willyRN86

I had a patient come back from a TKA at 1500. I'm a new grad, and this was my first fresh ortho surgical that I've had. He received a Duramorph spinal as well as general anesthesia. The patient did not have a foley. I asked if the patient peed in recovery, the surgical nurse stated no. He had 2400 mL of fluids in during the surgery and he was a very large gentleman and had peed before they took him in at 1200, which the surgical nurse told me it was fine if he didn't pee for awhile. I had the patient try to pee at about 1830, even though he couldn't feel like he had to pee. The patient had full sensation back from his spinal (another story all together). The doctor came in at 1845 and was furious he hadn't peed yet. How long is it OK to wait for a patient to pee after getting a spinal?? Any thoughts? I felt terrible!