Unique Plan Description: PMR Foley Management Protocol (MH)
Plan Selection Display: PMR Foley Management Protocol (MH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2023-08-15 12:46:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-08-15 12:47:15
Available at all facilities: No

PMR Foley Management Protocol (MH)
Medications
	oxyBUTYnin
		5 mg, Tab, By Mouth, BID
	tamsulosin
		0.4 mg, Capsule, By Mouth, QHS
Patient Care
	Foley Catheter
		T;N, Foley, Insert, Once
		T;N, Foley, Maintain
	Discontinue Urinary Catheter
		
	Notify MD
		T;N, Notify Rehab physician if foley has been in place for 7 days. If the foley remains in place beyond 7 days, notify provider every 3 days the foley remains indwelling. i.e. 7, 10, 13, 16, 19, 22, 25, 28, 31.
Consults/Follow-up
	Consult Urology
		Reason for Referral: Urinary Retention

PMR Voiding Trial
Patient Care
	Discontinue Urinary Catheter
		
	Urinary Assessment-Focused
		T;N, Q8H-Sch minus Q12 Start of Shift
			Comment: Urine production should equal to 30ml/hr minimum. 6 hours = 180ml. Ok to discontinue, once patient has completed the voiding trial.
	Intake and Output
		T;N, Q6H-Sch minus Q12 End of Shift
			Comment: Ok to discontinue once patient has completed the voiding trial AND is voiding independently or a foley has been placed.
	Bladder Scan
		T;N
			Comment: PVR after each void. Ok to discontinue if three consecutive measurements are < 250ml.
	Straight Catheter
		T;N
			Comment: Bladder Scan >250ml
		T;N
			Comment: after bladder scan if no void after 6 hours
	Bladder Scan
		T;N, Q6H
			Comment: if no void
	Notify MD
		T;N, Notify Rehab physician if failed voiding trial.
	Foley Catheter
		T;N, Foley, Insert, Once
			Comment: If a third consecutive straight cath was needed (complete 2 straight caths, but not a third), replace indwelling catheter.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase