Pi Phi Chapter

Postoperative Urinary Retention What More Can We Do?

Nursing Research on the Green

2017 Abstract

Beth M. Krage, MSN, RN, CNL; Kathryn Parks, MS, RN; Jenni Wolk, RN; Barb Tralmer, RN; and Cindy Langaard, BSN, RN – Gundersen Health System

  • Background:  Urinary retention is a common complication post Orthopaedic surgery. Orthopaedic unit staff wanted to implement nursing interventions to avoid straight catheterizations.  
  • Significance:  Decreasing urinary retention can help with decreasing length of stay and increasing nursing autonomy with interventions help nurses with knowing that they are doing all that they can to improve the patient experience. 
  • Purpose/objective:  The purpose was to establish consistent nursing interventions to reduce urinary retention and decrease straight catheterization in total joint and hip fracture patients. 
  • Methods/project:  A literature review was performed, review of provider orders an algorithm was developed,  nursing interventions established. Staff education provided to facilitate practice change. Plan/Do/Study/Act (PDSA) cycles utilized to measure change. 
  • Results:  There was not a significant change in the outcomes for straight catherizations of patients but there has been changes made to provider orders based on feedback from the algorithm that was developed. 
  • Clinical implications:  Nursing implications included: improved nursing autonomy, identification of nursing interventions prior to initiating provider order, decrease chance of bladder overfill, improve patient experience, decrease catheterization rate, and consistent patient care.

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