olicy Number PHC -NSG SOP 054 ... Title BLADDER TRAINING Date Reviewed May 2014 Date February 2013Revised Revision Number 02 Date of Next Review 2016...
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Department / Division
STANDARD OPERATING PROCEDURE PHILIPPINE HEART CENTER
Title
NURSING SERVICE PROCEDURE M ANUAL
BLADDER TRAINING
Page Number Policy Number Effective Date
1 of 2 PHC-NSG-SOP-054 November 2003
Date Reviewed Date Revised Revision Number Date of Next Review
May 2014 February 2013 02 2016
I. DEFINITION It is a procedure wherein a patient is trained to regain normal bladder control by clamping and unclamping the indwelling Foley catheter using ovum forceps. II. PURPOSE /S
To improve both the urge and urinary incontinence To break the cycle of frequency, urgency, hesitancy and to reestablish voluntary control over bladder function
III. EQUIPMENT / MATERIALS
Kardex/flow sheet Ovum forceps Under pad (optional)
IV. NURSING PROCEDURE NURSING ACTION A. PREPARATORY PHASE 1. Verify physician's order for removal of indwelling Foley catheter. 2. Explain procedure to the patient and what to expect during the procedure. 3. Charge materials to be used through the computer system. 4. Assess patient condition and bladder distension. 5. Position patient comfortably. 6. Do hand hygiene. B. PERFORMANCE PHASE 1. Clamp the Foley catheter for 1 – 2 hours and unclamp for 15 minutes. 2. Repeat the cycle within 24 hours until such time that the patient verbalizes the urge to void and unclamp the indwelling Foley catheter thereafter. 3. Reassess patient's condition and bladder distension. 4. Prepare for Foley catheter removal once patient is able to void freely. C. FOLLOW – UP PHASE 1. Do hand hygiene. 2. Assess and document patient's response and refer accordingly. Reviewed by
MARIA LINDA G. BUHAT, RN, Ed. D. Assistant Director for Nursing Services
RATIONALE To ensure performance of the correct procedure to the right patient To allay anxiety and gain cooperation of the patient / relatives
To prevent transfer/spread of microorganisms To induce the urge to void Basis for indwelling foley catheter removal. Allows drainage of urine to the urinary bag.
To prevent transfer/spread of microorganisms To detect any untoward signs and symptoms and for legal purposes Approved by
MANUEL T. CHUA CHIACO, JR, M.D. Executive Director
Department / Division
STANDARD OPERATING PROCEDURE PHILIPPINE HEART CENTER
Title
NURSING SERVICE PROCEDURE M ANUAL
BLADDER TRAINING
Page Number Policy Number Effective Date
2 of 2 PHC-NSG-SOP-054 November 2003
Date Reviewed Date Revised Revision Number Date of Next Review
May 2014 February 2013 02 2016
V. NURSING CONSIDERATION 1. Repeat the cycle 2 – 3 times prior to removal of indwelling catheter for the patient to reestablish bladder control.
Reviewed by
MARIA LINDA G. BUHAT, RN, Ed. D. Assistant Director for Nursing Services
Approved by
MANUEL T. CHUA CHIACO, JR, M.D. Executive Director
