Patient requesting to use adult briefs during colonoscopy, rather than cath?

[Pplexed]

Patient requesting to use adult briefs during colonoscopy, rather than cath?

A patient made a request today, that they be allowed to use adult briefs during and after a colonoscopy, rather than being catherized. The PT was recently diagnosed with MS, and is completely bowel and bladder incontinent. In terms of a cognative capacity, the PT was extremely intelligent (former med student, until MS diagnosis). The PT stated that due to the fact they have a solitary kidney, they should not be cathed in any capacity for any procedure as it exaserbates infection, and have the right to refuse any aspect of treatment. What are the thoughts on this? What is your current policy when dealing with incontinent patients, procedures, and catheterization? Unfortunately, what complicated matters, is that this individual was training to be a doctor and was telling me what to do and how to do it. To me such a request does not matter, however I do not want to be cleaning up urine after an exam if briefs or a cath is not used.

[caroladybelle, BSN, RN]

Why would anyone cath a pt to do a colonoscopy, especially in light of all the risks of Cath related UTIs?

It may not be perfect, but how hard is it to put a few chux down and wipe a bottom?

[neutrophil]

The patient was probably on NPO before the procedure, so probably nothing was going to come out. If it does it would only be urine. Put the brief on, if he or she goes, take the brief off, put barrier cream, put the clothes on and move on. What is the big deal. He is right. He only has one kidney, now probably a GI problem. He deserves that. Common sense.

[clemmm78, RN]

I, too, immediately thought condom cath. Why can't you use one if it's a big deal?