Outpatient Surgery Disharge Criteria

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Do you make all of your outpatients void before discharge?

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No our patient's don't have to void.

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What kind of facility do you work in and how many patients do you average in a day?

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Specializes in Phase 2, Home Health.

Not all of them. Orthos, eyes, orals, vascular, and plastics do not have to void. Pretty much everyone else does. SDS unit in hospital which also covers endoscopy. Endos do not void either. About 40-50 cases a day and 30-40 discharge home same day.

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Specializes in Pedi.

Most of my surgeries have been outpatient and I don't recall ever having to void prior to being discharged. One of the more recent ones I had, they checked my BP, I stood up and walked directly out of the OR and took a train home.

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Specializes in Oncology.

Every outpatient procedure I've had I wake up and am all, "OMG, where's the bathroom?!??"

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Mostly ortho, podiatry, some plastics, ENT, endo I work at two centers one 6-15 cases a day the other 30+ cases a day.

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Specializes in SICU, trauma, neuro.

My experience is limited, but three of my kids have needed dental surgery. They were done at a freestanding surgery center affiliated w/ our Children's Hospital. They didn't make my kids void. Granted the procedures were under 2 hrs and I don't believe they had foleys in either. I think they just told us to call if they hadn't by the next day.

In nursing school we did clinicals in the PACU area of day surgery...that was some yrs ago, but I don't remember the pts having to void.

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Only our urology cases, and some (not all, depends on the surgeon) hernia patient's must void.

We did have a male patient s/p varicose vein stripping who ended up in ER after discharge because he couldn't void. So you never know. There certainly is some justification for the requirement in specific cases.

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Are you aware that ASPAN, the American Society of PeriAnesthesia Nursing, has standards to which to refer? Check them out.

Clinical Practice Frequently Asked Questions

Here's the specific one you asked about:

http://www.aspan.org/Clinical-Practice/FAQs#24

They specifically mention bladder scans, and attention to the reasons why many people shouldn't be expected to void, but why some really should.

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