Indwelling Foley Catheter Care

A foley catheter is a soft, flexible tube that is placed into the bladder to drain urine. A foley catheter may be inserted if you had surgery around your bladder or urethra.

Taking Care of the Catheter

  1. Wash your hands with soap and water
  2. Using a mild soap and warm water on a clean washcloth:
    1. Clean the area on your body closest to the catheter insertion site using a circular motion, moving away from the catheter. Never wipe towards the catheter because this could sweep bacteria up into the urethra and cause infection.
    2. Remove all traces of soap. Pat the area dry with a clean towel.
  3. Attach the catheter to your leg so there is no tension on the catheter. Use adhesive tape or a leg strap, if you are using adhesive tape, remove any sticky residue left behind by the previous tape you used.
  4. Keep the drainage bag below the level of the bladder but keep it off the floor.
  5. Check throughout the day to be sure the catheter is working and urine is draining freely. Make sure the tubing does not become kinked.
  6. Do not pull the catheter or try to remove it. Pulling could damage the urethra.

Taking Care of the Drainage Bag

You will be given two drainage bags to take home. One is a large overnight drainage bag, and the other is a smaller leg bag that fits underneath clothing. You may wear the overnight bag at any time, but you should never wear the smaller leg bag at night. Follow the instructions below for how to empty, change, and clean your drainage bags.

Emptying the Drainage Bag

You must empty your drainage bag when it is 1/3-1/2 full or at least 2-3 times a day.

  1. Wash your hands with soap and water
  2. Keep the drainage bag below your hips, below the level of your bladder. This stops urine from going back into the tubing and into your bladder.
  3. Hold the dirty bag over the toilet.
  4. Open the pour spout at the bottom of the bag and empty the urine into the toilet. Do not let the pour spout touch the toilet, container or any other surface. Doing so can place bacteria on the bag, which can cause an infection.
  5. Clean the pour spout with a gauze pad or cotton ball that has rubbing alcohol on it.
  6. Close the pour spout.
  7. Attach the bag to your leg with adhesive tape or a leg strap.
  8. Wash your hands well.

Changing the Drainage Bag

Below are steps to follow when changing the drainage bag.

  1. Wash your hands with soap and water
  2. Pinch off the rubber catheter so that urine does not spill out
  3. Disconnect the catheter tube from the drainage tube at the connection valve. Do not let the tubes touch any surface.
  4. Clean the end of the catheter tube with an alcohol wipe. Use a different alcohol wipe to clean the end of the drainage tube.
  5. Connect the catheter tube to the drainage tube of the clean drainage bag.
  6. Attach the new bag to the leg with adhesive tape or a leg strap.
  7. Wash your hands well.

Cleaning the Drainage Bag

  1. Wash your hands with soap and water
  2. Wash the bag in warm, soapy water
  3. Rinse the bag with warm water
  4. Fill the bag with a solution of white vinegar and water (1 cup vinegar to 1 qt warm water). Close the bag and soak for 30 min
  5. Rinse the bag with warm water
  6. Hang the bag to dry with the pour spout open and hanging downward

Preventing Infection

  1. Wash your hands before and after handling your catheter
  2. Take showers daily and wash the area where the catheter enters your body
  3. Replace wet leg straps with dry ones if this applies
  4. Wipe from front to back after each bowel movement
  5. Drink enough fluids to keep your urine clear or pale yellow
  6. Do not let the drainage bag or tubing touch or lie on the floor
  7. Wear cotton underwear to absorb moisture and to keep your skin drier

Seek Medical Care If

  • Your urine is cloudy or has odor
  • Your catheter becomes clogged
  • You are not draining urine into the bag or your bladder feels full
  • Your catheter starts to leak
  • You have pain, swelling, redness or pus where the catheter enters the body
  • You have pain in the abdomen, legs, lower back or bladder
  • You have a fever
  • You see blood fill the catheter or your urine is pink or red
  • You have nausea, vomiting or chills
  • Your catheter gets pulled out