what do they mean? ....bladder training???

  1. I worked in a SNF before coming to med surg. Bladder training then consisted of taking someone to bathroom every 2-3 hours during the night/day.

    Yesterday, on med surg unit, I was told a patient of mine was on bladder training. He had his f/c taken out. I was wondering how in the world I was going to get this man OOB as he is big and heavy and he is verrrrryyyy incontinent of BM and urine. Needless to say, I was not successful lastnight.

    When I went to give report, the seasoned nurses informed me that he wasn't on bladder training anymore because he doesn't have his f/c in any longer. They said you have to clamp the catheter, etc, etc. I was thinking, "What in the HECK are you all talking about." "I have never heard such a thing." I am serious.

    I've heard on I&O caths and residual caths, but never this. I was embarrassed. I've looked it up but cannot find much on this at all. Can someone please share with me how you bladder train someone with a f/c in.

    Thanks. :uhoh21:
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    About Shell5

    Joined: Dec '04; Posts: 199; Likes: 40
    RN; from US
    Specialty: 13 year(s) of experience in Med Surg/Tele/Ortho/Psych

    3 Comments

  3. by   athena55
    Hello Shell5:
    First off, don't be embarrassed that you didn't know a technique. At least you are being honest to yourself in admitting that there is something that you don't know, smile.
    Usually, when a patient has had a catheter in place for an extended period of time, before removing or D/C'ing the cath you would like to have the bladder regain some muscle tonus or tone. To do that you would clamp the foley cath for 2-4 hours, release the clamp and note how much urine is returned into the foley bag. Some hospital policy can be a bit different from others. Mine (policy) would be to clamp for an additional 4-6 hours, release clamp, note how much urine is returned, then gradually increase the hours between clamping. Hopefully, the patient can tolerate the foley being clamped for up to 8 hours without distress, pain etc.
    Some institutions would have you clamp the foley 24-48 hours intermittently, then remove said foley. Again, hoping that the patient will be able to void spontaneously without residuals or retention of urine causing discomfort.
    I need to leave but I will see if I can find something written and send you either the text or the web page.
    And please, don't be SO hard on yourself. Learning is a constant.
    Last edit by athena55 on Sep 16, '06 : Reason: I forgot to spell check!
  4. by   CHATSDALE
    agree with athena, we would clamp catherter also so that the patient would become use to having urine in bladder after it was being empty p a catherter had been draining for some time

    however that ws no excuse for oncoming to be rude...
  5. by   Shell5
    Thanks, I think I understand now. I just never heard of it.

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