Bard® A Guide for Patients
Contents
1. Female Female BARD Comprehensive Care Foley Tray with LUBRI SIL Foley Catheter preconnected to a URIPLAN Leg Bag Collection System D17585S12 16 D5S direct inlet D17585M12 16 D5M 10cm inlet Standard D5L 30cm inlet Standard D5S direct inlet Female D5M 10cm inlet Female D5S 30cm inlet Female Standard DIVssskiZ l6 DI7GISsi2Za16 D17615M12 16 DIVGISEIZAlS 16 09 05 2013 13 09 15 Using your catheter on holiday Make sure that you have enough supply to last you for the duration of the holiday It is a good idea to pack them in your suitcase whilst retaining a smaller supply in your hand luggage for easy access All in one catheterisation kits are now available on prescription and contain all you need for recatheterisation procedure a ri dig BARD Comprehensive SA K Care Foley Tray When should I call for help Usually help should be sought if any of the following occurs e The catheter becomes blocked and no urine drains into bag e The catheter falls out e Urine keeps leaking around the catheter Signs and Symptoms of Urinary Tract Infection UTD e Your urine is cloudy smelly or feels as if it is burning and this does not improve after drinking more fluids e You experience acute lower abdominal pain Always keep a spare catheter at home in case of emergency Where can I obtain my continence products The products are prescribed by your Doctor and the prescription can be2. Deborah Rigby Continence Advisor Bristol PCT and Nursing Lead Biomed HTC Southmead Hospital Ray Addison Nurse Consultant in Bladder and Bowel Disfunction Mayday University Hospital NHS Trust References 1 www nhs uk livewell 5aday pages 5adayhome aspx 2 www nhs uk Livewell GoodFood Pages Water drinks aspx 3 Council Directive 93 42 EEC 14 June 1992 concerning medical devices 4 R Addison Catheter valves a special focus on the Bard FLIP FLO catheter British Journal of Nursing 1999 Vol 8 No 9 5 Manufacturers guidelines 6 www netdoctor co uk menshealth facts urinaryinfection htm References above sourced from United Kingdom escription e BARID FREE HOME DELIVERY SERVICE eae FREEPHONE Continence information 0800 0234 191 for you and your patients Bard Limited Forest House Tilgate Forest Business Park Brighton Road Crawley West Sussex RH11 9BP Tel 44 0 1293 527888 Fax 44 0 1293 552428 www bardmedical co uk Please consult product labels for any indications contraindications hazards warnings cautions and directions for use The Foley catheters included in the BARDEX I C System contain Bacti Guard silver alloy coating which is licenced from Bactiguard AB Aquafil Bard Bardex Biocath ComfaSure Flip Flo Lubri Sil OneMT Prescription Xpress StatLock Uriplan and Urisleeve are registered trademarks of C R Bard Inc or an affiliate Bacti Guard is a registered trademark of Bactiguard AB
3. Useful information e Your catheter and bags may be obtained on prescription from your doctor e To register to PRESCRIPTION XPRESS Free Home Delivery service simply contact the PRESCRIPTION XPRESS Support Team on Freephone 0800 0234 191 e Your local Multiple Sclerosis Parkinson s Disease Continence Advisor Urology Nurse Specialists can be contacted via your local Doctors Surgery or directly BARD 5 id f p ti e For further information on BIOCATH or LUBRI SIL Catheters BARDEX I C Anti Infective Ul e Of d len S Foley Catheters FLIP FLO Catheter Valves URIPLAN Leg Bags and URIPLAN Bed Bags URISLEEVE Leg Bag Holder ONEMT Bed Bag STATLOCK Foley Stabilisation Device and COMFASURE Catheter Retainer Strap contact Bard Customer Care on 01293 529 555 e For continence information in confidence contact the Bard Nurse Infoline on 0800 591 783 BARD Comprehensive Care Managing Urinary Catheters Useful organisations a and Drainage Systems Bladder and Bowel Foundation Nurse Helpline for medical advice 0845 345 0165 Email info bladderandbowelfoundation org MS Society Helpline 0808 800 8000 Parkinson s Disease Society Helpline 0808 800 0303 Association for Spina Bifida and Hydrocephalus ASBAH 0845 450 7755 The Cystitis and Overactive Bladder Foundation 0121 702 0820 Email info cobfoundation org Based on the original by Tina McKnight Continence Advisor Brighton General Hospital
