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Thread: Switching between leg bags and night bags

  1. #21
    Senior Member wheeliegirl's Avatar
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    Quote Originally Posted by gjnl View Post
    Totally agree with you! Medicare requires that an extension tube with connector is added at no charge to the leg bag order. Their accounting department invariably misses this and has to recode, but their oversights always delay the order shipment date. The original poster doesn't seem to have a choice of vendors it seems this is the vendor of choice for the insurance company. If you use Edgepark be aware you will have to manage them from the beginning of an order until it is delivered to you. Nothing is automatic for them. Don't expect to set things up with them and have supplies delivered every month, without a hitch.

    All the best,
    GJ
    Thank you. I will keep this in mind. I already had issues with them when I signed up for "auto ship" for mybintermittent catheters. My monthly orders were messed up and I had to always call them to fix issues with my orders.

  2. #22
    Quote Originally Posted by wheeliegirl View Post
    In the meantime, the 10 or so staples in my belly from the SP catheter are freaking me out. I was going to change the sheets on my bed but changed my mind for fear that I may pop one. Same for transferring to my shower bench and getting in my car to go run some errands. They didn't include any care of the incision in my discharge paperwork!!! I Googled and it said nothing about strenuous activity, only cleaning, changing dressings and things to watch out for.
    10 or so staples to close the placement of a supra pubic catheter! Really?!?!? I had no staples, no stitches. That freaks me out too, because it is absolutely unnecessary in a typical supra pubic catheter placement. What in the world did your urologist do? Most supra pubic catheters are placed with a puncture tool and there is absolutely no reason for other closure mechanisms. Do you know what size catheter your urologist placed?

    All the best,
    GJ

  3. #23
    Senior Member wheeliegirl's Avatar
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    Quote Originally Posted by SCI-Nurse View Post
    There is a lot of evidence that maintaining a closed system for indwelling catheters decreases the risks for introducing foreign bacteria. At our center we changed to the system you describe with the leg bag kept permanently attached to the indwelling catheter, then attaching a bedside bag to that bag's drain port at bedtime for drainage. We encourage our clients to continue this practice at home. There is really little bulk, as the leg bag just lays flat on the bed (it does not accumulate urine as long as the bed bag is kept dependent) and we just remove the straps during the night.

    There have been studies on the best methods for cleaning urinary drainage bags. We continue to clean our bedside bags each morning before storing. The best done studies have shown the following to be the best procedure:

    Supplies:
    Drainage bag
    Urinal or other quart container dedicated to this purpose alone.
    Funnel (we use a 60 cc. catheter tipped syringe barrel)
    2 short lengths of extension tubing
    Basin
    Clean towel

    Procedure:

    1. Drain urine into toilet. Close drain port.
    2. Place basin on floor next to toilet and hold bag over the basin to catch any spillage.
    3. Attach funnel to inflow connector of bag with short length of extension tubing.
    4. Fill bag 1/3-1/2 full with tap water (do not touch funnel to faucet)
    5. Shake bag vigorously for 10 seconds. Drain. Close drain port.
    6. Repeat tap water rinse/shake. Drain. Close drain port.
    7. Using the urinal or other container containing freshly made 10% bleach solution (50ml of bleach plus 450ml of tap water), pour bleach solution into bag through the funnel. Shake bag vigorously for 30 seconds.
    8. Drain. Leave drain port open.
    9. Tip any water out of the basin (into the toilet).
    10. Arrange clean, dry towel in the bottom of the basin.
    11. Place bag, funnel with short length of extension tubing, and the urinal into the basin and fold the towel over them to cover completely.
    12. Store this way until ready to reapply to the leg bag that evening. Put that towel in the laundry (use another clean one the next morning). Don't forget to close the drain port when applying it to the leg bag!!


    (KLD)
    I asked my doc about this cleaning method. She was head of urology or the residents program or something at UCI and Long Beach VA and said that the VA uses bags that are really heavy that are intended to last a year or so, and for the disposable bags that method could be used, or vinegar. She really had no strong opinion of a way the bags should be cleaned, and even said some of her patients never even clean them. I would never not clean them, but I wish she would give me better guidance. The paperwork the hospital gave me says to use vinegar. However, it's really expensive, so I'm wondering if bleach is better for me.

