Published
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.
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.
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.
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?
NeuroORRN
9 Posts
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...