We recently began fast tracking total joints at our hospital. Patients receiving total joint surgery and spinal anesthesia will no longer have Foley catheters inserted in the OR. What evidence based practices or practices at all are you doing in your recovery room/PACU for these patients to treat and prevent POUR?
We moved your thread to the PACU forum for the best response.
For inpatients we make sure the spinal is resolving, sensation to the toes and able to move feet. Depending on the length of surgery/fluids given we may do a bladder scan and PRN straight cath depending on the results.
Outpatients need to void prior to discharge.