  4. #24
    Quote Originally Posted by wheeliegirl View Post
    I asked my doc about this cleaning method. She was head of urology or the residents program or something at UCI and Long Beach VA and said that the VA uses bags that are really heavy that are intended to last a year or so, and for the disposable bags that method could be used, or vinegar. She really had no strong opinion of a way the bags should be cleaned, and even said some of her patients never even clean them. I would never not clean them, but I wish she would give me better guidance. The paperwork the hospital gave me says to use vinegar. However, it's really expensive, so I'm wondering if bleach is better for me.
    I think SCI nurse KLD works at the Long Beach VA hospital. Maybe your doc and KLD need to talk.

    All the best,
    GJ

  5. #25
    Quote Originally Posted by wheeliegirl View Post
    I asked my doc about this cleaning method. She was head of urology or the residents program or something at UCI and Long Beach VA and said that the VA uses bags that are really heavy that are intended to last a year or so, and for the disposable bags that method could be used, or vinegar. She really had no strong opinion of a way the bags should be cleaned, and even said some of her patients never even clean them.
    When you have seen one VA, you have seen one VA. They are all different. That VA does not represent care standards at all VA hospitals or SCI Centers, and at our VA we pride ourselves in evidence-based (ie, based on research) practice which has validated this method, including an endorsement of this method by SUNA (Society of Urology Nurses and Associates). I know of no bags, including the latex bags which this provider may be alluding to, which are safe to last a year, or indeed will last a year without leaking. We rarely issue latex bags anymore, since we have so many latex allergic patients, and even these are replaced every 3 months. "Disposable" bags are fine for cleaning and reuse for up to a month.

    Quote Originally Posted by wheeliegirl View Post
    I would never not clean them, but I wish she would give me better guidance. The paperwork the hospital gave me says to use vinegar. However, it's really expensive, so I'm wondering if bleach is better for me.
    Use the bleach. Frankly, physicians are not very expert on infection control and CAUTI prevention. Nurses are much more, and have conducted much of the research.

    And no, I don't work at the VA Long Beach...never have.

    (KLD)

  6. #26
    Senior Member wheeliegirl's Avatar
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    I will use bleach, it's cheaper anyway. Thanks for your clarification.

  7. #27
    Quote Originally Posted by SCI-Nurse View Post
    And no, I don't work at the VA Long Beach...never have.
    (KLD)
    Right. Sorry, I remember now...the article about you and the VA Secretary's Award said, San Diego. Mea Culpa.

    All the best,
    GJ

  8. #28
    Senior Member TomRL's Avatar
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    Edgepark drove me nuts. There was always some reason supplies didn't arrive. I switched to a local home health supplies store. I call them, they handle the billing and deliver the supplies usually within a week. I don't understand how Edgepark stays in business.
    Tom

    "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

  9. #29
    Senior Member wheeliegirl's Avatar
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    KLD I am looking at that leg bag on EDGEPARK right now and its very similar to what I'm currently using. How is a night bag attached to the end? Its made of hard plastic. Does extension tubing stay connected well enough for sleeping if a bedside bag is connected?
    Last edited by wheeliegirl; 12-01-2016 at 07:08 PM.

  10. #30
    Here are some pictures that may help. I used the leg bag KLD recommended and a Bardia Night Drain Bag in these pictures. The tubing on the end of the leg bag (tube with clamp) is made of a material similar to extension tubing and is soft and pliable and accepts the rigid connector on the top of the night drain bag. Most other bags and even the Urocare Night Drain Bottle connect just about the same. Rigid connectors are very secure when attached to catheter or extension tubing.

    It is simply a matter of preference, but I don't care for the rubber strap and plastic button leg securement system. That plastic button always left an angry red spot on my legs after a day of use. There are companies who make cloth straps (Bard might) and then there are cloth and elastic leg bag holders that distribute the weight of a full leg bag over a broader area.

    All the best,
    GJ
    Attached Images Attached Images  
    Last edited by gjnl; 12-01-2016 at 08:42 PM.

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