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  • Closed System

    I remember reading about it before but couldn't find much in a search. I understand what needs to be done. Where can I get the supplies needed to do it?

  • #2
    Are you talking about intermittent cath or indwelling. BARD and many others have the "all in one system/touchless" with the catheter and bag attached.
    CWO
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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    • #3
      Originally posted by SCI-Nurse View Post
      Are you talking about intermittent cath or indwelling. BARD and many others have the "all in one system/touchless" with the catheter and bag attached.
      CWO
      Sorry I have a sp. I want to try not changing from a night bag to a leg bag everyday. I think they make connectors to connect the night bag to the leg bag.

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      • #4
        I found this in a post from a while ago. I have annotated the connectors in black print.

        When you insert a new supra pubic catheter connect the funnel end of the catheter to the extension tubing with a tubing connector. Connect the extension tubing to the built in connector on the top of the leg bag. Wear the leg bag as normal during the day. If you have to empty the leg bag during the day, be sure to use an alcohol wipe or some kind of antiseptic wipe before you open the clamp to drain the bag and after you close the clamp, once you have drained.

        At night, connect a night urinary drain bag or bottle to the bottom of the leg bag with a tubing connector 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. Night drain bottles are plastic and can sit in a plastic box to collect any spillage.


        The following morning close the tap on the leg bag and remove the bed bag. At this point clean the drain tube on the leg bag with an alcohol wipe or some kind of antiseptic wipe. The bed bag/drain bottle should then be emptied and cleaned with a diluted bleach solution, rinsed and hung up to dry.


        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 catheterwhen the leg bag needs replacing, every 7-15 days

        Urocare Products page (https://www.urocare.com/EN/ProductsEN.php) has an extensive collection of extension tubing, tubing connectors, tubing with attached connectors, clamps, leg bags, night drain bottles and bags.
        Attached Files
        Last edited by gjnl; 08-11-2018, 05:40 PM.

        Comment


        • #5
          Originally posted by gjnl View Post
          I found this in a post from a while ago. I have annotated the connectors in black print.

          When you insert a new supra pubic catheter connect the funnel end of the catheter to the extension tubing with a tubing connector. Connect the extension tubing to the built in connector on the top of the leg bag. Wear the leg bag as normal during the day. If you have to empty the leg bag during the day, be sure to use an alcohol wipe or some kind of antiseptic wipe before you open the clamp to drain the bag and after you close the clamp, once you have drained.

          At night, connect a night urinary drain bag or bottle to the bottom of the leg bag with a tubing connector 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. Night drain bottles are plastic and can sit in a plastic box to collect any spillage.


          The following morning close the tap on the leg bag and remove the bed bag. At this point clean the drain tube on the leg bag with an alcohol wipe or some kind of antiseptic wipe. The bed bag/drain bottle should then be emptied and cleaned with a diluted bleach solution, rinsed and hung up to dry.


          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 catheterwhen the leg bag needs replacing, every 7-15 days

          Urocare Products page (https://www.urocare.com/EN/ProductsEN.php) has an extensive collection of extension tubing, tubing connectors, tubing with attached connectors, clamps, leg bags, night drain bottles and bags.
          Thanks for the information. Just what I was looking for. Do you use a closed system?

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          • #6
            I use a system of SP connected to leg bag and night bag just plugs straight into the leg bag. Leg bag lies on the bed all night, tap open so urine flows into night bag which is supported on a stand. We leave it as late as possible before I get up to remove the night bag. Carefully clean the leg bag outlet and I have not had a UTI in the 4 years I have been out of hospital.

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            • #7
              Originally posted by HACKNSACK44 View Post
              Thanks for the information. Just what I was looking for. Do you use a closed system?
              No, I don't. I clean the leg bag every morning and every night with undiluted 70% isopropyl alcohol, hot water rinse, then wipe down the outside of the bag, tubing, and clamp with undiluted 70% isopropyl alcohol.
              Last edited by gjnl; 08-12-2018, 12:34 PM.

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              • #8
                I use a 1500 mL leg bag which I hang from my bedside table using a C clamp at night. I only change the catheter and bag every 6 to 8 weeks.. No UTI in six or seven years.

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                • #9
                  Originally posted by mrb View Post
                  I use a system of SP connected to leg bag and night bag just plugs straight into the leg bag. Leg bag lies on the bed all night, tap open so urine flows into night bag which is supported on a stand. We leave it as late as possible before I get up to remove the night bag. Carefully clean the leg bag outlet and I have not had a UTI in the 4 years I have been out of hospital.
                  What do you use to plug the night bag into the leg bag? Is it a certain connector? How often do you change the leg bag?

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                  • #10
                    Originally posted by WheelDon View Post
                    I use a 1500 mL leg bag which I hang from my bedside table using a C clamp at night. I only change the catheter and bag every 6 to 8 weeks.. No UTI in six or seven years.
                    I was thinking about that. I use a 1500 ml leg bag also and thought I could just use the leg bag.

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                    • #11
                      Many people put out a lot more urine than 1500ml. at night, so if that is the case for you, it would be better to hook a bedside drainage bag to the drain spout of your leg bag as described and pictured above; we just used a short piece of the extension tubing for the leg bag to join the two together. The extension tubing fit over the drain port of the leg bag as well as the connector on the tubing of the bedside bag.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment


                      • #12
                        Originally posted by HACKNSACK44 View Post
                        What do you use to plug the night bag into the leg bag? Is it a certain connector? How often do you change the leg bag?
                        They just push fit together, no special connector. Leg bag changed 3 x a week, night bag is only used once then binned. Night bag holds 2 litres which is OK for me from 10pm until removed at about 9am, output varies from 800ml to 1500ml, no idea why as I drink exactly the same every day.

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                        • #13
                          Originally posted by WheelDon View Post
                          I only change the catheter and bag every 6 to 8 weeks.
                          How do you keep the bag from smelling?

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                          • #14
                            We recommend changing an indwelling catheter every 30 days (although there is not really any scientific evidence for this) and changing the vinyl leg bag, tubing, and straps at that time. We also recommend discarding and replacing the bedside bag (which you have cleaned daily with 10% bleach solution) at that same time. There is scientific evidence that supports safety of cleaning and reusing the bedside bag for up to 30 days this way, and difficult to find bags that will last longer than this without leaking.

                            How you connect the leg bag and the bedside bag will vary according to the brands and models of bags you use.

                            (KLD)
                            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                            Comment


                            • #15
                              Originally posted by mrb View Post
                              They just push fit together, no special connector. Leg bag changed 3 x a week, night bag is only used once then binned. Night bag holds 2 litres which is OK for me from 10pm until removed at about 9am, output varies from 800ml to 1500ml, no idea why as I drink exactly the same every day.
                              What kind of bags do you use?

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