For Provider

Title Nurse Driven Foley Catheter Removal Protocol

Requestor Nursing Leadership Application PowerChart Impacted Positions Nursing, Providers PROD Date August 15, 2018 Request Goal Allow nursing the opportunity to D/C Foley Catheters for selected patient types without a provider’s order. Per the protocol, nursing SHOULD NOT D/C any Foley without a provider’s order for any of the following: SIADH, Diabetes Insipidus (DI), Cerebral Urology Consult Salt Wasting-ICU Hourly Urinary Output-Foley Only Urology-Placed Foley Catheter Means Acute Urinary Retention/Obstruction Active Epidural Use Specific Surgical Procedures: Incontinent: Hospice/Palliative Care Urologic Surgery OB/GYN Surgery Low Pelvic/Rectal General Surgery (<3days post op) Renal Transplant Surgery Hematuria Neurogenic Bladder with Chronic Foley

Details • Providers will continue to get CAUTI alerts to document continued Foley reason if upon order entry, an indication was selected that requires a provider’s order to DC the Foley. • Nursing will document the continued Foley reason for Foley if an indication that does not require a provider’s order to D/C Foley was selected upon order entry, so providers will not get CAUTI alerts for these indications. • The Post Foley Catheter Removal Protocol PowerPlan orders should be ordered per protocol by nursing when a Foley is removed per the protocol. Per Protocol orders route to the provider’s message center for signature. • PLEASE NOTE: Modifications have been made to the Foley Urinary Catheter (Catheter Urinary Indwelling) order for this change. PLEASE review the Catheter Urinary Indwelling order within any powerplan favorites where

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the Catheter Urinary Indwelling order was preselected as a favorite, make any desired changes and RESAVE the favorite. Re-saving powerplan favorites IS REQUIRED if an indication was saved as a favorite that has been modified or deleted in the order.

Resaving Powerplan Favorite: • A prompt will appear when accessing a saved favorite plan, notifying the provider a change has been made to the plan.

• Select Continue to load new plan then OK, recheck Catheter Urinary Indwelling order if desired, select new reason/indication and other appropriate details, then select Save as My Favorite.

For More Information: Updating PowerPlan Favorites - Cerner Bulletin For More Information: Updating PowerPlan Favorites - Quick Reference Video

Protocol reference information has been built onto the new foley order to review if desired. To review, right click on the order and select Reference Information

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Future State Foley Order

Post Foley Catheter Removal Protocol Powerplan Orders