Urinary Retention Protocol Algorithm - …

1 Urinary Retention Protocol Algorithm Indications/Symptoms Bladder Palpable Discomfort/pain/feeling of fullness and/or Unable to void for 6 hours post-operatively Unable to void 6 hours after removal of an indwelling foley catheter. Interventions: Assist patient to void Check Post Void Residual (PVR) using bladder scanner 400 mls urine per YES NO. Bladder per scan Document Document above action above action and reassess as In and Out Cath YES Symptomatic? NO and reassess as needed needed Patient is unable to void 6 hours after In and Out has recurrance of sx.

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

3 Catheter created june 2008.