Article
External Catheters

Setting the Perfect Suction for Female External Catheters: Tips and Tricks

Angela Breslin, RN
September 10, 2024
0
min read

Searching for the perfect female external catheter suction setting?

For those managing urinary incontinence, it's crucial to find the right balance. In our guide, we'll help you understand the ideal suction setting for female external catheters, focusing on non-invasive and low-pressure solutions.

When it comes to managing urinary incontinence, non-invasive, easy-to-use options like female external catheters can be a game-changer. These devices use low-pressure suction to wick urine away, keeping skin dry and reducing the risk of irritation and infection. This is particularly important for our clients at ProMed DME, where we aim to provide non-invasive and user-friendly solutions that improve the quality of life.

Understanding the proper suction settings ensures the catheter works efficiently without causing any discomfort or skin issues. Setting the appropriate suction ensures urine is transported quickly, avoiding any leakage and skin irritation.

By the end of this article, you'll have a clear understanding of how to set up and optimize your female external catheter for the best results.

Female External Catheter Suction Settings Infographic - female external catheter suction setting infographic infographic-line-3-steps

Understanding Female External Catheters

When it comes to managing urinary incontinence, non-invasive solutions like female external catheters offer a comfortable and effective option. These devices are designed to manage urine output without the discomfort or risks associated with traditional internal catheters.

Non-Invasive Technology

Female external catheters sit outside the body. This design significantly reduces the risk of urinary tract infections (UTIs) and other complications. The catheter uses low-pressure suction to wick urine away from the body and into a collection canister.

Female External Catheter - female external catheter suction setting

Urine Output Management

Female external catheters are equipped with a flexible wick made of soft, hydrophilic material. This wick is placed between the labia and gluteus muscles, allowing it to efficiently capture and divert urine away from the body. The urine is then transported to a designated collection canister, ensuring your skin remains dry and comfortable.

Skin Irritation Prevention

One of the primary benefits of using a female external catheter is the reduction in skin irritation and infection. The system’s low-pressure suction quickly wicks urine away, keeping the skin dry. This is crucial for preventing skin breakdown and other complications associated with prolonged exposure to moisture.

Flexible Wick and Collection Canister

The flexible wick is designed to be gentle and effective. It aligns with the female anatomy to ensure proper urine capture. The connected collection canister stores the urine safely, preventing any leakage or spillage. This setup is ideal for both short-term and long-term use, offering a reliable solution for urinary incontinence management.

Flexible Wick and Collection Canister - female external catheter suction setting

Understanding how these components work together helps in setting the perfect suction for your female external catheter. Proper setup and maintenance ensure optimal performance and comfort.

Next, we’ll discuss the importance of proper suction settings and how it affects both safety and efficiency in using female external catheters.

Importance of Proper Suction Settings

Setting the correct suction pressure for female external catheters is crucial for ensuring patient safety, efficient urine collection, and maintaining skin integrity. Let’s break down why each of these factors is important.

Suction Pressure

Suction pressure is the force that pulls urine away from the body and into the collection canister. For female external catheters like the PureWick™ system, the recommended suction pressure is around 40mmHg. This low-pressure setting is effective enough to transport urine without causing discomfort or injury to the patient.

Patient Safety

Low-pressure suction is key to patient safety. High suction pressures can lead to skin injuries and irritation. According to Boehringer Laboratories, pressures above 65mmHg can put patients at risk of suction-related injuries. Always aim for the lowest effective pressure to ensure safety while still maintaining efficient urine transport.

Urine Collection Efficiency

Efficient urine collection is directly tied to the flow rate produced by your suction regulator. Higher flow rates mean faster urine transport, reducing the risk of leakage. However, flow rate is determined by the pressure setting. Therefore, finding the right balance between low pressure and high flow is essential for optimal performance.

Skin Integrity

Maintaining skin integrity is a significant concern, especially for patients with prolonged use of female external catheters. Proper suction settings help keep the skin dry, minimizing the risk of skin breakdown and infections. Regularly check the skin for any signs of irritation or damage and adjust the suction settings if necessary.

