Scope of practice - page 3
Hi there.. I have a few questions in regards to foleys. First, is it true that it will no longer be in the scope of practice for RN's to insert a male foley due to the high risk of rupturing the... Read More
Nov 15, '06Quote from SMK1It's a good question. I have not received an answer either. Like someone said, there is a lot of misinformation that goes on in nursing with some professors obviously not keeping up with the ever changing world of medicine. However, my clinical instructor said that it's our hospitals protocol that the doctors are the ones who insert the male foleys. As to why..it has to do with the bladder which I originally thought was the prostate and that's the answer I got. I am sure at some point in my career I will learn from someone, as we are always learning in nursing.So is the fear due to the postioning of the bladder in the male anatomy? I know you need to insert it quite a few more inches on a male that you would on a female but I am still not getting the "why" and "how" for making this a risky procedure....
Nov 15, '06It's the prostate. I guess they think we aren't competent enough to know not to inflate the balloon until after we pass the prostate.
I wonder how often this has happened? I mean, it's obvious when we get to the prostate, and obvious once we pass it.
Nov 15, '06Maybe they think we will puncture the bladder? but seriously, once it is in the urine starts flowing and you know to stop advancing the catheter. (and wouldn't we hav this same issue with females?) THe only other thing I could think of is that maybe people are blowing up the balloon (in foley caths)too early in the males because the urethra is much longer than in females, and not getting all the way into the bladder and causing trauma to the urethra. Honestly though, how is an MD going to be any better at this? Interesting discussion. I wonder if there is any research on this subject to support the idea that MDs have a better outcome, or if it is just a liability thing?