4. obtained either at a pharmacy or delivered direct to you through a home delivery service e g PRESCRIPTION XPRESS Stock levels of your products should be advised by your Healthcare Professional 2349 Patient Guide ReDesign May 2013 v2 indd 9 10 Urinary catheters a Cn A Foley catheter is a hollow flexible tube which drains urine from your bladder The catheter reaches the bladder either by passing through the urethra or through a channel made in the abdominal wall just above the pubic bone suprapubic catheterisation Once the catheter is in place a small balloon at the catheter tip is inflated inside the bladder to prevent the catheter falling out As urine fills the bladder it drains down the catheter into a drainage bag or catheter valve You should not need to pass urine in the usual way when you have a catheter in place Male catheterisation bladder inflated balloon l Urethral catheter Female catheterisation bladder inflated balloon pubic bone catheter Urethral catheter bladder inflated balloon o urethra Suprapubic catheter bladder inflated balloon catheter aT F P f gt pubic bone Suprapubic catheter 09 05 2013 13 10 Types of Foley catheter All Silicone Catheter Latex Catheter with coating Prefill Catheter There are different types of Foley catheters which are made out of different materials and coatings These are summarised bel
5. tPolytetrafluroethylene Silastic is a registered trademark of Dow Corning Corporation All other trademarks are the property of their respective owners Copyright 2013 C R Bard Inc All Rights Reserved 0513 2349 ABYANNERED M F D CA L 2349 Patient Guide ReDesign May 2013 v2 indd 1 2 09 05 2013 13 08 Care plan Tooo maa Contact Number PRESCRIPTION XPRESS Orderline For Free Home Delivery Hospital Nurse GP Bard InfoLine O800 591 783 Email infoline crbard com O800 0234 191 Leg Bag Catheter Valve 2349 Patient Guide ReDesign May 2013 v2 indd 3 4 URIPLAN Non Drainable Bed Bag 2000MmL capacity and 90cm inlet Capacity Inlet Tube Length 2000mL 90cm STATLOCK Foley Stabilisation Device Code Size FOLO102DT Adult f COMFASURE Catheter Retainer Strap AD3403 Adult SM3403 Small ABS405 Abdominal URISTAND Floor Stand URISLEEVE Leg Bag Holder 150111 150121 Medium 150151 Large 150141 Not available on prescription Small Extra Large 18 09 05 2013 13 08 17 Product ordering codes BARDEX I C Anti Infective Foley Catheters with BACTI GUARD Silver Alloy Coating and BARD Hydrogel Foley Catheters with 1OmL prefilled syringe of sterile water Length Standard Standard Standard Standard Standard Standard Female D2565125 D236514S D236516S D236518S D253653205 D2365225 D23691
6. 25 D236914S D236916S Female Female URIPLAN Leg Bag with 180 lever tap Capacity Inlet Tube Length Direct ZOCM Direct 10cm 30cm Direct 10cm 30cm 38cm adj URIPLAN Bed Bag with 180 lever tap 2000mL capacity and 98cm inlet Code Inlet Tube Length D815151 98cm Capacity 2000mL ONEMT Bed Bag non sterile single use disposable bed bag with ONEMT Tap non sterile Capacity Inlet Tube Length DIMT 2000mL DIMT30O 2000mL 2349 Patient Guide ReDesign May 2013 v2 indd 5 6 Why people need a urinary catheter Many people need to be catheterised at some stage in their lives It may be that your bladder muscle has lost the ability to contract enough to completely empty your bladder Alternatively you may need an indwelling Foley catheter following an operation or because of a health condition you were born with Catheterisation is therefore a technique which helps people who cannot control or have difficulties emptying their bladder to get on with their lives People with catheters need to take care to keep their bladders and bowels healthy Following a healthy diet and eating five fruit or vegetable portions daily as recommended by the Department of Health is important Ensuring that about 1 2 litres of fluid is consumed daily may also help Please consult your Doctor before making any changes to your die
7. age bags in their original packaging in a dry safe place away from direct heat and light 14 09 05 2013 13 10 i a Personal hygiene Reducing the risk of infection Wash the area where the catheter enters your body with mild soap and warm water at least twice a day Dry thoroughly and never use talcum powders or ointments in contact with the catheter as some ointments can actually damage the catheter e g petroleum jelly Always wash your hands before and after draining or changing a bag Do not kink or clamp the catheter Urinary tract infections and your Foley catheters Your Foley catheter is manufactured to the highest standards and is designed to be as comfortable as possible With careful use it will function effectively until it is either removed or replaced One issue that needs to be recognised is that as the environment we live in is full of micro organisms like bacteria these can sometimes settle on the Foley How do support my catheter and prevent it from being catheter or drainage bag and then enter the bladder This can lead to pulled out the development of a urinary tract infection UTI symptoms of which Your catheter is held in place by a balloon which is filled with sterile are described in the section When should I call for help Page 15 Please water To support your catheter and prevent tugging on the balloon discuss the symptoms with your Community Nurse or family Doctor it is recommended that you us
