I'm seeing this post so late in the game!! I work at an inpatient hospice unit and we use it for select patients. I LOVE this thing. First of all, as mentioned by some other posters, it's not for every patient (agitation/restlessness, frequent ambulation, etc.). However, I've used it with great success on the ladies with tumor burden r/t ovarian ca, on lasix and too dyspneic to get OOB and unable to tolerate in general r/t pressure, burning, spasms, etc. I've strongly advocated for this product on my unit and have networked with nurses in the hospital setting who are also using it to share ideas. I will also say this. PureWick the company was bought out by Bard, in part because the small smart-up couldn't handle the volume of orders. Guys. This is *likely* the future of female incontinence, and better models are likely to come about as a result of hospital requirements to reduce CAUTI.
TIPS FOR USE:
-Set suction to 40-60mmHg CONTINUOUS - not intermittent. It won't suction pee that is already soaked into the bed pad or diaper so you need a continuous suction. This should go without saying, but it's happened. Also, higher than that setting may result in the patient feeling the sensation of air "down there"...which...they might not complain about...LOL
-Replace it every 8-12 hours (once on your shift) OR if soiled with FECES or BLOOD - not urine. It's expected to have some urine on the wick itself, which will dry d/t continuous suction.
-Reposition PureWick every time you reposition the patient
-Make sure you have the bottom of the PureWick at the perineum to best catch all the urine (watch the videos on their site)
-Suctions most urine away from the skin
-No odor in the suction canister - similar to anything else you would suction to a canister
-Easy to position
-Prevents excoriation from frequent urination - preserves skin integrity much better than plain old incontinence ;-)
-Patients do not complain of discomfort when using it. My more alert patients have joked about it looking like a dildo
-It doesn't catch every last drop of urine, especially if not properly placed or if the patient self-positions in bed and the PureWick isn't adjusted accordingly
-Harder to keep in place for thinner people without some MacGyvering (mesh underwear or taping the PureWick to the patient)
-It can be a hard sell to patients/families/other nurses who are skeptical about its use
-Currently, there is only one size/model available