Catheter and Incontinence In-Home Care 

Catheter Care at Home: Skilled Nursing for Safety and Comfort

If you or a loved one needs assistance with bladder or bowel management, you can get skilled, compassionate catheter & incontinence care at home. Get safe, skilled catheter & incontinence nursing & care at home so you can feel more comfortable, supported, and in control!

Our RN-led team provides home catheter care and incontinence support across Maryland, Washington, D.C., and Northern Virginia, coordinating closely with hospitals, urology practices, and primary care providers so you or your loved one stay safe, informed, and in control. Contact us today.

Who is This Service for?

We help adults and seniors who need urinary catheter home care or continence support due to:

• Post-surgical needs (e.g., prostate, gynecologic, colorectal procedures) requiring Foley catheter care at home or post-op catheter removal at home.
• Long-term indwelling catheters that need catheter changes at home, routine maintenance, and Catheter-Associated Urinary Tract Infection (CAUTI) prevention teaching.
• Intermittent catheterization (CIC) programs that benefit from in-home RN visits for training, troubleshooting, or schedule optimization.
• External catheter support, leg bag/night bag management, and leak troubleshooting.
• Dementia/Alzheimer’s, Mobility issues, neurological conditions, or pelvic-floor conditions where continence coaching, toileting plans, and equipment setup can reduce infections, skin breakdown, home damage, and ER visits.
• Those who are bed-ridden and require consistent adult-diaper changes.

If you or a family member typed “catheter home care near me,” “home health nurse catheter care,” or “same-day catheter change at home,” you’re in the right place.

How We Do Catheter Care and Continence Support

1. RN assessment and plan. Every case starts with a registered nurse who reviews your medical history, medications, comorbidities, and lifestyle, then builds a personalized plan. For those utilizing insurance, we align with home-health coverage rules (intermittent skilled nursing under a physician’s order, care plan, and face-to-face certification). Covered services commonly include skilled nursing with supplies such as catheter kits and drainage bags when criteria are met. [1]
2. Evidence-based techniques. We follow AHRQ and CDC guidance: don’t change indwelling catheters on arbitrary schedules; protect a closed drainage system, keep the bag below bladder level, and remove catheters as soon as clinically appropriate. We reinforce hand hygiene, tubing positioning, and early blockage detection. [2]
3. Common at-home skilled tasks (examples):

• Catheter exchange at home (Foley/suprapubic), securement device replacement, catheter irrigation/flushing when ordered.
• Leg bag / night bag change and tubing management.
• CIC training and retraining; external catheter support.
• Comfort fixes for leakages, bypassing, spasms, odor, and sediment.
• CAUTI-prevention coaching: hydration cues, perineal hygiene, and red-flag symptom education.
• Care coordination with your urologist/PCP; same-day or next-day RN visits when schedules allow.

Why it matters: The CDC’s latest HAI progress data show an 11% decrease in CAUTI from 2022→2023 in U.S. acute-care hospitals—your at-home habits and our nurse teaching help keep that trend moving in the right direction after discharge. [3]

Where We Provide Catheter Care and Incontinence Support

We serve Montgomery County MD, Prince George’s County MD, Howard County MD, Frederick County MD,   Washington, D.C., Fairfax County VA, & Arlington County VA  with coverage extending to surrounding communities.

County snapshots:

• Montgomery County, MD: Serving six acute-care hospitals (1,369 licensed beds in FY24; examples include Shady Grove, Suburban, Holy Cross Silver Spring/Germantown, MedStar Montgomery, White Oak), We support smooth discharges into home health catheter care with RN-led Foley/suprapubic changes and CAUTI prevention. [4]
  Older adults here are ~17.7% of the population—strong demand for at-home incontinence care. [5]
• Prince George’s County, MD: With ~674 beds across UM Capital Region, Doctors Community, MedStar Southern Maryland, and AHC Fort Washington (FY24), we routinely receive referrals for catheter management at home and catheter removal at home appointments after urology/ED visits. [6]
  About 15.6% of PG County’s residents are 65+—a growing group benefiting from RN visits and continence teaching. [7]
• Howard County, MD: Howard County General (232 beds) frequently discharges to home health; with about 15.9% of residents being 65+. Here, we deliver leg-bag changes, maintenance, and urology home nursing support. [8] [9]
• Frederick County, MD: Frederick Health Hospital (FY24) supports a large catchment; we cover Frederick, Urbana, Walkersville and beyond with catheter care and CIC training. [10]
• Washington, D.C.: The District is home to seven general acute-care hospitals, creating steady discharge volume needing skilled nursing catheter care at home. [11]
• Fairfax County, VA: Inova Fairfax Medical Campus alone is a 928-bed regional referral center; we help patients transition safely with home health catheter services across Fairfax, Reston, and Mount Vernon. [12]
  About 15.6% of residents are 65+, indicating meaningful local demand. [13]
• Arlington County, VA: Even with a younger age profile (about 12.4% being over 65 years old), needs spike around hospital discharges; we provide RN catheter changes, blockage triage, and catheter and incontinence education across Arlington & Crystal City. [14]

Regional aging trend: Maryland’s 65+ population grew 3.35% from 2023→2024, outpacing the U.S. (~3.1%), a strong signal for rising in-home nursing & clinical care demand. [15]

In-Home Catheter and Incontinence Support Vs. Outpatient Clinic Visits

Why many choose in-home care:

• Lower disruption and risk: No travel to facilities, reducing the chances for line breaks or bag mishandling.
• Teaching & support in your environment: We optimize your bathroom layout, bag placement, and supplies exactly where you use them.
• Earlier issue detection: Nurses spot subtle changes (sediment, odor, bypassing) and design custom plans/protocols before the incontinence issues become more serious.
• Coverage alignment: Insurance covers intermittent skilled nursing (e.g., catheter changes, teaching, assessment) under a physician-ordered plan of care. Supplies like catheters and catheter-care supplies may be covered within home-health benefits.
• Control & comfort: You avoid transport, waiting rooms, and exposure.
• Real-world setup: Teaching lands better in your actual bathroom/bedroom environment.
• Continuity: The same visiting nurse for catheter change reinforces habits and catches early changes.

Clinic visits may be more appropriate for complex urology procedures or when imaging/cystoscopy is required, but a large share of routine catheter exchange and incontinence care at home is safe and efficient when performed by an RN under orders.

In-Home Catheter and Incontinence Care – Our Specific Services

We provide multiple catheter and incontinence services, including:

• Catheter maintenance & exchange at home: Routine Foley and suprapubic changes, site care, securement, closed-system integrity, and symptom checks—scheduled or same-day when available.
• Emergency Catheter Help at Home: Catheter irrigation/flushing, blockage troubleshooting, and emergency triage
• Bag management: Leg-bag/night-bag teaching, tubing setup, positioning, and supply schedules.
• CIC programs: Hands-on training to safely insert and remove a catheter into the bladder on a scheduled basis, habit stacking, and documentation to keep you on track.
• External catheter support: Sizing, skin protection, leak troubleshooting.
• Continence support and coaching: Toileting plans, hydration prompts, skin protection to reduce IAD/pressure injury risk.
• Care coordination and documentation: Progress notes back to your urologist/PCP; order renewals; insurance-covered catheter care at home when criteria are met.

Our practices are designed around   AHRQ’s procedures: change indwelling catheters based on clinical indications, maintain a closed system, enforce hygiene, and keep drainage bags below bladder level—core parts of our protocol. [16]

How Our Catheter and Incontinence Home Care Program Works (Step-by-Step Guide):

