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I had a urologist recommend placing a foley on a patient due to neurogenic bladder and bilateral hydronephrosis. Attending doc was notified of this and placed an order to insert foley— however, she was able to urinate on her own all throughout the shift and the bladder scan roughly an hour before the order was placed had shown 0mL. I asked the charge nurse about this as I was unsure about placing the foley since a) bladder scan showed 0mL and b) the patient has been able to void on her own all day despite the aforementioned conditions, and charge nurse said it was due to the neurogenic bladder. Any nurses (or maybe urologists floating around here) able to offer insight on this? I ended up attempting to place the foley (unable to successfully do so) however have gotten off work and realizing maybe I should've asked urologist for clarification....
FolksBtrippin, BSN, RN
2,320 Posts
Calling to question a foley for a patient who is voiding on her own with 0 mL post void is a legitimate call, not at all like what's your favorite color. That should be obvious from the comments here. Leaving without placing the foley and not communicating concerns is the problem behavior here.