Help with bladder Programs!

cpnegrad07 · Sep 20, 2010

Hello all! I am currently serving as clinical educator in an inpatient rehab hospital. I want to develop an effective bladder program, but am having trouble with therapist buy-in. Any ideas on how you guys do this in your facilities? How is your bladder program set up? How do therapists know to toilet patients? Thanks for any input!

I'm not ignoring you; i'm waiting to see what other people write. Since they haven't, here is what we do: I'm an RN and we follow the program prescribed by the doctors. Usually it is PVR after each void and cath if >125 or so. This goes on for a week or more and, when the pt seems to be emptying each time, the PVR just gets ignored. In other cases, the order is straight cath (IC) every 4 or 6 hours. Or it might be 'freq. toileting', which means every 2 hours.

What i want to know is what problem are you having with the therapists not buying in?

Also, i would like to see us have meetings or gatherings with the OT/PT/RT people to get their perspective and education. We never have and i really don't know where they are coming from on these and other issues. But there is definitely a divide between us, kind of a 'necessary evil' attitude both ways.

TexasJiffy · Sep 20, 2010

Our therapists state that they would be "more tha willing" to help if they only knew when to toilet patients. we tell them, but it seems that they can never toilet the patient, or never let the nurse know the outcome! I am trying to manage incontinence and control SNF discharges related to this! I would like to develop a program that works for all involved, but my nubmer one concern is of course the patient!