Steps in bladder training of a patient on foley catheter

[jlsr]

hello everyone,

i'm new to allnurses.com and would like to ask on what are the steps in bladder training of a patient on foley catheter.

step 1: ?

step 2: ?

step 3: ?

please share your knowledge. :)

[ErinS, BSN, RN]

I guess I could be wrong, but my experience is this: take catheter out. Take pt to the bathroom every 2 hours. Bladder scan if pt has not voided in 6 hours. Call md if pt has not voided and has a lot of urine in bladder (I usually called for more than 300ml). Re-scan every few hours or until pt has voided to ensure they are not retaining urine.

[ZippyGBR, BSN, RN]

often this is going to be for people who've had a catheer for a while and/or have neurological issues

step one - explain the process and gain consent !

step two - put a catheter valve on

step three - build up time (and therefore bladder volume) between opening the valve

step four - discuss the next options and gain consent

step 5 Trial without / trials of voiding / bladder scans

if they fail the trial without decide whether to go for intermittants or re insert an indwelling ( and valve) pending a further trial without

for someone who has been catheterised for hours to days

1. explain and obtain consent

2. trial without , bladder scans post void to confirm emptying ...

failure of trial without = can't void or consistently > 100 - 150 ml post void

[jlsr]

how to do bladder training before removing foley catheter?