The other day the doctor ordered a pt.'s Foley changed out. I didn't feel good about it going in, because the last time the Foley was placed the urologist had to do it. Also, the pt. had been confused and had pulled it out three times before. It was a struggle to get it in and when I finally did, there was A LOT of blood (this is a heme unit). I just can't stop feeling horrible about injuring this patient and I can't get the picture out of mind of the blood coming out of his urethra.
It is most facilities P&P to change a Foley every 30 days. You gotta get over that fear about talking to jerky doctors especially when it is a safety issue with a patient.
Chances are that if a urologist did come and place the Foley he would still be having hematuria. Sometimes there is just nothing you can do to avoid it.
I just now realized you are a student which really helps explain why you are beating yourself up so much. When we start out in nursing we are focused on helping people so much that whenever you have to cause pain to a patient it makes you feel like a scumbag. You changing the Foley caused the patient to have some temporary discomfort and some bloody urine. If you had not changed it the patient could have developed an urinary tract or bladder infection or even worse his next Foley change would have to be done in the OR when they surgically remove it.
You are also going to have to learn to leave work issues at work. You can't make it in nursing when you go home and obsess over what happened during your last shift.
Last edit by JRD2002 on Feb 19, '10