12.6.5: Procedure- Assisting with Emptying of the Urinary Drainage Bag
Drainage bags on urinary collection systems, such as those from indwelling catheters or condom catheters need to be emptied on a regular basis. Home Health Aides/Personal Care Aides should frequently check that the tubing on catheter systems is not twisted or kinked. Home Health Aides/Personal Care Aides should always ensure that drainage bags are below bladder level. Never hang them from bed rails as the bag will move when bed rails are raised or lowered.
- Explain the procedure to the patient.
- Wash your hands and don gloves.
- Assemble equipment needed (measuring pitcher or graduate cylinder).
- Place the measuring pitcher or graduate cylinder below the drainage bag on a paper towel.
- Release the drain from the holder.
- Open the clamp on the drainage bag without allowing the drain to touch the measuring cylinder.
- Allow contents to pour into measuring container.
- Take care to prevent urine from splashing onto your face or clothing.
- Clamp the drainage bag and clean the end of the drain with an alcohol wipe.
- Position the clamp back into its holder.
- Measure the amount of urine at eye level while it is sitting on a flat surface. Record this as output.
- Dispose of urine in the toilet. Flush. Clean the measuring container and store.
- Discard gloves and wash your hands.
- Document procedure, output, and any observed changes in behavior or condition. Report observations about changes in urine color, odor, amount, or characteristics, such as cloudiness, mucus or blood present. Note the condition of the drainage bag and catheter tubing. Report concerns or the need to replace catheter tubing or the drainage bag to a supervisor.