Haematuria post female catheterisation

[Blueberries]

Hello,

i inserted a catheter on my patient (female). Missed the first time but was successful with a second attempt. Clear, straw coloured urine drained immediately, and continued to drain for the rest of the shift.

the following day there was significant haematuria. The patient was moved before I was able to establish what caused it....

I'm terrified it was me that caused it but just can't understand how... I've done them so many times before, and I don't remember coming across any resistance when inserting.

The patient was 80, admitted with pneumonia. History of asthma.

Could it be anything else???

thank you :

[Libby1987]

The following day? Trauma post catheterization?

[meanmaryjean, DNP, RN]

Your catheterization did not cause her hematuria. Something else did.

[mrsboots87]

I would think that if your catheterization procedure caused her hematuria that the blood would have presented either immediately or very shortly after. Since it was a whole day, it seems likely that the hematuria was unrelated to your catheter insertion.

[Here.I.Stand, BSN, RN]

A whole day later, I'm sure you did nothing wrong. If she doesn't have any bladder pathology, I'd guess that the catheter accidentally got tugged on and caused the bleeding. Is she on anticoagulants? That would increase the bleeding.

[Esme12, ASN, BSN, RN]

Sepsis....UTI....kidney disease...a whole bunch more....I don't believe it was the cath

[nurseprnRN, BSN, RN]

I'm guessing she (or something) yanked on the Foley and caused some internal trauma. You didn't do this.

[Karou]

If it were bleeding caused by the trauma of catheter insertion then you would have noticed blood sooner than the next day. It probably got pulled /yanked on either by the patient or accidentally during movement.

[sallyrnrrt, ADN, RN]

was she on anticoagulants?