Removing foleys after cesareans

[obnursesteff]

Does anyone work in a hospital where they remove foleys and IVs from cesarean section pts in PACU, before the pt is sent to the floor? I know that after my own c-section, I arrived in my post partum room without any IV or foley. I now work in OB and our sections come with IVF, morphine PCAs, (despite receiving intrathecal morphine and even if they are tolerating regular diets), and foleys, all of which stay in 12 - 24 hours. I'm curious as to whether we are behind the times with this.

[camay1221_RN]

Does anyone work in a hospital where they remove foleys and IVs from cesarean section pts in PACU, before the pt is sent to the floor? I know that after my own c-section, I arrived in my post partum room without any IV or foley. I now work in OB and our sections come with IVF, morphine PCAs, (despite receiving intrathecal morphine and even if they are tolerating regular diets), and foleys, all of which stay in 12 - 24 hours. I'm curious as to whether we are behind the times with this.

Goodness, I couldn't imagine a post-op c-section coming to the floor without all the connections! Our pts come to the floor as you described the unit you are currently working. The only difference is out MD's use Dilaudid PCA instead of MSO4. The hospital I previously worked had the same.

I am curious to know what others have to add...

[SmilingBluEyes]

No!

[LauraLou]

Patients come to our postpartum with IVs, PCAs and Foleys. We don't remove the Foley until they have feeling back in their legs, usually at least 12 hrs after they arrive.

[Marie_LPN, RN, LPN, RN]

The Foley does not get removed until the pt. has feeling in their legs.

[sbic56, BSN, RN]

Foley's stay in 24 hours max, may come out earlier if patient prefers and can walk to the bathroom. IV fluids X24 hours usually. IM Demerol until taking po, then Percocet. Anesthesia orders that IV access be maintained X24 hours when duramorph used.

[SmilingBluEyes]

The Foley does not get removed until the pt. has feeling in their legs.

Where I work, feeling in the legs is not enough. The patient must be fully ambulatory and if Duramorph used, must have the foley in 24 hours (due to its effects on bladder/bowel innervation).

[Marie_LPN, RN, LPN, RN]

What i saw in clinicals, the Foley removal was written in the D.O. as "when sensation has returned". That was it. Nothing about being fully ambulatory first. I guess that was just something that was just automatically known to do first?

[SmilingBluEyes]

Perhaps, but time and hard lessons taught me, not to remove a foley before a woman is ready to ambulate to the toilet. I might live to regret it (and have in the past).