then reach your child's bladder, a urinary tract infection could result. It is not acceptable to place the drainage bag in a plastic bag if it leaks.

You need to clean the area where the catheter enters your child's body. Begin by washing your hands well. Take a warm, wet, soapy wash cloth and clean the catheter and the skin around it. This should be done in the morning and evening.

Take care so that you do not pull on the catheter. You may hold the catheter with one hand while washing with the other. If there is any crustiness on the catheter that does not come off with soap and water, you may use hydrogen peroxide on a cotton ball or two (or gauze pad) and wipe gently on the catheter. Do not wipe the skin with the hydrogen peroxide. Rinse the skin and catheter with plain water. Pat dry with a towel.

While you have the foley catheter, you will need to take a sponge bath. Baths, showers and swimming are not allowed.

You may have either a large leg bag or a larger urine drainage bag attached to the tubing. If the leg bag is worn, it should be emptied at least every 2-3 hours, or when it becomes 2/3 full. The bag must be emptied at least every 8 hours, even if it is not full.

When emptying the bag, be careful not to touch the spout to the container into which it is being drained. Also, do not touch the spout with your hands.

If you will be changing drainage bags while at home, the nurse will demonstrate to you how this is done. You must wash your hands well. You should clean the tubing where it will be disconnected with alcohol or betadine. Be careful not to touch the tubing where it fits together. Reconnect the bag. If you are going to reuse the bag you just switched from, the connection site must be covered with a sterile cap or gauze. The bag must be kept in a clean place.

• The urine changes colors, smells foul or becomes bloody
• There is urine leakage around the catheter or tubing
• If you/your child has pain in the back, sides, or belly; fever or vomiting
• The drainage bag leaks urine

1. Keep the drainage system below the level of the bladder so the urine does not back up.
2. The leg bag will allow you to wear regular clothes and be free to play or work. Remember that because it is small, it will need to be emptied frequently.
3. Be sure there are no kinks or bends in the tubing. Urine will not drain if this happens.
4. If your drainage bag becomes very dirty or foul smelling, it needs to be changed. If you do not have the supplies to do this, call your doctor or nurse.
5. You need to drink lots of fluids. The urine should be light yellow and clear.