Integrate knowledge from nursing and other disciplines to deliver competent, culturally sensitive, and developmentally-appropriate care as part of the interdisciplinary team. During lab days throughout my nursing terms, I was taught how to place a Foley catheter in a male patient; thank goodness because this nursing knowledge came in use today for my shift. I was able to deliver competent care, in a culturally sensitive way of my patient (no cultural barriers noted; I was cognizant of my patient’s wishes and beliefs throughout care and teaching), and I was able to be health literate of my patient to help him understand in an age-appropriate way; using lay terms to help him understand how to care for his Foley. Overall, I had the knowledge
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My preceptor said that some people say to and other’s say not to, so I decided to look up the evidence-based research on this statement. According to the Association of Surgical Technologists (2017), this skill of pretesting the catheter balloon depends on the manufacturer’s recommendations/instructions (the manufacturer Bard stated it isn’t necessary because they do so prior to packaging the catheter in the kits), and they recommend that if a nurse is using a silicone balloon, then they shouldn’t pretest because it can cause a crease/cuff in the catheter tubing, resulting in trauma to the patient’s urethra when inserting the catheter itself. In other words, evidence-based practice suggests that we follow manufacturer’s instructions/recommendations, but if the catheter kit looks tampered with, personally I would check, just to be safe than sorry upon …show more content…
For the clinic patient that had greater than 999 PVR results from a postvoid bladder scan, this allowed me to provide the urologist with the results, to realize that this patient has an obstruction somewhere causing his urine to not fully drain. By using the bladder scanner technology, it allowed me to provide safe and efficient care when implementing the orders given to me from the urologist (she ordered me to place a catheter using a 16-french). If it weren’t for the bladder scanner, we would be stuck not knowing the true amount of urine left in the patient’s bladder.
Demonstrate clinical reasoning that reflects ethical, political, legal and economic values in professional
My preceptor said that some people say to and other’s say not to, so I decided to look up the evidence-based research on this statement. According to the Association of Surgical Technologists (2017), this skill of pretesting the catheter balloon depends on the manufacturer’s recommendations/instructions (the manufacturer Bard stated it isn’t necessary because they do so prior to packaging the catheter in the kits), and they recommend that if a nurse is using a silicone balloon, then they shouldn’t pretest because it can cause a crease/cuff in the catheter tubing, resulting in trauma to the patient’s urethra when inserting the catheter itself. In other words, evidence-based practice suggests that we follow manufacturer’s instructions/recommendations, but if the catheter kit looks tampered with, personally I would check, just to be safe than sorry upon …show more content…
For the clinic patient that had greater than 999 PVR results from a postvoid bladder scan, this allowed me to provide the urologist with the results, to realize that this patient has an obstruction somewhere causing his urine to not fully drain. By using the bladder scanner technology, it allowed me to provide safe and efficient care when implementing the orders given to me from the urologist (she ordered me to place a catheter using a 16-french). If it weren’t for the bladder scanner, we would be stuck not knowing the true amount of urine left in the patient’s bladder.
Demonstrate clinical reasoning that reflects ethical, political, legal and economic values in professional