Foley Discontinuation Algorithm Catheter Day* 2 and 5 Obtain Order to Discontinue Catheter OR documented valid reason** for Foley with timeframe for removal no Yes Same day Care Team Discussion (i.e. IDR) results in Foley removal OR documented valid reason** with timeframe for removal [Please seek definitive answer during care discussion] yes Removed Valid reason** with timeframe no Discuss with Nursing Director & Designated Attending (see back of this page) results in Foley removal OR documented valid reason** with timeframe for removal yes Patient voids within 6 hours? Continue to monitor and re-check at designated time no yes no Escalate to Dr. Baker 212-434-2060 Follow Straight Cath Protocol *The date of catheter insertion is Catheter Day 1, the next calendar day is Day 2, etc. ** Valid reasons include: Urinary obstruction or retention, Surgery of the GU tract, Need for critical I & O monitoring, Palliative care