Foley Catheter Removal for SCIP Core MeasureRegister Today!
- by NurseAnnie123 Dec 13, '11I work for a small facility, and we are having a problem with the SCIP Core Measure regarding foley catheter removal. According to this Core Measure, foley catheters on surgical patients are to be removed by the end of POD #2 unless the MD documents a reason to leave it (or unless the patient is in ICU on diuretics). What processes has your facility put into place to improve your scores in this area??
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- Dec 13, '11 by UpinawayRNLoud sticker on front of charts help, as does the chart "checkers" routinely checking through to make sure forms are carried out. I think they also just started changing the color of scip pt charts. Religiously dating foleys also.
- Dec 13, '11 by DutchRN09Stickers in the chart, the DR has to sign QD if Foley stays in
- Dec 13, '11 by Flo.We have the foley police at work. They will call the RN, MD, PA etc until the foley is removed or a proper reason is charted. We have computerized charting so they can watch from any where. But the thing that helped the most is standardized orders. 90%of our foleys are removed POD1 or documented otherwise.
- Dec 13, '11 by Sewbusy~RNWe also put stickers in charts, bright orange labels on the foley bags and on the front of the Kardex. In addition, foley removal is now a nursing judgement where I work, but we don't touch them without an order if it is a neuro or GU patient, and a few other situations.
- Dec 13, '11 by noyesnoWe have the "foley police," they enforce foley violations by calling the nurse over and over again until the foley comes out.
Ours have to come out by POD #1.
- Dec 13, '11 by sapphire18We don't even have the "in ICU on diuretics exception"...it's supposed to be out by the end of POD#2 no matter what (unless MD documents a reason that it needs to be left in), but honestly most of our pts have their foleys in for their whole ICU stay for the reason of accurate I&Os. It's impossible to document accurate output for an incontinent pt, which most of them are. Or bedpans that end up spilling, etc. When I worked on a step-down unit though, we removed most of our pt's foleys and accurate I&Os were usually less of an issue; pts were on much less IVFs/drips.
- Dec 13, '11 by beckster_01At my facility I consider it a nursing responsibility to evaluate if a foley is appropriate. If I don't see a clear indication (lasix gtt or needing strict, accurate I&O's are the only exceptions), I get an order to pull it. We do have foley police as well, they just go through the charts and make sure that the order specifies why the foley is still in if it is clinically indicated.