Foley Cath Insertion - page 3
I work in a Med-Surg ICU and I got a septic patient refusing foley cath. I thought ethically I could not insert it due to his refusal and patient is AOX4. Now, nurses in my place argues it is part of... Read More
Nov 4, '16Quote from sjalvI don't really care what the CDC says.
Especially when it, as a federal bureaucracy, makes broad swathe proclamations about ubiquitous devices employed in an infinite number of applications. Wonder what they'd say about shoving a foley up someone's nose to stop a bleed?
Nov 5, '16Quote from Julius SeizureYes, it should. The delivery of healthcare is guided by science and not convenience. Again, these are guidelines and in a critical care setting we look at each patient individually.Granted, who does and does not need a foley is not always a black and white issue, and there are cases that could go either way as far as if they get a catheter or not, or if it stays in more than 48 hours.
But its phrases like this that bother me.
Evidence SHOULD guide our practice.
I worked as a nurse at a magnet facility where foley discontinuation was a nursing driven policy based on guidelines, but common sense was omitted. An example...a trauma patient who was to undergo multiple surgical interventions. Per the guideline the bedside nurse was removing foley next day post op only to have the patient be re-inerted the next day for an additional surgery and so on and so on.
Nov 30, '16Quote from BSN16I've seen quite a few, especially males that we can use condom caths on.lol exactly, i have never once seen a intubated/sedated pt w/o a foley.
We have even purchased 4 new scales for our units so we can weigh our chux in cases of incontinence. Foleys are nearly verboten and we take them out every chance we can. Less than 20% of our 24-bed MICU has a Foley at any given time. And yes, our CAUTI rate has dropped significantly, obviously.