8. d to drink about 1 2 litres of mixed fluids every day to ensure your catheter drains well Eat plenty of fresh fruit vegetables and cereals to avoid constipation Problem solving If no urine is draining into your bag e Check the catheter tubing is not kinked or blocked e Check the drainage bag is below bladder level e Check the drainage bag is connected correctly and does not need emptying e Make sure you are drinking enough liquid e Avoid constipation Please consult your Doctor before making any changes to your diet 12 09 05 2013 13 10 11 What happens at night At night connect a URIPLAN Bed Bag to the bottom of the leg bag and open the leg bag tap to allow it to drain freely Support the bed bag on a stand or support hanger and always keep the bag lower than your bladder do not allow the bed bag to lie on the floor The following morning close the tap on the leg bag and remove the bed bag The bed bag should then be emptied and disposed of The importance of maintaining a closed system The catheter and leg bag form a closed drainage system which prevents bacteria getting into the system and reduces the risk of infection The leg bag should only be disconnected from the catheter when the leg bag needs replacing e g every 5 7 days earlier only if damaged Disposing of the drainage bags Empty the bag remove it and connect a new one Wrap the bag ina plastic bag before disposing of in the
9. e a catheter stabilisation device such as STATLOCK Foley Stabilisation Device or a catheter strap Bacteria in your bladder can sometimes also lead to a blockage in your Foley catheter Catheter stabilisation devices can be prescribed by your Nurse or Doctor BARDEX I C Anti Infective Foley Catheters with BACTI GUARD Silver Alloy Coating and BARD Hydrogel To reduce the risk of bacteria entering your bladder you may be given a special anti infective Foley catheter which is clinically proven to reduce UTIs This can in turn reduce the need for antibiotics and unnecessary admission into hospital Silver has an exceptionally long history of use in medicine and was considered to be very powerful before the advent of antibiotics As such silver has been recognised and utilised by many cultures as a unique properties metal due to its germicidal effects which kill many microbial organisms The BARDEX I C Anti Infective Foley Catheter with BACTI GUARD Silver Alloy Coating and BARD Hydrogel can be used for a up to 28 days after which it should STATLOCK Foley Stabilisation Device be replaced ea Tt a d a 5 Q 19 C 13 2349 Patient Guide ReDesign May 2013 v2 indd 13 14 09 05 2013 13 10 Types of catheter drainage system There are different types of drainage systems to use with your catheter these include catheter valves and drainage bags Catheter val
10. household rubbish 2349 Patient Guide ReDesign May 2013 v2 indd 17 18 How do I use my catheter valve As recommended by your Doctor or Nurse You should open your catheter valve whenever you feel the need to pass urine before bed first thing in the morning Cand during the night if necessary and at least every three hours during the day as well as before opening your bowels How do I wear my catheter valve You may find that your catheter valve will tuck into your underwear alternatively support it with a catheter retainer strap such as COMFASURE Catheter Retainer Strap or STATLOCK Foley Stabilisation Device on your upper thigh How often should I change my catheter valve The FLIP FLO Catheter Valve should be changed every 5 7 days earlier only if damaged Do still have to use a URIPLAN Leg or Bed Bag FLIP FLO Catheter Valves can also be used with a URIPLAN Bed Bag at night or with a URIPLAN Leg Bag during the day if toilet access is likely to be a problem Disposing of the FLIP FLO Catheter Valve Empty your bladder then remove the old catheter valve and replace it with a new one Rinse the catheter valve and place in a plastic bag before disposing of the bag in the household rubbish 09 05 2013 13 10 i a oS Drainage Bags How do I wear the URIPLAN Leg Bag How you wear the leg bag depends on how you feel comfortable the bag can be attached to your thigh or calf with a pair of