Next, we’ll dive into the recommended suction pressure and how to adjust it based on canister placement. This will help you set the perfect suction for your female external catheter system.

Female External Catheter Suction Setting

Recommended Suction Pressure

When setting up your female external catheter, such as the PureWick™ system, get the suction pressure just right. The sweet spot for these devices is around 40mmHg.

Why 40mmHg?

  • Effective yet gentle: This low-pressure setting is strong enough to draw urine away efficiently but gentle enough to avoid causing discomfort or injury.
  • Patient safety: Higher pressures can lead to skin injuries. It's crucial to avoid going above 65mmHg to keep your patients safe.

Adjusting Suction Based on Canister Placement

Gravity and Canister Height

The placement of your suction canister can make a big difference in how well your system works. Here’s why:

  • Downward suction: If the canister is on the floor, gravity helps pull the urine down, making the system more efficient at lower pressures.
  • Upward suction: If the canister is mounted on the wall above the catheter, gravity works against you. You’ll need more pressure to pull the urine "uphill," which can be less efficient and riskier for the patient.

Practical Tips:

  1. Floor Placement: Placing the canister on the floor is ideal for better suction efficiency at lower pressures. However, be cautious as canisters on the floor can get knocked over easily.
  2. Wall Mounting: If you must mount the canister on the wall, try to keep it as low as possible to reduce the height difference. Every foot of height requires an additional 22mmHg of pressure.

Pressure Adjustment:

  • Start Low: Begin with the recommended 40mmHg and observe the system’s performance.
  • Adjust Gradually: If urine isn't being transported efficiently, increase the pressure slowly. Never exceed 65mmHg to avoid patient harm.

By understanding the impact of canister placement and making careful adjustments, you can optimize the performance of your female external catheter system.

Next, we’ll guide you through the step-by-step process of using female external catheters, from preparation to disposal.

Step-by-Step Guide to Using Female External Catheters

Preparing the Catheter System

Components:

  1. PureWick™ Female External Catheter
  2. Collector tubing
  3. Suction machine
  4. Collection canister

Cleanliness and Hand Hygiene:

  • Wash Hands: Always start by washing your hands thoroughly with soap and water.
  • Sterile Gloves: If assisting someone else, wear sterile gloves to prevent any contamination.

Positioning the Catheter

Anatomical Markers:

  1. Labia
  2. Gluteus muscles
  3. Urethral opening
  4. Pubic bone

Steps:

  1. Separate the Legs: Gently spread the legs apart.
  2. Gluteus and Labia: Separate the gluteus muscles and labia.
  3. Align with Pubic Bone: Use the pubic bone as a guide. Place the catheter so its distal end aligns with the gluteal cleft.
  4. Tuck Soft Gauze: Ensure the soft gauze side faces the patient and gently tuck it between the separated labia and gluteus.

Connecting to the Collection System

Collector Tubing and Secure Connection:

  1. Attach Tubing: Connect the catheter to the collector tubing securely.
  2. Suction Machine: Attach the other end of the tubing to the suction machine.
  3. Turn On Suction: Start the suction machine at the recommended 40mmHg.

Monitoring and Maintenance

Leak Checks and Skin Condition:

  • Regular Checks: Frequently check for leaks or blockages in the tubing.
  • Skin Integrity: Regularly assess the skin condition around the catheter to prevent irritation.
  • Replacement: Replace the catheter every 8 to 12 hours or immediately if soiled with blood or feces.

Removing and Disposing of the Catheter

Turn Off Suction and Gentle Removal:

  1. Turn Off Suction: Before removal, make sure to turn off the suction machine.
  2. Gently Remove: Fully separate the legs, gluteus, and labia. Gently pull the catheter directly outward to avoid skin injury.

Disposal and Hand Hygiene:

  1. Sealed Bag: Place the used catheter in a sealed bag.
  2. Dispose Properly: Dispose of it in the trash.
  3. Wash Hands: Always wash your hands thoroughly after handling a used catheter.

