Latest Comments by Pplexed

Pplexed 591 Views

Joined May 13, '10. Posts: 4 (0% Liked)

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    Quote from 4theBetterGetter
    I think it is a reasonable request ...one less UTI for him........just curious, why do you all cath. for scopes?
    We normally do not cath for a colonoscopy, however this individual is incontinent, hence hospital policy states to cath under such conditions. I agree that a brief or chux should be used, at all phases of the procedure pre and post. Basically, what are your procedures for dealing with incontint PT's? PS Yes the pt is male.

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    I am not worried per se about cleaning up pee, but rather being chewed out by the doctor for taking too much time in prepping (extra clean-up) for the next Pt, or not following policy, which is a grey area.

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    Patient requesting to use adult briefs during colonoscopy, rather than cath?

    A patient made a request today, that they be allowed to use adult briefs during and after a colonoscopy, rather than being catherized. The PT was recently diagnosed with MS, and is completely bowel and bladder incontinent. In terms of a cognative capacity, the PT was extremely intelligent (former med student, until MS diagnosis). The PT stated that due to the fact they have a solitary kidney, they should not be cathed in any capacity for any procedure as it exaserbates infection, and have the right to refuse any aspect of treatment. What are the thoughts on this? What is your current policy when dealing with incontinent patients, procedures, and catheterization? Unfortunately, what complicated matters, is that this individual was training to be a doctor and was telling me what to do and how to do it. To me such a request does not matter, however I do not want to be cleaning up urine after an exam if briefs or a cath is not used.

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    A patient made a request today, that they be allowed to use adult briefs during and after a colonoscopy, rather than being catherized. The PT was recently diagnosed with MS, and is completely bowel and bladder incontinent. In terms of a cognative capacity, the PT was extremely intelligent (former med student, until MS diagnosis). The PT stated that due to the fact they have a solitary kidney, they should not be cathed in any capacity for any procedure as it exaserbates infection, and have the right to refuse any aspect of treatment. What are the thoughts on this? What is your current policy when dealing with incontinent patients, procedures, and catheterization? Unfortunately, what complicated matters, is that this individual was training to be a doctor and was telling me what to do and how to do it. To me such a request does not matter, however I do not want to be cleaning up urine after an exam if briefs or a cath is not used.



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