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if patient/carer cannot do this, refer to community nurses for dressing changes Apply and change body-worn belt as required Apply night bags each evening for overnight urine drainage Empty leg bag when two-thirds/three-quarters full Open and close drainage tap on catheter bag for emptying Recognise signs/symptoms of catheter-related/wound infections Re-order supplies Ensure patients also: Know how to contact community nurses Understand plan of follow-up care Post-discharge follow-up Arrange community nurse referral for nephrostomy care and wound care Advise patient nephrostomies should be changed every three months and to plan appointments with referring team Advise patient to contact treating team/GP if not heard about follow-up appointment Source: Dougherty and Lister (2015) Conclusion The nephrostomy tube offers alternative access to the kidney where a retrograde stent is not possible

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