This has happened a couple times the past few weeks in our unit and everyone seems to have a different answer. So, I thought I would post the question here to see what my allnurses.com sibs think...Here is the question/problem:
A person self catherizes at home because for whatever reason he/she can't void on their own. That person comes to the hospital and admitted for some reason. I know that most people who self catherize at home use the same red rubber straight cath multiple times before getting a new one. The theory is when they are in their own home their body "gets use to" their home environment. Now this pt is in the hospital and needs cathed several times daily. Do you get a new straight cath everytime they need to cath (up to 4 or 5 days daily), let them use the same one over and over like they do at home, or do you anchor a foley? If the pt is in the hospital for several days, the costs of a new cath every time would get expensive. And with the high risk of an UTI with an anchored foley, that can get expensive for the pt and cause a lot of discomfort. So, what do you do?