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HHC Health & Home Care Clinical Policy And

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<strong>HHC</strong> HEALTH & HOME CARE Section: 5-5<br />

Genitourinary: Decontamination of Vinyl Urinary Drainage Bag __RN<br />

PURPOSE: 5. Vigorously agitate water in the bag for 10 seconds.<br />

To provide a safe, effective, and inexpensive procedure<br />

for decontaminating urinary drainage bags.<br />

CONSIDERATIONS:<br />

1. A patient with an indwelling catheter should have<br />

two bags of each type - leg and bedside drainage.<br />

These provide for a rotation of bags during cleaning<br />

6. Empty the water through the bag's drainage spigot<br />

into the toilet.<br />

7. Repeat steps 4, 5, and 6. Rinsing must be done<br />

twice.<br />

8. Use an irrigating bottle to squirt approximately 30cc<br />

of the pre-mixed bleach solution onto the drainage<br />

spigot, spigot bell and sleeve, and cap.<br />

periods and an extra bag in case of damage. 9. Squirt the remaining bleach solution into the bag.<br />

2. Leg and bedside bags should be decontaminated<br />

daily.<br />

Agitate the solution in the bag for 30 seconds<br />

making certain the solution touches all inner<br />

surfaces of the bag.<br />

3. Bags may be reused for four weeks when<br />

decontaminated daily. 10. Drain the solution into the toilet, avoiding contact<br />

with metal fixtures.<br />

4. Prepare the solution when it is needed; sodium<br />

hypochlorite is unstable and will dissipate when<br />

exposed to light.<br />

11. Hang bag over shower/towel rail to dry.<br />

12. Discard soiled supplies in appropriate containers.<br />

5. Avoid bleach contact with stainless steel, chrome<br />

and other bathroom fixtures because it will cause<br />

rust or corrosion.<br />

AFTER CARE:<br />

1. Document in patient's record:<br />

EQUIPMENT:<br />

a.<br />

b.<br />

Procedure and observations.<br />

Instructions given to patient/caregiver.<br />

Liquid bleach 2. Instruct patient/caregiver in procedure.<br />

Cold tap water<br />

Graduated irrigating bottle<br />

Gloves<br />

PROCEDURE:<br />

1. Adhere to Universal Precautions.<br />

2. Prepare bleach solution by filling irrigating bottle<br />

with 150cc cold tap water and 15cc liquid bleach.<br />

3. Empty all urine from bag into the toilet.<br />

4. Fill the bag with cold tap water. If it is a leg bag, fill<br />

it through the connector and extension tubing. If it is<br />

a bedside bag fill it through the top tubing with<br />

200cc cold tap water.<br />

68

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