1. STRAIGHT CATHETERIZATION PROTOCOL
DID NOT VOID 6 HRS AFTER REMOVAL OF
INDWELLING URINARY CATHETER (IUC)
BLADDER SCAN #1
≤ 300 mL
> 300 mL
Notify provider
Obtain order for straight cath and document output*
Reassess in 6 hrs
Can patient void?
yes
yes
Ask patient to void
Can patient void? no no
POST VOID
BLADDER SCAN
BLADDER SCAN #2
Notify provider
Reassess in 2 hrs
≤ 300 mL
Notify provider of results
Continue to monitor for s/sx of urinary retention
Discomfort or feeling of bladder fullness even after voiding
Abdominal pain
Distended bladder
Frequent voiding of small amounts mL
Obtain order for straight cath every 6 hrs until bladder function returns
Consider IUC only if patient can’t tolerate or if with urethral trauma
Consider etiology of retention and/or urology consult
>500mL
Obtain order for
Straight cath every
4 hours (6x/day) and if volume remains >500 ml OR
If patient is agitated
Or cant tolerate, place IUC
*A big difference in scanned volume vs catheterized amount may indicate ascites vs retained urine
10/13/2019