By following these steps, you can ensure the effective and safe use of female external catheters. Next, we’ll share some tips for optimal use and troubleshooting common issues.

Tips for Optimal Use and Troubleshooting

Canister Placement

Proper placement of the collection canister is essential for maximizing the efficiency of your female external catheter suction setting.

  • Height Matters: Place the canister below the level of the catheter to use gravity to your advantage. This helps in ensuring the urine flows smoothly into the canister.
  • Secure Position: Ensure the canister is securely placed to prevent any tipping or accidental spills.

Pressure Settings

Finding the right suction pressure is key to both patient safety and effective urine collection.

  • Recommended Pressure: Set the suction machine to 40mmHg. This low-pressure setting is safe for continuous use and efficient in urine collection.
  • Monitor Flow: If you notice leakage, it might be due to insufficient suction. Check the pressure setting and adjust if necessary, but never exceed 65mmHg to avoid skin injury.

Leakage Prevention

Leakage can be a common issue but is often preventable with a few simple steps.

  • Proper Positioning: Ensure the catheter is positioned correctly, with the soft gauze side facing the patient and aligned with the gluteal cleft.
  • Check Connections: Regularly inspect all connections between the catheter, tubing, and suction machine to ensure they are secure.
  • Monitor Flow Rate: High flow rates improve performance. If the patient urinates faster than the suction can transport it, adjust the suction pressure slightly within safe limits.

Skin Care

Maintaining skin integrity is crucial for patient comfort and to prevent infections.

  • Regular Assessment: Frequently check the skin around the catheter for any signs of irritation or breakdown.
  • Perineal Care: Perform perineal care and assess skin integrity before placing a new catheter.
  • Barrier Creams: If recommended by a healthcare provider, use barrier creams to protect the skin from moisture and irritation.
  • Replace Regularly: Replace the catheter every 8 to 12 hours or immediately if soiled with blood or feces to maintain hygiene and prevent skin issues.

By following these tips, you can optimize the use of your female external catheter and troubleshoot common problems effectively. In the next section, we will answer some frequently asked questions about female external catheter suction settings.

Frequently Asked Questions about Female External Catheter Suction Setting

What is the correct suction setting for a PureWick?

The recommended suction setting for a PureWick Female External Catheter is 40mmHg. This low-pressure setting is safe for continuous use and ensures efficient urine collection without causing skin injury.

How often should the catheter be replaced?

The PureWick catheter should be replaced every 8 to 12 hours to maintain optimal performance and hygiene. If the catheter becomes soiled with blood or feces, it should be replaced immediately. Regular replacement helps keep the skin dry and reduces the risk of irritation and infections.

Does Medicare cover PureWick at home?

Unfortunately, Medicare does not cover the PureWick Female External Catheter for home use. This also applies to Medicaid and most commercial insurance plans. Therefore, these items are typically sold on a cash basis. For more information on purchase options and potential discounts, you can visit ProMed DME.

In the next section, we will guide you through the step-by-step process of using female external catheters effectively.

Conclusion

At ProMed DME, we understand that managing urinary incontinence can be challenging. That's why we're committed to providing high-quality medical supplies, including the PureWick Female External Catheter, to make your life easier and more comfortable.

Our dedication to exceptional customer service sets us apart. We offer free shipping on all orders, ensuring you receive your supplies promptly without any extra cost. Our team includes a dedicated nurse who is always available to answer your questions and provide expert guidance.

We also strive to minimize your out-of-pocket expenses. While the PureWick system is typically not covered by Medicare, Medicaid, or most commercial insurance plans, we work with a variety of insurance providers to help reduce your costs wherever possible.

Optimal health and comfort are our top priorities. We believe that with the right support and supplies, you can manage your condition effectively and maintain your independence. Our comprehensive range of urological products is designed to meet your unique needs, ensuring you receive the best care possible.

Thank you for choosing ProMed DME as your trusted partner in healthcare. Visit our urology page to explore our products and learn more about how we can support your journey toward optimal health.

Together, we can steer your healthcare needs and ensure you live comfortably and confidently.

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