1. 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
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