Urinary Catheters - page 2

by Donrn

8,865 Unique Views | 15 Comments

:eek: :eek: Does anyone know where I can find the standard of nursing practice for clamping catheter's for bladder training. Is there a standard or is this considered an infection control issue and not a standard of practice.... Read More


  1. 0
    Originally posted by lpnga
    your welcome...what should I have typed?...good luck finding what you need...
    Urinary catheter.

    Both the rehab Docs and the urologists in my area abandoned clamping foleys for bladder retraining a long time ago...the reason given was that it is not really effective and is more apt to cause a UTI
  2. 1
    Originally posted by kids-r-fun
    Urinary catheter.

    Both the rehab Docs and the urologists in my area abandoned clamping foleys for bladder retraining a long time ago...the reason given was that it is not really effective and is more apt to cause a UTI
    Ditto .... physiatrists and urologists in my area would agree clamping foleys for bladder training went out of practice decades ago.
    Bladder retraining success really depends on bladder function. Before considering bladder training the patient would benefit from urodynamics testing and a cysto, if following testing the urologist thinks retraining is feasible. Remove the indwelling catheter, measure patient's voided volume, check post void residual by intermittent catheterization, if patient has not voided 4-hours after removing indwelling, do an intermittent catheterizations q4-6hr prn
    The goal in bladder training is for patient to void volumes of 300-400mls every 4hours and have post void residuals of <100mls.
    Marni weiss likes this.
  3. 0
    Hi disher - good response but we tend to use a bladder scanner to test for residual volumes.

    Re clamping IDC's

    I have been clamping catheters for years to stop the "catheter related urgency" problem that often comes up you KNOW the one -
    "Iwant to do a wee"
    "You have a catheter"
    "I wnat to do a wee"
    "You have a CATHeter it drains it for you"
    "Iwant to do a wee"
    and so on.

    I clamp but only to fill the bladder to 50 - 100 mls (about 1/2 - 1 hour) This is no more than would happen if the catheter airlocked and didn't drain for a short while. It reinflates the bladder away from the catheter tip and stops the urgency. I usually only have to do this once, occasionally twice but after that the urgency settles and even agitated confused patients settle.
  4. 0
    Haven't clamped for years.
  5. 0
    Just had an order last week to clamp for 2 hours on and 2 off for bladder retraining. I was interested to learn from other posters that this is outdated. Very interesting. I will check with the clinical nurse specialist to see if this policy needs review. Thanks for the great info you guys.
  6. 0
    [QUOTE=Rapheal;413743]Just had an order last week to clamp for 2 hours on and 2 off for bladder retraining. I was interested to learn from other posters that this is outdated. Very interesting. I will check with the clinical nurse specialist to see if this policy needs review. Thanks for the great info you guys. [


    I would appreciate a description for a RUSTY nurse : the cath sample of a female patient with an indwelling cath.


Top