•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
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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
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Yes
No
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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
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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
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Yes
No
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Every shift
Every day
Every other day
Once a week
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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
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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
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True
False
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