Drainage bags

Leg bags

  • Leg bags can be used with indwelling catheters and penile sheath systems
  • Sterile leg bags must be used with indwelling catheters and changed as per manufacturer's recommendation e.g. usually 5-7 days, can be changed more frequently if a lot of debris or discolouration. However maintenance of the closed system is imperative for prevention of infection
  • The bag can be used up to 5-7 days and rinsed in warm soapy water if needed
  • Patients need to be individually assessed for type of leg bag suitable to their needs
  • It is essential that the leg bag is adequately secured to prevent pulling and damage to the bladder neck

The following items are listed under manufacturer with volume of urine held, description, code number and price.

With T-Tap outlet

Linc-Flo sterile leg drainage bag (L.IN.C Medical Systems Ltd)
  • 350ml direct inlet tube (LM350SD-T) (£20.55 for 10; £2.06 each)
  • 350ml 10cm inlet tube (LM350MD-T) (£20.55 for 10; £2.06 each)
  • 500ml direct inlet tube (LM500SD-T) (£22.09 for 10; £2.21 each)
  • 500ml 10cm inlet tube (LM500MD-T) (£22.09 for 10; £2.21 each)
  • 500ml 30cm inlet tube (LM500LD-T) (£22.10 for 10; £2.21 each)
  • 500ml adjustable inlet tube (LM500AD-T) (£22.13 for 10; £2.21 each)
  • 750ml direct inlet tube (LM750SD-T) (£22.10 for 10; £2.21 each)
  • 750ml 10cm inlet tube (LM750MD-T) (£22.10 for 10; £2.21 each)
  • 750ml 30cm inlet tube (LM750LD-T) (£22.10 for 10; £2.21 each)
  • 750ml adjustable inlet tube (LM750AD-T) (£22.10 for 10; £2.21 each)

Notes

  1. Packs include and overnight connection tube, 1 pair of non-latex gloves and elasticated velcro straps.

With Lever Tap

Careline+ sterile leg bag with lever tap outlet (Uno- medical)
  • Short tube 500ml (46-05-SVCG) (£25.48 = 10, £2.55 each)
  • Long tube 500ml (46-06-LVCG) (£25.48 = 10, £2.55 each)
  • Short tube 750ml (46-09-SVCG) (£26.93 = 10, £2.69 each)
  • Long tube 750ml (46-10-LVCG) (£26.93 = 10, £2.69 each)

Notes

  1. Packs include 1 pair of non-latex gloves
Issues to consider

Outlet type (tap)

  • Slide action or lever tap

Inlet tube

  • Long tube – to be worn on calf
  • Short tube – to be worn on thigh
  • Adjustable tube – only with sheath systems

Capacity

The patient's lifestyle needs consideration when selecting capacity

  • 350mL, 500mL, 750mL
  • 1300mL – wheelchair users
  • 1500mL – wheelchair users

Securing the leg bag

Leg bag holders – 1st choice

These are often the most comfortable way of securing a leg bag. However, it is imperative that the patient's leg be measured to ensure the correct fit.

There is one type available:

Urisleeve® leg bag holder (Bard)
  • Small – 150111 (£8.14 = 4)
  • Medium – 150121 (£8.14 = 4)
  • Large – 150131 (£8.14 = 4)

Leg straps – 2nd choice

  • Orders of 10 leg bags will be accompanied by a set of leg straps. However, individual sets are available on drug tariff.

All catheters should be supported adequately as many catheter problems such as bypassing, pain and trauma are associated with the catheter balloon being pulled into the bladder neck by a poorly supported catheter leg bag.

All patients who do not use a catheter valve should have their catheters supported with an appropriately sized catheter sleeve and preferably also with a retaining device. Patients with a valve may also find the catheter is more comfortable if a retaining device is used.

It is acknowledged that some patients may prefer to use straps that are provided with the leg bags. However, we should be advising them that this is not the best option to secure their leg bags.

Patients should be advised that this does not offer the best form of support and could cause circulation problems, especially if patients have oedematous legs.

Night bags

  • Single use night bags are recommended
  • The night bag is attached to the leg bag and the leg bag valve opened to allow drainage into the night bag
  • The night bag should be placed below the level of the bladder to ensure adequate drainage
  • The night bag should be supported on an appropriate stand
  • Care needs to be taken when emptying bag re splash back
Careline Easi MT
  • 2 litre bag: 47-60-LBH (£3.35 = 10)

 

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