thehipcrip 3,994 Views
Joined: Dec 10, '09;
Posts: 118 (63% Liked)
; Likes: 288
I'm a bit taken aback to hear that some nurses are being taught that manual disimpaction is "too risky" or requires doctor's orders to perform. Although my experience is primarily in the spinal cord injury/damage population, I've always understood this to be a fairly standard practice and within the realm of the nurse's discretion.
Your supervisor exercised very poor judgment by insisting you perform a procedure that you've never done before on your own.
In addition to reducing the risk of infection, there are other advantages to using intermittent cathing (IC) instead of an indwelling:
-- It is much easier to get bladder control back after IC than it is after having a Foley. It's very common for those using a Foley, even for a brief period of time, to experience leakage and urgency for several days to several weeks after the Foley is removed. This is especially true if the individual has also been under general anesthesia.
--There is a chance of bladder shrinkage with the Foley, even if the Foley is only in place for a short time. (Shrinkage can be reduced by the use of anticholinergics.) IC will preserve bladder capacity.
--The Foley can cause painful bladder spasms, which won't occur with IC.
--If this lady will be getting up and around, it will be easier for her to manage that without being attached to a leg or overnight bag.
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