We have a pt with chronic blockage in his foley, they doc ordered irrigations 3 times a day- OK. Someone from supplies complained that the staff was using too much supplies for this, so the doc tells the nursing staff on the unit that they need not do the irrigation using sterile technique- the 60cc syringe can be kept in a cup between uses and reused( change once a week), and they can use a one liter bag of saline till its finished, and just clamp it between uses.
This goes against all the training we received. Yet the doc insists its OK.
Am I old-fashioned to expect the irrigation of a foley to be done with sterile equipment?
Also, what do you use to clean the area before inserting the foley (esp when collecting urine for C&S)?
Thanks
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