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Duramorph and foley removal...

Ob/Gyn   (2,751 Views | 6 Replies)

shortstuff31117 specializes in OB.

5,856 Profile Views; 171 Posts

Just curious what you guys are doing. It used to be that we would leave the foley in for 24 hours if the patient had duramorph. About 2 years ago we got a new group of anesthesiologists, and they said it was unecessary, and once the patient was up moving around well, we could pull it out. I now generally pull mine as soon as they are up, it seems to keep them from laying in bed forever. I haven't had any issues, but I have a few coworkers who are still scared to pull them before 24 hours, for fear that they won't be able to pee and will have to be re-cathed.

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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,560 Posts; 119,047 Profile Views

Dangling by 8 hours, walking by 12 hours, foley pulled once they were walking, usually also by 12 hours or so.

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Elvish is a BSN, DNP, RN, NP and specializes in Community, OB, Nursery.

3 Followers; 17 Articles; 5,259 Posts; 68,126 Profile Views

I have never had a c/s patient be unable to pee due to Duramorph in 6.5 years, and that's almost exclusively what our sections get. Our orders say to pull the foley in the AM on POD #1, regardless of what time mom was sectioned. If it was before, say, 1900, I'll pull her foley before nightshift is over. If it was after 1900, it depends. I might still pull it if her urine output is good and she's moving well. If not, I'll leave it for dayshift - it's easier for everyone that way. Average foley is in for about 12-18 hours.

Regardless, we'll still get her up dangling and/or in the chair.

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tablefor9 has 16 years experience as a RN and specializes in ICU, Home Health, Camp, Travel, L&D.

299 Posts; 5,284 Profile Views

Nursing judgement. We may pull foleys as early as 6 hrs postop, or as late as 24 hrs. Our docs write "may initiate 1st day orders between _______ and ________".

We aren't using duramorph right now, we're experiencing a shortage.

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44 Posts; 2,243 Profile Views

Nursing judgement. We may pull foleys as early as 6 hrs postop, or as late as 24 hrs. Our docs write "may initiate 1st day orders between _______ and ________".

We aren't using duramorph right now, we're experiencing a shortage.

Oh wow, where are you and how is that going? What are you doing instead?

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MomBabyUnitRN specializes in correctional, med/surg, postpartum, L&D,.

59 Posts; 2,976 Profile Views

Our foleys are to come out at no later than 12 hours post op. My patients hate it, but then again, it gets them up and moving which is good. I've never had a problem with any of them urinating with duramorph. It's just not necessary to leave the foley in unless you're dealing with PIH, HELLP and they're on Mag Sulfate and urine output is important.

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tablefor9 has 16 years experience as a RN and specializes in ICU, Home Health, Camp, Travel, L&D.

299 Posts; 5,284 Profile Views

Oh wow, where are you and how is that going? What are you doing instead?

PCA Morphine/Dilaudid postop

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