Foley

Published

  1. Is the foley secured to the patient before the case starts?

    • 2
      yes
    • 5
      no

  2. If you answered no, is it secured to the table?

    • 3
      yes
    • 4
      no

7 members have participated

Specializes in RN, CNOR, Neuro crani/spine.

In my OR, I've been noticing our nurses do not use the foley secure during the case.  And I'm wondering what everyone else does...

Up Vote Up Vote ×
Specializes in OR, Nursing Professional Development.

Typically we place the foley under the leg. We are using so few these days that the surgeries we do use them in require the area where they'd be secured to be prepped in/positioning manipulation that could put strain on it if secured or the foley is placed by the surgeon as part of the procedure.

Up Vote Up Vote ×
Specializes in RN, CNOR, Neuro crani/spine.

My cases are really long, 4+ hours usually.  The legs are never prepped in.  I'm extremely worried about strain without the foley secure. 

Up Vote Up Vote ×
Specializes in Operating room, ER, Home Health.

I place it under the knee with some slack between the 2 body parts. Have never had an issue with the foley pulling tight. 

Up Vote Up Vote ×
Specializes in RN, CNOR, Neuro crani/spine.

How would one defend that in court?

Up Vote Up Vote ×
Specializes in Operating room, ER, Home Health.

No difference then if using a secure strap.  No difference then positioning. Chart how it’s placed along with what it’s like at the end of the case. 

Up Vote Up Vote ×
Specializes in ICU, Trauma, CCT,Emergency, Flight, OR Nursing.

If the patient is supine and there is no surgery being done on their legs etc, then I secure it with a stat lock on their thigh . Many of my patients are prone, so in that case the bag itself is secured to the bed and any dependent loops of hose are secured in such a way to ensure immediate drainage of urine into the bag. We specifically check that there is no pressure on the genitals or obstruction of the foley system once the patient is in the correct position.

1
Up Vote Up Vote ×

Hi @NeuroORRN are there particular cases when the statlock is/isn't used?  I'm on a mission to figure out best practice for foley stabilization for prone patients on a jackson table.  I'd like to know your thoughts.

 

Up Vote Up Vote ×
Specializes in RN, CNOR, Neuro crani/spine.

Sadly, it is NOT used in prone cases that I relieve in (I work 2nd shift, usually do not start cases).  Honestly, it isn't used at all in my neuro service, and then is put on at the end of the case before discharging to PACU.  When patients are prone, the circ will tape the foley tubing to the side of the table.  I will continue to ask, how will you (the RN) defend this in court?

 

Up Vote Up Vote ×
+ Join the Discussion