11. leg bag straps or worn inside a special URISLEEVE Leg Bag holder against the leg The leg bag comes in three different sizes and four different tube lengths Your nurse will help you to choose the one that suits you best You may need two types of drainage bag with a catheter e Leg bag e g URIPLAN Leg Bag which is worn under your normal clothing during the day gt Bed bag e g URIPLAN ONEMT to be used at night As the leg bag fills it becomes heavier Do not allow the bag to The bed bag is larger than a leg bag and is connected to the become too full bottom of the leg bag to collect the urine which drains from your bladder overnight To empty the URIPLAN Bag Firstly wash your hands thoroughly open the tap at the bottom of the i bag and drain it into a toilet or suitable container Close the tap after X you have drained the bag and wash your hands again a Bed Bags 2349 Patient Guide ReDesign May 2013 v2 indd 19 20 09 05 2013 13 11
12. ow Short term catheters These are only left in the body for up to 28 days and are made of latex coated in PTFE The new anti infective BARDEX I C Foley Catheter with BACTI GUARD Silver Alloy Coating and BARD Hydrogel can also be used for up to 28 days Long term catheters These can be used for up to 12 weeks they are made from materials that better resist the build up of encrustation such as hydrogel BIOCATH and LUBRI SIL and All Silicone 2349 Patient Guide ReDesign May 2013 v2 indd 11 12 Some frequently asked questions Does a suprapubic catheter need special care The usual advice for caring for any catheter applies with a suprapubic catheter The area around the insertion should be washed with soap and water daily Can I have sex with an indwelling urethral catheter in place Intercourse is usually possible for both men and women with a urethral catheter For women the catheter should be taped out of the way along the abdomen Men can tape the catheter along the penis and apply a condom although it may be more comfortable to remove the catheter prior to intercourse and replace it with a new catheter afterwards your Nurse will show you how to remove and replace the catheter correctly The drainage bag should be emptied before sexual activity A suprapubic catheter may make sexual intercourse easier How should catheters valves and drainage bags be stored Store catheters catheter valves and drain
13. t 2 09 05 2013 13 08 How your bladder and kidneys work Our kidneys filter waste products from the blood to produce urine This is passed to the bladder via two tubes called ureters When the bladder is full urine is passed through the urethra waterpipe and out of the body If your bladder does not work properly sometimes urine can be left behind If this urine is not removed it can become stale and may cause infection and discomfort It may also cause some back pressure on your kidneys Using a Foley catheter will allow your bladder to be emptied Kidney Ureter Urethra Urine bladder 2349 Patient Guide ReDesign May 2013 v2 indd 7 8 Product ordering codes BARD Comprehensive Care Foley Tray with BARDEX I C Anti Infective Foley Catheter preconnected to a URIPLAN Leg Bag Collection System Length Standard Standard Standard D23655S12 16 D5S direct inlet D23655M12 16 D5M 10cm inlet D23655L12 16 D5L 30cm inlet D23695S12 16 D5S direct inlet Female D23695M12 16 D5M 10cm inlet Female D25695L12 16 D5S 30cm inlet Female BARD Comprehensive Care Foley Tray with BIOCATH Foley Catheter preconnected to a URIPLAN Leg Bag Collection System D5S direct inlet D5M 10cm inlet D5L 30cm inlet D5S direct inlet D5M 10cm inlet D5S 30cm inlet Standard Standard Standard Female D22655512 16 BZZ2655MiI2 16 D226055P 26 D22695512 16 D22693 M26 D22695R2 I6
14. ves The FLIP FLO Catheter Valve is a tap like device which fits into the end of your catheter Curethral or suprapubic it can be used whether your catheter is permanent or temporary The FLIP FLO Catheter Valve offers an alternative to using a drainage bag Your bladder continues to store urine and can be emptied intermittently by releasing the FLIP FLO Catheter Valve thus helping to maintain normal function of the bladder Many people prefer to use a catheter valve as it is more discreet and comfortable than a leg bag and may reduce the risk of infection and blockage by intermittently flushing the catheter with urine A catheter valve increases the options available to you for the drainage of urine If you are likely to have your catheter removed in the future then a FLIP FLO Catheter Valve may help as your bladder function is more likely to be maintained FLIP FLO Catheter Valve 2349 Patient Guide ReDesign May 2013 v2 indd 15 16 Living with your catheter Getting started When you start using your catheter you will probably have the feeling that you need to pass urine or may experience a bladder spasm or cramp from time to time This usually stops within 24 48 hours and is nothing to worry about You may experience a slight urine leak outside of the catheter as a result of a soasm This is not an emergency providing the catheter is draining however you should notify your nurse What should I eat and drink You nee
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