do u really need a foley?

...even for a short procedure, when the pt. has just emptied their bladder before?

In my experience, many surgeons are getting away from putting foleys in, even in cases where the patient is asleep for a few hours. I think it's because the UTI risk is always there with a foley.

Sometimes, though, the patient needs one.

We put when in if the procedure is 3+ hours or unless the doctor really wants one, but for the most part 3 hours is the rule

When is the last time I had one....ummmm

I THINK it was the surgery when I was 17 when I ended up in ICU due to blood loss.

Since then I have had 7 surgeries 2 were inpatient.

Our rule is if it is more than 2 hours or if they require it for some other reason.

For us, it's pretty much the same, about 3 hours. But there's no hard fast rule.

It could be a short procedure, but medically, the pt needs a lot of fluids/blood, and the urine output needs watched.

Also cases that could be a long time, we'll likely put a foley in. I'd rather risk a UTI putting in a catheter prior to the case, than to have to crawl under the sheets!!!

Also, any case that we are working in the pelvis, TAH's or colon resections for example, we'll put a foley in to get the bladder out of the way.

Mike

About the same as mcmike55 here.

For us, it's pretty much the same, about 3 hours. But there's no hard fast rule.

It could be a short procedure, but medically, the pt needs a lot of fluids/blood, and the urine output needs watched.

Also cases that could be a long time, we'll likely put a foley in. I'd rather risk a UTI putting in a catheter prior to the case, than to have to crawl under the sheets!!!

Also, any case that we are working in the pelvis, TAH's or colon resections for example, we'll put a foley in to get the bladder out of the way.

Mike

It's pretty much the same in our theater

Our rule is if it is more than 2 hours or if they require it for some other reason.

DITTO