Finally got info in the mail from Bard re this topic.
Check out National Association for Continence (NAFC) :
Info from their pamplet :
Clean intermittent catheterization
1. Procedure requires clean hands and fingernails with nails trimmed, clean catheter and clean meatus!
2.Reusable catheters clean using plain liquid soap without deodorant or fragerance, wash well and rinse until soap residue is gone.
3. Shake excess out then place on clean paper towel or in a clean basin to air dry.
4. Clean reusable catheters can be soaked in homemade vinegar solution: ONE PART WHITE VINEGAR to THREE PARTS WATER
(room temp). Soak for thirty minutes, rinse thouroughly, shake out excess water and air dry.
5. Storage: clean zip top bag, tampon case, toothbrush holder or small camera case ( if need to travel with client...ideas I didn't think of).
6. Discard catheters whe it becomes hard. brittle,crackes or if color of cathe changes.
Medicare guidelines for replacement equipment + supplies covered( most insurances follow these guidelines):
Patients must have Permanent urinary retention or incontinence ( not expected to be medically or surgically corrected within a 3 month interval).
Intermittent caths, nonsterile technique, patient or caregiver performing:
1 per week=4 per month.
Nonsterile lubricating gel 8oz per month
Intermittent caths, sterile technique---
Pt resides in a nursing facility; is immunocompromised, pregnant spinal cord injured female with neurogenic bladder;raddilogically documented vesico-ureteral reflux; distinct, recurrent UTI's( twice within 12 months) prior starting sterile catheterization.
one cath and individual packet of lubricant or an intemittent cath kit---approx 4-6/day.
These clients DME charges routinely reviewed re need and documentation. Karen
Indwelling Catheter supplies per month:
one insertion tray
1 bedside drainage bag
2 leg bags
anchoring device: 1 catheter leg strap or 5 yards of tape/month
Non-routine cath changes are covered when documentation substantiates medical necessity (tell why non-routine change occurring in nursing notes/60 day summaries)
1. Cath accidentally removed/pulled out.
2. Catheter malfunction: eg ballon doesn't stay inflated
3. Catheter obstructed by encrustation, mucous plug or blood clot
4. History or recurrent obstruction or UTI and acute event is prevented by a scheduled change at intervals of less than once per month.
Condom catheters for males: 35 per month
Female meatul cup: one per week and one pouch per day
Adhesive anchoring devices for percutaneous cath/suprapubic tube/nephrosotmy tube covered one per month.
ANY UTILIZATION OVER THESE AMOUNTS NEEDS LETTER OF MEDICAL NECESSITY FROM DOCTOR (NP's can't order under current MC rules).
Hope this helps.