I feel like a real DIRTBAG! - page 4

Ok I have to confess; I may be an experienced nurse but nearly missed something HUGE last night. It was a busier-than H@ll night last night; you know the kind. When you feel badly cause NONE of your... Read More

  1. by   BETSRN
    The very full bladder can fool you. It can feel like a perfectly firm fundus. I had one myself the other night. I cathed her for 1400 cc's. Always go up and over to one side and you will probably find that fundus highly displaced. Always assume you have a full bladder. Don't feel bad that you missed that. It'sa common oversight.
  2. by   kmrmom42
    [QUOTE=mark_LD_RN] I do the same thing with the cath i give ones like that every opportunity to void before i cath them, because i just hate to do it and inflict any pain. but i know it has to be done.

    When I first started in OB I used to do the same thing. I hated the thought of having to cath a postpartum Mom. So, I waited a lot and tried lots of other tricks before finally resorting to the catheter. Well, one day I waited too long....by the time I cathed the woman she had about 1500 cc's. I felt badly but not nearly as badly as when I returned the next day to find out that she had never been able to void on her own and had been discharged with a foley in! Wow. I was devastated. Now, at the least sign of inability to void after delivery I usually straight cath them. No more waiting for me. So far I have not regretted this change in my practice.
  3. by   SmilingBluEyes
    You guys all made me feel better. I do cath sooner rather than later now---having learned a valuable lesson indeed. That and having our bladder scanner is a WONDERFUL thing!
  4. by   tuppence
    Can I ask a dumb question? I noticed in a post earlier on this thread, someone mentioned that a patient couldn't get out of bed once her water broke. Is that standard, or are there certain circumstances that make that necessary? What is the reasoning behind it?

    I'm a little curious because I know I was allowed to get oob, but then no one believed me that my water had broken, so they were all operating under the assumption that it hadn't, until it eventually became obvious that it had. (Opps!) Actually I have another question about that... (starting a new thread)
  5. by   SmilingBluEyes
    We allow our patients to ambulate freely and often, as long as the baby and mom are fine and there is no epidural going. Now, if pitocin is being used, they have to be monitored continuously. But I do allow them to move from bed to chair or stand if they choose, with the monitors on. I believe moving about is HEALTHY and BENEFICIAL in uncomplicated labors.
  6. by   TracyB,RN
    We have a bladder scan on my unit (rehab)... It is AWESOME.... we have the only one in the hospital, so we occasionally get called to other floors to check a pt... It is a god-send.
  7. by   Mermaid4
    These things happen! And patients can fool you...You went through all the things that you should have while assessing her and then DID fix the problem..You are a great nurse and compassion is written all over your piece.....Take it easy on yourself.......Sounds like you took the time DESPITE the busy night, to take great care of your pt...