Published
Low Intermittent Suction.
And yes, we had a case like that not too long ago. The RN questioned the order and was given the rationale. The order was carried out.
Personally, that order scared the crap out of me and I was selfishly glad that it wasn't my patient. I suppose with CBI running as well, it would be hard to cause damage, but still....
Unlike GI tubes, Foley catheters usually only have one drainage hole, so on suction that hole would be likely to suck against the wall of the bladder, not allowing it to drain. Also, Unlike the lining of the stomach, the wall of the bladder is fragile, even on LIS a foley could damage the bladder particularly since there are no other drainage holes to vent the suction through when it gets stuck up against the bladder wall.
myk_RN
38 Posts
A few weeks ago, a patient in our Medical Surgical floor had a cystoscopy and TURP done. He came back to the floor with CBI orders from the Urologist. He was on CBI for a couple of days and one morning, the Urologist ordered "Foley to LIS".
All the RN's on the floor were dumbfounded because none of use had ever come across a doctors order like that. Even the old time RN's with 30+ years of experience.
Charge nurse called MD and he said "if we don't want to follow his orders, we can transfer the patient to the Surgical floor because they do that there". Charge nurse called the Surgical ward and found out that in fact, they had done Foley to LIS before, following the same urologists' order. Attending physician was notified of the request by Uro to transfer his patient to Surgical. The attending physician also questioned the uro's order.
The incident was forwarded to our hospital's risk manager and it was verified that the "Foley to LIS" order wasn't safe and shouldn't be done.
So had anyone here ever encountered a similar order?