neurogenic bladder not a good reason to have a foley?

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i know especially in nursing homes patients must have a good reason or diagnosis that supports this patient needs a foley catheter like stage 3 pressure ulcer or maybe patient is quadraplegic. isnt neurogenic bladder a good reason to insert a foley catheter ? this patient has been treated for urosepsis before and we have to straight catheter him every 6 hours???? :bugeyes: :no: :eek::selfbonk::omy::anbd::grn::scrm:

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I would think it was a good reason but supposily there's less chance of infection straight cathing all the time than leaving foley in

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Specializes in LTC, assisted living, med-surg, psych.

What Miami NightNurse said.

Even using "clean" technique, performing in-and-out catheterization on a schedule has less chance of causing UTI and other GU tract infections than leaving a Foley in. It's a pain in the tush for us, but better for the patient in most cases.

In my own experience, almost every patient I've ever known who had an indwelling catheter also had problems with UTIs. The catheter itself is a foreign object that the body recognizes as an invader, causing irritation to the bladder and urethra, and of course any bug that attaches itself to the tubing is going to go straight up the GU tract no matter how careful we are with catheter care and changes.

I used to hate it when I had patients on q 4-6 hr straight caths, but they rarely developed infections, so it was worth it in the long run in terms of lower costs and comfort for the patient.

Just my two pence worth.

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Specializes in Nursing assistant.

Ditto to all:

Intermittent straight caths are less likely to cause UTI's...

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Ditto, ditto, ditto ...

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Specializes in Pediatrics.

We have a few neurogenic bladder pts where I work. And they are on q6 or q12 straight cath orders. Everyone is so hesistant to keep a foley in anymore.. We have these really cool cath kits that have the catheter inside a bag so you clean your area, insert the cath by pushing it up through this bag and then the urine goes into the bag. It is awesome. All self enclosed (kinda like in line suctioning).

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Specializes in Spinal Cord injuries, Emergency+EMS.
i know especially in nursing homes patients must have a good reason or diagnosis that supports this patient needs a foley catheter like stage 3 pressure ulcer or maybe patient is quadraplegic. isnt neurogenic bladder a good reason to insert a foley catheter ? this patient has been treated for urosepsis before and we have to straight catheter him every 6 hours???? :bugeyes: :no: :eek::selfbonk::omy::anbd::grn::scrm:

a history of urosepsis is a very good reason not to have an indwelling catheter giventhe hugely increased risk of uti with an indwelling catheter... simple as

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I've often thought the same thing. Listen to this one....

I have this pt. at clinical who has BPH with urine retention and they strait cath him q 8hr ..... Okay fine... BUT they RE USE the cath!!!! They wash it with warm soapy water....stick it in a bag and store it in the patient's dresser.... This seems a bit mid evil to me.. My instructer and I have confronted the facility multiple times on this issue, but they say it is their policy.... Im assuming its all related to budget... To prevent him from getting an infection they have him on Macrodantin 50mg daily. It seems to me it would be a lot easier for the patient and all if they would just use a sterile cath each time... But what do i know.. im "just" a student...ha :D

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Specializes in private duty/home health, med/surg.

Re-use of catheters for clean (not sterile) intermittent straight-cathing is fairly common. Ideally a brand-new one could be used every time but most insurance companies (even Medicare/Medicaid) won't pay for the expense.

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Specializes in Cardiac Telemetry, ED.
I've often thought the same thing. Listen to this one....

I have this pt. at clinical who has BPH with urine retention and they strait cath him q 8hr ..... Okay fine... BUT they RE USE the cath!!!! They wash it with warm soapy water....stick it in a bag and store it in the patient's dresser.... This seems a bit mid evil to me.. My instructer and I have confronted the facility multiple times on this issue, but they say it is their policy.... Im assuming its all related to budget... To prevent him from getting an infection they have him on Macrodantin 50mg daily. It seems to me it would be a lot easier for the patient and all if they would just use a sterile cath each time... But what do i know.. im "just" a student...ha :D

This isn't unusual at all. I had a patient once that did his own intermittent straight caths and reused the same catheter over and over.

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