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Thread: Sterilizing piston syringe for catheter irrigation

  1. #1

    Sterilizing piston syringe for catheter irrigation

    As a caregiver for my father, I need to irrigate his catheter daily. His insurance co. will not pay for the piston syringe so we need to re-sterilize daily.

    I was placing the parts in boiling water for 15 minutes, but the coating on the rubber tip wears off. A nurse suggested boiling for only 10 minutes but that coating is still showing wear.

    Any ideas on how to re-sterilize including that rubber tip and not lose that coating?

    Thanks!
    !
    Last edited by lacath; 04-26-2012 at 03:38 PM.

  2. #2
    I have done a search of the Care Cure Community for you. Go to this link to read the threads that have been written on this subject:
    http://www.google.com/search?q=steri...w=1335&bih=624

    All the best,
    GJ

  3. #3
    Senior Member ChesBay's Avatar
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    The out of pocket cost might not be practical for you but I have found it easier and a lot less work buying new Syringes. I pay $9.00 for a box of 25 plus S&H.

    I have been getting 60cc sterile syringes ( they have many sizes & types) from this Vet supply company for about three years. reliable and good to do business with.

    http://www.shopmedvet.com/category/vet-syringe

  4. #4
    What are you using to irrigate the bladder? If you are using Vetericyn, there is no need to sterilize the syringes. Just rinse and let dry on paper toweling until the next time you instill Vetericyn. Vetericyn will kill bacteria in the syringe. I always use an alcohol wipe on the outside of the tip before and after I instill Vetericyn.

    If you are unfamiliar with Vetericyn instillations to help prevent colonization and urinary tract infections, here are some threads and information for your to read and study.

    http://sci.rutgers.edu/forum/showthread.php?t=133414
    http://sci.rutgers.edu/forum/showthread.php?t=149966
    http://sci.rutgers.edu/forum/showthread.php?t=143797
    http://sci.rutgers.edu/forum/showthread.php?t=167480

    http://vetericyn.com/technology/faq.php

    On the subject of "sterilizing: the syringes, they are never going to be sterile, even after you boil them because you can't store them in sterile packaging. With any of several cleaning methods, i.e., bleach, alcohol, soap and water, boiling, you will have clean technique syringes, but they won't be sterile.

    All the best,
    GJ

    All the best,
    GJ

  5. #5
    Why do you need to irrigate the catheter daily? This actually increases the risks for infection. Irrigation should be reserved for an emergency such as the catheter clogging or blood in the urine.

    If you use a 60 cc. catheter-tipped plastic plunger syringe, you can separate these and wash in the dishwasher. They won't be sterile, but they will be very clean...certainly clean enough for use for indwelling catheter irrigation in the home setting. Do the same with the container you use to pour the solution (normal saline?) into before irrigating.

    (KLD)

  6. #6
    Thanks to all for such helpful info! This is really important to me. I'll need a little time to absorb it and ask questions.

    GJ, Thanks for the helpful link! Looks like a lot of good info there. I will check out the links for the Vetericyn instillations. That is all new to me.

    Chesbay, Have you been using the syringes for irrigating a catheter for a person? That sounds like a great way to save on the expense of daily irrigation and simplifying the process. There seems to be no perfect way to sterilize.


    SCI Nurse,KLD, My father's doctor suggested daily irrigation because the catheter was getting blocked. In retrospect, I think my father was not drinking enough water to keep it unobstructed. After reading some of the posts, I've encouraged him to drink the water and am hoping he will not have to do daily irrigation afterall. There is hope.

    Thanks again to all of you!!

  7. #7

    Question to ChesBay on Catheter Irrigation

    Quote Originally Posted by ChesBay View Post
    The out of pocket cost might not be practical for you but I have found it easier and a lot less work buying new Syringes. I pay $9.00 for a box of 25 plus S&H.

    I have been getting 60cc sterile syringes ( they have many sizes & types) from this Vet supply company for about three years. reliable and good to do business with.

    http://www.shopmedvet.com/category/vet-syringe
    ChesBay,

    Thank you for sharing this suggestion. I love the idea of being sure about proper sterilization. Are you ordering item #60CCVCT? I just want to make sure it fits with the catheter.

    Kindest Regards,

    Lacath

  8. #8
    Senior Member ChesBay's Avatar
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    Quote Originally Posted by lacath View Post
    ChesBay,

    Thank you for sharing this suggestion. I love the idea of being sure about proper sterilization. Are you ordering item #60CCVCT? I just want to make sure it fits with the catheter.

    Kindest Regards,

    Lacath
    Apologies for falling off the grid in regard to this topic. Yes, I am using, "#60CCVCT" syringes. I use them on Coloplast 14Fr catheter and it is a good fit.
    I do intermittent cathertization and once a day I do instillation / irrigation , I cath out emptying my bladder and then with cath still in I slowly inject 60 cc's of a, "Neomycin & Polymyxin B sulfates for irrigation" solution. I mix a 1 ml ampule with 500 ml of .09% sodium Chloride Irrigation. ( I use a small syringe to extract antibiotic out of ampule.) each batch lasts about 8 days.

    I have found the customer service at Shop Med Vet to be helpful and wouldn't hesitate to give a call w/ any questions re: cath fitting syringe.

    Hope this helps , let me know if you have any questions,
    Best, ches

    Here is a New Mobility article describing the process I use :
    http://www.newmobility.com/articleViewIE.cfm?id=11854

  9. #9
    How about nuking it in the microwave oven? If it's dry, the only conductive material in it is the bugs you want to kill

  10. #10
    Quote Originally Posted by smashms View Post
    what about just rinsing in the sink with extremely hot water and let air dry then put back together and put cap back on??
    That would clean it, but certainly not sterilize it. Again, there is little or no justification for daily catheter irrigations. It is discouraged by the practice standard for indwelling catheter care written by the CDC. It should be reserved for dealing with clogged catheters or those plugged with clots.

    For those who need to do bladder instillation of meds (such as Renacidin) routinely (not irrigation), it is best to use a new 60 cc. catheter-tipped syringe each time. If that is not possible, this type of piston syringe can be separated and washed in the dishwasher as long as you have it on the highest water heat setting. Once it has air-dried, then it can be reassembled, but be sure to not touch the inside of the barrel or the tip with anything before use. This is also not technically sterile, but it is very clean (and cleaner than washing in the sink).

    (KLD)

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