At the LTAC that I work at, it has become the trend to DC foleys on everyone, including those patients that should always have foleys. Their reasoning for this is that it has something to do with preventing UTIs. I questioned the reasoning behind taking a foley out of a patient that, because of an unfortunate accident, doesn't have a normal urethra and has no way to ask for a bedpan. This patient is a feed, so really can't hit the call lite nor even feel the urge to urinate so utimately is wet a lot. I had the UTI statement thrown at me, and I made the statement that I thought it was undignified to expect this patient to lay in a wet bed, and reiterrated that both nurses and CNAs are extremely busy and can't possibly keep this patient constantly dry. Course, their reply was "yes you can." Whatever. I would like to see the ones that made that statement work the twelve hour shift that I just put in and see if they had time to change someone in a timely manner. I was so busy running up and down the hall for PRN pain meds that I hardly had time for anything else, let alone fluffing and puffing my patients. I guess I'm whining but the last two days were so tiresome both physically and mentally.
So what are the policies in other places and does anyone know the statistics of UTIs vs foleys. (I know, I could look it up, but I'm too tired.) Thanks for letting me vent.
Wishing our facility had our own Narcotics Anonymous,