Got report for one of my patient assignments (out of six) and was told this elderly male patient had been complaining of "feeling the need to urinate" and "not being able to urinate very much at a time". The complaints had started around 1700 that afternoon. The nurse reporting to me ASSUMED that he had a UTI and got an order for UA+. OK, fine.
About 30 minutes into my shift, the wife of said patient comes to the desk complaining that patient is in serious pain and no one is doing anything about it. I go assess....pt. had foley taken out day before, said his probs started at 1400 (not 1700)....severe pain, severe urgency, and very little out at a time but a few drops. Pt. had never heard of a "bladder scanner" when questioned.
Bladder scanner sees 600ML in the bladder. Get order for foley...then place....and get back 800ML!!! YIKES! No wonder the poor man was in pain.
BTW....UA was negative. duh.
QUESTION: What's the most urine that you have seen retained in a patient??....please share.
