Hello, all my wonderful colleagues. I wanted to ask some of you a question. Why would I need to disconnect a one-way Foley to instill normal saline into the bladder for an ultrasound as opposed to just clamping off catheter tube and waiting for the bladder to fill on its own?
I was wondering why do this just for convenience of the ultrasound technician? Is there something I don't know that I should? If I am wrong, please tell me. I'm not very experienced (2 years experience) and haven't seen a lot. So, if I'm wrong, please tell me. I won't be offended. Here's the scenario.
One of my co-workers had a pt. that was supposed to have an ultrasound of the bladder done. I guess she forgot to clamp the catheter before the ultrasound tech came up or didn't know the patient was supposed to have one. Well, when the ultrasound tech got there he stopped me and asked me about the patient. I went in and saw that she had the foley and proceeded to clamp it. He was like, "I am getting ready to go home, I won't have time to wait for her bladder to fill up. They usually just put about 300 ccs of saline in the bladder." Since that was something I had never heard of or was never taught to do, I went and asked my co-worker about it. She told me to just put sterile saline in through the foley. I told her that the patient didn't have a 3-way foley, so how would I do it. She told me to just disconnect the drainage tube from the cathether and instill it.
Now, I was reluctant to do such a thing for two reasons. One reason was because the patient was unresponsive. The other reason, the MAIN reason was because I felt that was a big way to introduce pathogens to the urinary tract very easily. For liability reasons, I refused to do that and clamped the tube and told the US tech he would have to just wait. Do you all think I did the right thing? I mean, I would be liable if she got a urinary tract infection as a result right? And I didn't have a doctor's order to do so.
I just really felt that it would put the patient at risk for infection just for the convenience of the US tech. There was another tech coming in to relieve him. I didn't see why do that when the oncoming tech could come and do it when the bladder was full. If it had off been a 3-way, i would have had no problem doing it. But since this was a one way, I was scared. Should I have been? Please, your input is needed. Thanx to all who reply.