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christi britt

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  1. What happened to swabbing the prospective site with an alcohol swab first and then allowing it to dry? Would this not solve your problem?
  2. If you had access to a bladder scanner, that would be magnificent. You could have the pt urinate, and then scan the bladder to see if he/she has problems with retention. If the problem of leakage is related to retention, there are meds such as Flomax that can help with this along with instruction the pt to double void every time. Of course a U/A to assess for UTI would be essential. I do not think that bladder suspension is a first line procedure. Medications, bladder training, etc. would always be utilized first before a surgical procedure would ever be considered.
  3. Yes, most VA hospitals do this same thing. They have a premade med cart that they take when they make rounds. Of course this cart is locked when not in use. The only concern would be possibly giving the wrong meds or envelope to the wrong pt. This is where computerized verification would be handy. This is a new process that is slowly making its way into the medical setting.

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