Urinary Retention Protocol Algorithm

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Indications/SymptomsBladder PalpableDiscomfort/pain/feeling of fullness and/orUnable to void for 6 hours post-operativelyUnable to void 6 hours after removal of an indwelling foley :Assist patient to voidCheck Post Void Residual (PVR) using bladder scanner 400 mls urine per Bladder per scanSymptomatic?Documentabove action and reassess as neededDocumentabove action and reassess as neededPatient is unable to void 6 hours after In and Out has recurrance of mls or <400 mls with symptoms History of:- Previous urological surgery- Urethral Stricture disease,- Cancers of the Urethra- Bladder or prostate cancer- Difficult catheter placement and/or- Recent unexplained gross hematuriaRepeat Bladder ScannerIn and Out CathAnchor a Foley CatheterCall MD YESNONOYESDocumentabove action and reassess as neededYES400 mls or <400 mls with symptoms NO History of:- Previous urological surgery- Urethral Stricture disease,- Cancers of the Urethra- Bladder or prostate cancer- Difficult catheter placement and/or- Recent unexplained gross hematuriaUrinary Retention Protocol Algorithmcreated june 2008

Catheter Call MD YES NO NO YES Document above action and reassess as needed YES 400 mls or <400 mls with symptoms NO History of: - Previous urological surgery - Urethral Stricture disease, - Cancers of the Urethra - Bladder or prostate cancer - Difficult catheter placement and/or - Recent unexplained gross hematuria Urinary Retention Protocol ...

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