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Indications for External Urinary DevicesExternal urinary devices are used for:Urinary Incontinence: Involuntary leaking of urine due to factors like medications, surgery, childbirth, or diseases (e.g., Parkinson's disease or strokes) 00:07 Opens in a new window .Reduced Infection Risk: Decreasing the risk of urethral trauma and infection associated with indwelling urethral catheters 00:46 Opens in a new window .Increased Comfort and Autonomy: Promoting comfort and voluntary urination for the client 01:04 Opens in a new window .Monitoring Output: Assisting the nurse in collecting urine samples for urinalysis or monitoring strict urinary output 01:13 Opens in a new window .Types and Application ProceduresClientDevice Type(s)Key Application StepsNursing InterventionsFemaleDevice using continuous low-pressure wall suction 01:34 Opens in a new window .1. Separate the labia 02:31 Opens in a new window . 2. Apply the device to the perineum with the opening at the urethral orifice 02:34 Opens in a new window . 3. Secure the tubing to the suprapubic area 02:59 Opens in a new window .Change every 8 to 12 hours or when soiled 03:12 Opens in a new window . Monitor frequently for skin integrity due to moisture risk 03:02 Opens in a new window .MaleCondom Catheter or Hydrocolloid Device 01:42 Opens in a new window .Condom Catheter: Ensure skin is clean, dry, and intact. For non-circumcised clients, ensure foreskin is not retracted 03:44 Opens in a new window . Unroll the sheath onto the penis and allow slack in the tubing to the drainage bag 04:10 Opens in a new window .Monitor for moisture and ensure proper sizing 04:44 Opens in a new window .MaleHydrocolloid Device 04:42 Opens in a new window .Hydrocolloid: Clip pubic hair (do not shave) or use a hair guard 05:05 Opens in a new window . Place the face plate over the midline of the meatus, smoothing adhesive strips to avoid wrinkles or folds 05:25 Opens in a new window .Ensure no wrinkles, as they can trap moisture and pathogens 05:40 Opens in a new window .PediatricAdhesive Urinary Collection Bag (for male and female) 06:09 Opens in a new window .Remove paper backing and apply the adhesive bag around the genital area 06:40 Opens in a new window . Center the bag and ensure inner folds of the groin are not included to achieve a proper seal 06:55 Opens in a new window .Ensures the skin is clean, dry, and intact before application 06:24 Opens in a new window . Assists in obtaining a non-sterile urine sample 07:10 Opens in a new window .General Nursing InterventionsEnsure client privacy throughout the procedure by closing doors/curtains and covering non-involved body parts 07:22 Opens in a new window .Verify for any latex or rubber allergies 07:38 Opens in a new window .Change and clean devices according to manufacturer/hospital guidelines 07:44 Opens in a new window .Check skin integrity frequently to prevent skin breakdown, as increased moisture increases risk 07:54 Opens in a new window .Record urine output and monitor for tube patency (checking for kinks, leaks, or obstructions) 08:06 Opens in a new window .Document the procedure completely 08:20 Opens in a new window .You can view the full video here: applying an external urinary device