•Patients will be assessed for the indicated criteria for continuing the urinary catheter use by the Registered Nurse (RN) assigned to the patient’s care. If a criterion for catheterization is not met, the RN may remove the catheter without a physician order.
Yes
No
A. Notify the MD/NP and ask for re-insertion of urinary catheter
B. Notify the MD/NP and await for orders
C. Initiate bladder protocol (see policy)
D. Re-scan the patient’s bladder in an hour
Yes
No
A. Urinary catheter was placed in ICU
B. Urinary catheter was placed by urologist
C. Urinary catheter was placed in ED
D. It is never appropriate to discontinue urinary catheter without a MD/NP order
A. Stage III or IV pressure ulcer with incontinence
B. Neurogenic bladder
C. Chronic history of indwelling suprapubic catheter
D. Bed bound and incontinent
E. None of the above
Yes
No
Every shift
Every day
Every other day
Once a week
A. Patient in ICU admitted for septic shock
B. Patient with a hip fracture going to surgery
C. Patient who had surgery
D. Patient on end of life care
E. All of the above
A. Notify the MD/NP
B. Monitor and endorse to next shift
C. Encourage fluids for patient
D. Do nothing because urine output < 240mL is normal
True
False