You are going home with a urinary catheter and collection device (drainage bag) in place. One type of collection device is called a leg bag. This is a smaller drainage bag that you can wear on your leg to collect urine during the day. The bag can fit under your clothing. You can move around with greater ease when using a leg bag instead of a larger collection bag.
You were shown how to care for your catheter in the hospital. This sheet will help you remember those steps when you are at home.
Wash your hands thoroughly before and after you care for your catheter or collection device.
Gather your supplies:
Soap and water
Towel and washcloth
Leg strap and leg bag
Use soap and water to wash the area where your catheter enters your body. Rinse well.
Secure the bag holder to your leg:
Position the leg band high on your thigh with the product label pointing away from your leg.
Stretch the leg band in place and fasten.
Place the catheter tubing over the bag and secure it. You may secure it with a Velcro tab or other method, depending on the product you use. Be sure to leave enough loop in the catheter above the leg band to avoid pulling on the tube.
Every 4 to 6 hours, reposition the band to prevent pressure from the elastic on your leg. You can do this by changing the bag to the other leg or by raising or lowering the leg band.
Wash the band as frequently as needed. You can hand wash and dry the leg band.
Place the bag in the bag holder.
Clean the urine bag end of the catheter and your catheter port with an alcohol wipe.
Place a towel under the bag and port to keep urine from dripping onto your leg.
Before connecting the outlet valve at the bottom of the bag to the catheter, make sure that it is firmly closed. Flip the valve upward toward the bag; it needs to snap firmly in place. Be sure not to tug on the tubing. Be gentle.
Attach the urine bag to the end of the catheter; insert the connector snugly into the catheter port. You can avoid dribbling urine by bending the catheter tubing just below the tip and holding it while you disconnect it from the catheter. Be careful to keep the tip clean while connecting the leg bag tubing to the catheter—this keeps germs from getting into the system.
Drain the bag when it is full. To drain the bag, flip the clamp downward. Direct the flexible outlet tube to control the flow of urine. You don’t have to disconnect the leg bag from the catheter to empty it. Raise your leg up to the edge of the toilet to reach the leg bag. Then you can empty the bag directly into the toilet. This way, you won’t need to bend over, which may be uncomfortable.
Keep the leg bag clean. Rinse daily with equal parts water and vinegar to reduce odor and keep the bag free of germs.
Remember to keep the drainage bag below the level of your bladder for proper drainage.
Make a follow-up appointment as directed by your healthcare provider.
Call your healthcare provider immediately if you have any of the following:
Redness, swelling, or warmth around the catheter entry site
Pus draining from your catheter entry site or into the catheter tubing and bag
Blood, clots, or floating debris in the urine
Nausea and vomiting
Fever above 100.4°F (38°C)
Pain that is not relieved by medication
Catheter that falls out or is dislodged