So i have now seen this two times. One was someone else patient and then it happened to me. I had a confused pt who right before the start of my shift pull out his foley. After i got report i went to check on him and he was covered in blood. So I cleaned him up and looked to see how bad it was. Part of the problem was he was pulling at himself only making it worse. So I did my best in cleaning him on went on my way. But every time i check on him he was continuing to dribble blood and now covered himself in it. So i was hopping that it would stop and he would urinate so i would not have to reinsert. Well close to 8hrs later i called the Dr. and explained he not urinated and i was concerned about him pulling it out again, so i got soft wrist restraints. I felt horrible for having to do this but it really was for the best. OF course once i did it all that was coming out was blood!!!!!!!!! I felt so horrible, and i just kept checking him all night to make sure he was ok. Now when i think about what he did...i understand that there has to be trauma since the balloon was still inflated! But its so hard, i just wanted to hear others options on this.