Chapters Transcript PureWick™ Female External Catheter Catheter associated urinary tract infections, also known as caudies, are associated with increased morbidity, mortality, and cost. The primary risk factor for development of caudy is duration of catheterization. Several catheter care practices are universally recommended to prevent or at least delay the onset of caudy. Among them, remove the catheter as soon as no. longer needed. One important strategy to reduce Foley catheter usage and duration of catheterization is the use of Foley catheter alternatives such as intermittent catheterization, urinals, absorbent pads, diapers, and external catheters for men. Another important risk factor for caudy is female gender. A study found that females are at a higher risk for developing caudy. Due to being more likely to have an indwelling Foley catheter, for decades, male external catheters or condom catheters have provided a non-invasive option for urine drainage in men. Until now, no such external catheter existed for women, resulting in a different standard of care for male and female patients. The Purwig female external catheter was the first product to address this discrepancy. Pure Wick allows you to continue your caudy prevention efforts and lower caudy risk by reducing indwelling catheter days. Using low pressure wall suction. The Purewick female external catheter wicks voided urine away from the patient and into a designated collection canister. With Pure Wick female external catheter, you have a non-invasive option for managing female urine output. Through appropriate use of the Pure Wick female external catheter, you can play a key role in helping reduce unnecessary Foley catheter usage. The Pure Wick female external catheter kit includes one Pure Wick female external catheter, one date, time duration label, and one pack of Pericare wipes. Prior to starting the procedure, obtain all of your necessary supplies, clean gloves, suction canister and standard suction tubing, and the Pure Wick female external catheter. Explain procedure to the patient. Connect the canister to wall suction and set to a minimum of 40 millimeters mercury continuous suction. Always use the minimum amount of suction necessary. If using the PureWick urine collection system, connect the canister to the unit and turn the unit. It on verify wall suction function by covering the open end of the suction tubing with one hand and observing the pressure dial. If the pressure does not increase when the line is covered, verify that the tubing is secured, connected, and not kinked. Wash hands and don clean gloves. Write the current date and time on the supply duration label to track length of use. Using standard suction tubing, connect the Purewick female external catheter to the collection canister. Perform perineal care using included wipes and assess skin integrity. Document per hospital protocol. Separate legs, gluteus muscles, and labia. Palpate pubic bone as anatomical marker with soft gauze side facing patient. Align distal end of the pubic female external catheter at gluteal cleft. Gently tuck soft gauze side between separated gluteus and labia. Ensure that the top of the gauze is aligned with the pubic bone. Slowly place legs back together once the puric female external catheter is positioned. If the patient's condition allows and at the discretion of the clinician. The patient can be positioned on her back, side, frog-legged, or in the lithotomy position prior to device placement. To remove the pure wig female external catheter, fully separate the legs, gluteus, and labia to avoid potential skin injury upon removal, gently pull the puric female external catheter directly outward. Ensure suction is maintained while removing puric female external catheter. After use, this product may be a potential biohazard. Dispose of in accordance with applicable local, state, and federal laws and regulations. Replace the puric female external catheter at least every 8 to 12 hours or if soiled with feces or blood. Always assess skin for compromise and perform perineal care prior to placement of a new puric female external catheter. Indications for use. The Purewig female external catheter is intended for non-invasive urine output management in female patients, external use only. Contraindications. Patients with urinary retention. Warnings. Do not use the Puric female external catheter with bedpan or any material that does not allow for sufficient airflow. To avoid potential skin injury, never push or pull the Purewick female external catheter. Against the skin during placement or removal. Never insert the Purwig female external catheter into vagina, anal canal, or other body cavities. Discontinue use if an allergic reaction occurs. After use, this product may be a potential biohazard. Dispose of in accordance with applicable local, state, and federal laws and regulations. Precautions, not recommended for patients who are agitated, combative, or uncooperative. And might remove the Purewick female external catheter, having frequent episodes of bowel incontinence with the fecal management system in place, experiencing skin irritation or breakdown at the site, experiencing moderate heavy menstruation and cannot use a tampon. Do not use barrier cream on the perineum when using the puric female external catheter. Barrier cream may impede suction. Proceed with caution in patients who have undergone. On recent surgery of the external urogenital tract. Always assess skin for compromise and perform perineal care prior to placement of a new puric female external catheter. Maintain suction until the puric female external catheter is fully removed from the patient to avoid urine backflow. Recommendations. Perform each step with clean technique. In the home setting, wash hands thoroughly before device placement Prior to connecting the Purewick. Female external catheter to the hospital wall suction tubing. Verify the suction function by covering the open end of the suction tubing with one hand and observing the pressure dial. If the pressure does not increase when the line is covered, verify that the tubing is secured, connected, and not kinked. Ensure the Purewick female external catheter remains in the correct position after turning the patient. Remove the Purewick female external catheter prior to ambulation. Properly placing the puric female external catheter snugly between the labia and gluteus holds the Purwick female external catheter in place for most patients. Mesh underwear may be useful for securing the Purwick female external catheter for some patients. Assess device placement in patient's skin at least every 2 hours. Replace the puric female external catheter every 8 to 12 hours or when soiled with feces or blood. suction tubing per hospital protocol, or at least every 30 days. Sure Step Pericare wipes are intended for perineal care, for external use only. Keep out of eyes. Please consult product inserts and labels for indications, contraindications, hazards, warnings, cautions, and directions for use. Refer to your facility's perineal cleaning protocol for hospital-specific policies or procedures. Created by