• RN assessment (Day 1): We review your diagnosis, catheter type (Foley, suprapubic, intermittent, external), recent hospital notes, meds/anticoagulation, allergies, mobility, hydration, and home setup.
• Personalized Care Plan and Family Briefing (Day 1-2): Written plan details that include treatments, frequency, financial costs, explanation of individualized insurance coverage, instructions and education, red-flag symptoms, and re-evaluation dates.
• Flexible Scheduling: We work with our clients to schedule appointments that work best for them.
• Skilled Nursing Visits: Between 3x/week to 24/7 care depending on client’s needs
• Certified Nursing Assistant (CNA) Home Care & Support: Providing care and incontinence support on a regular basis
• Ongoing Re-Assessment & Physician/Provider Updates (Regularly Scheduled): We adjust plans based on symptoms, cultures, or provider updates, and fine-tune routines to reduce CAUTI risk (bag position, unobstructed flow, closed system).
• Graduation or Transition Care: Some clients may graduate and be able to perform incontinence and catheter care for themselves. For others, if we see concerning signs (fever, flank pain, acute confusion, little/no output, severe leak/bypass), we can coordinate with your provider or direct you to urgent care/ED as appropriate.

What People Looking for Catheter and Incontinence Home Care Search to Find Us

People in our area commonly search: “catheter care at home,” “urinary catheter home care,” “catheter change at home,” “catheter irrigation at home,” “home health nurse catheter care,” “RN catheter care home visit,” “urology nurse home visit,” “catheter removal at home appointment,” “catheter home care near me,”  and “24/7 catheter home care."

We designed this service page so those searches lead you to practical help—not a maze.
 

Sources

1.     Agency for Healthcare Research and Quality (AHRQ).
https://www.ahrq.gov
Accessed September 2025.

2.     Centers for Disease Control and Prevention (CDC). Guidelines for Prevention of Catheter-Associated Urinary Tract Infections.
https://www.cdc.gov/infectioncontrol/guidelines/cauti
Accessed September 2025.

3.     Centers for Disease Control and Prevention (CDC). 2023 National and State Healthcare-Associated Infections Progress Report.
https://www.cdc.gov/hai/data/archive/2023-HAI-progress-report.html
Accessed September 2025.

4.     Maryland Health Care Commission. Hospital Licensed Bed Capacity Reports.
https://mhcc.maryland.gov/mhcc/pages/hcfs/hcfs_hospital/documents/hospital_beds
Accessed September 2025.

5.     U.S. Census Bureau. Montgomery County, MD – Demographic & Aging Data.
https://www.census.gov/quickfacts/fact/table/montgomerycountymaryland
Accessed September 2025.

6.     University of Maryland Capital Region Health. Hospital Services & Capacity.
https://www.umms.org/capital
Accessed September 2025.

7.     U.S. Census Bureau. Prince George’s County, MD – Population & Age Statistics.
https://www.census.gov/quickfacts/fact/table/princegeorgescountymaryland
Accessed September 2025.

8.     Johns Hopkins Medicine. Howard County General Hospital Overview.
https://www.hopkinsmedicine.org/howard_county_general_hospital
Accessed September 2025.

9.     U.S. Census Bureau. Howard County, MD – Population & Age Statistics.
https://www.census.gov/quickfacts/fact/table/howardcountymaryland
Accessed September 2025.

10. Frederick Health. Hospital Services & Community Impact.
https://www.frederickhealth.org
Accessed September 2025.

11. District of Columbia Hospital Association. Member Hospitals in Washington, D.C.
https://www.dcha.org
Accessed September 2025.

12. Inova Health System. Inova Fairfax Medical Campus.
https://www.inova.org/locations/inova-fairfax-hospital
Accessed September 2025.

13. U.S. Census Bureau. Fairfax County, VA – Population & Age Statistics.
https://www.census.gov/quickfacts/fact/table/fairfaxcountyvirginia
Accessed September 2025.

14. Arlington County Government. Aging & Disability Services Data.
https://www.arlingtonva.us
Accessed September 2025.

15. Maryland Department of Planning. State and County Population Projections, 2023–2024.
https://planning.maryland.gov
Accessed September 2025.

16. Agency for Healthcare Research and Quality (AHRQ). Catheter Care Best Practices.
https://www.ahrq.gov/hai/cauti-prevention
Accessed September 2025.