Scenario 6
The patient with an indwelling urine catheter needs to be transported from his room to the radiology department by stretcher. Prior to moving the urine catheter, you would perform hand hygiene and observe standard precautions, including the use of gloves and gown as appropriate.

Question:
What are the considerations before, during, and after transport?

  1. Empty catheter bag prior to transfer; use a urinal labeled with the patient’s name.
  2. Ensure the catheter is secured to the leg or abdomen.
  3. Keep the level of the catheter below the bladder at all times.
  4. Have an appropriate place to hang the catheter bag during transport and while in the radiology department.
  5. All of the above
 
 

Correct Answer

All actions are appropriate to prevent urinary tract infection.

Learning Points

  • An empty urine collection bag reduces the risk of urine flowing back into the bladder.
  • Properly secure indwelling catheters after insertion to prevent movement and urethral traction.
  • Maintain unobstructed urine flow.
  • Keep the catheter and collecting tube free from kinking.
  • Keep the collecting bag below the level of the bladder at all times. Do not rest the bag on the floor.
  • Empty the collecting bag regularly using a separate, clean collecting container for each patient, avoid splashing, and prevent contact of the drainage spigot with the nonsterile collecting container.
  • Use standard precautions, including the use of gloves and gown as appropriate, during any manipulation of the catheter or collecting system