Foley placement BEFORE anesthesia?? - page 2

by jodyangel | 6,092 Views | 40 Comments

Ok where I'm working atm they put the foley in the mom BEFORE the spinal. Yeah in the triage room where she is waiting to go back for her csection. I think its crazy. I was use to placing the foley immediately after they laid... Read More


  1. 0
    Depends. If the patient requests, then post-spinal. Otherwise, before they hit the OR. I had one, it's not that bad. The trade-off, as I often explained to the patient, was privacy. If done in her room, it was me, her, and whoever of her family she wanted in the room with a door that stayed firmly closed. If done in the OR, it was her, me, anesthesiologist (usually male), CRNA (often male), sometimes the NICU team (with occassional males) and no way to screen her from view. Also, I'd usually have a doctor there tapping their foot while I tried to do it as quickly as possible. I didn't care either way, I'm happy to do it in the OR.
  2. 0
    Where I use to work, from 2001 to 2005, for the first few years pre-op put in the foley for scheduled c/sections. . Finally, thank goodness, the chief OB attending was made aware, the unwritten policy was changed, and OR was putting the foleys.


    I didn't mind doing it, it is good to keep up all of one's skills, however the moms hated it more than the IV.
  3. 0
    I've had two C/Sections. One for Fetal Distress, the Foley was in but, I had already been given a spinal narcotic. So, no pain.

    The second, was a scheduled C/Section for a complete placenta previa (Nurses are so lucky). This was at a different hospital and they put the Foley in me before giving me anesthesia. It hurt...a lot...

    EBP-Is there any reason to put the Foley in before surgery?
  4. 0
    I've had 2 C/S. My OB placed the foley both times in the OR after I had a spinal. I didn't care who saw me, so privacy wasn't an issue. I just wanted baby out.
  5. 0
    Well, I don't know about C/S, but I just had a colon resection (genetic colon cancer, caught very early, resection was all that was needed, no chemo or colostomey), and they didn't put the foley in until until after I was unconscious, for which I am very grateful.
  6. 0
    Seems like its scut work that doc wants to push to a nurse. Thing is, in the OR or surg procedure area, they will get what they want. So if they just want to cut, clip, write the note, and move on, they will streamline. Its a surgical mentality though...when they are cutting, they feel that they should get what they want. If not done before, they will be a pain to whoever is functioning as circulator.

    Personally, it's nice to be numb when people are doing stuff to you like that. On the other hand, epidurals never worked on me anyway.

    Shoot, I don't even fly without some sedation--mostly cause I hate long flights.
  7. 0
    Quote from samadams8
    Seems like its scut work that doc wants to push to a nurse.
    I'm confused by this statement. Foley placement *is* a nurse task, regardless of where/when it's done. When it's done in the OR, it's not done by the physician, it's usually done by the circulating nurse as soon as she is lying down after spinal placement.
  8. 0
    I've never seen a foley inserted preop! As soon as we lie her down for the spinal we put in the foley, the grounding pad for the bovine machine, the venodyne boots....all whelp anesthesia is testing her level so really no time is "wasted". The circulator, charge RN, baby RN, and OB resident are usually all in the OR at this time (and usually all female) so we just work together and divvy up the tasks. I'm sure most women will sacrifice privacy in exchange for comfort.
    For non-scheduled C/S, everyone almost always has a foley since we put in an indwelling after epidural, and if its arrest of descent, we put the foley back in in the LDR.
  9. 0
    Quote from dariah
    I've never seen a foley inserted preop! As soon as we lie her down for the spinal we put in the foley, the grounding pad for the bovine machine, the venodyne boots....all whelp anesthesia is testing her level so really no time is "wasted". The circulator, charge RN, baby RN, and OB resident are usually all in the OR at this time (and usually all female) so we just work together and divvy up the tasks. I'm sure most women will sacrifice privacy in exchange for comfort.
    For non-scheduled C/S, everyone almost always has a foley since we put in an indwelling after epidural, and if its arrest of descent, we put the foley back in in the LDR.
    You have a charge, baby and circulator? Wow! We have 2 nurses during delivery. The rest of the time...there may only be 1 RN. The nurse that was assigned to mom is the one responsible for mom and baby and room. Sorry to get off topic.

    We do foley before in many cases and after in a few. It depends in what is going on.
  10. 0
    We have 3 RNs for every CS--scrub, circulate and patient care (assists anesthetist and recovers patient). It's lovely.


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