Foleys

[k.karren]

I need clarification on what constitutes a legitimate use of a foley cath. So many of our new admits come with foleys from the hospital…the first thing I want to do is get rid of the foley (unless they have Stage 3s or 4  etc - page C-37) and then  evaluate to see if they have the ability to be continent. I am getting resistance from the nurses (especially one nurse that believes she knows more about the MDS process than I do – that’s another subject I won’t get into here) Currently we have a resident (300 pounds) admitted for pain management (back pain) with history of chronic renal insufficiency and IBS – has several thick liquid stools a day (occasionally incontinent probably related to inability to toilet quick enough) with small areas of excoriation on bottom. UTI developed after admission. Nurses are saying chronic renal insufficiency is enough to justify a foley…………..any comments? Should the RAPS be the area I try and explain the reason for the use of a foley?