when male patient pulls his foley out

[Ms.RN]

what do you guys usually do when a male patient pulls his foley out and he is bleeding where the foley is inserted?

[UM Review RN, ASN, RN]

It depends on the patient's needs and condition.

If the Foley needs reinsertion, we usually begin the process with a call to the doc for wrist restraints.

[LesMonsterRN, ADN, RN]

Call the doc.

[EmmaG, RN]

Depends. If the patient must have a foley, it needs to be replaced as soon as possible before edema from the trauma of his self-induced TURP makes it more difficult to pass the catheter. If the decision is to leave it out then you need to watch for signs of urinary retention because of the above (and clotting). In either case you need to watch for signs of infection and that the bleeding stops.

[NurseyBaby'05, BSN, RN]

Get stat orders for mittens and urology consult.

[sp1nter]

All I have to say is ouch

Collin

[Silverdragon102, BSN]

All I have to say is ouch

Collin

All I can say is tears to eyes never mind ouch

[Spidey's mom, ADN, BSN, RN]

Get stat orders for .. . . . urology consult.

Agree!

steph

[leslie :-D]

all i can do is cross my legs.

leslie

[Ms Kylee]

Had a patient who did this.. not once but twice..... Sure glad I wasn't on the team to put it back in...

[cmo421]

I knew all the guys would find this one horrible. Most time ,very little damage has been done. Clean the meatus,reinsert post haste if that is the plan. If not,ice might help reduce gross swelling. Close eye on I/O , and watch for distension, for at least 24 hrs, notify the doc and hope for the best. Sometimes,it is better to leave it out and clean up as needed if no diaper is possible. If they pull once, u bet they r gonna pull again, and mittens will only make then nuttier,,,lol they always get them off!

[suzy253, RN]

Get stat orders for mittens and urology consult.

Ditto!

This happens quite frequently with my elderly male population....a lot with dementia. Poor dears.