Internal Medicine ICU

The patients on the Medical Surgical Units have a multitude of conditions. Many patients carry multiple diagnosis and coexistent problems. Consider a patient with Cardiac disease, or diabetes, who is recovering from a surgical procedure. The patient may have been catheterized for urinary monitoring, and after catheter removal may be found to have voiding problems with retention, frequent voiding, or even urinary incontinence. The BladderScan is extremely useful in sorting out the patient's situation. In some instances the patient may not have been catheterized, and may present with the same complaints.

The BladderScan® provides the Staff of these units with efficient, noninvasive, and document- oriented data which greatly improves patient care. Not only because it is noninvasive, but also because it can be routinely performed by all staff (something that is not true for catheterization). This translates into more rapid diagnosis and treatment for the patient, better utilization of care delivery and improved consistent documentation of the service performed (a must for hospital reimbursement).

Indications / Applications

Indications for the use of the BladderScan at Internal Medicine.

  • Patient with a risk of urinary retention
  • Patient with a risk of urinary residue
  • Patient who hasn't been able to urinate spontaneously for some time
  • At a patient after removing an indwelling catheter
  • Patient with incontinency problems
  • Patient who is confused and restless
  • Patient who isn't been able to tell if he has to urinate.

Experiences of the nursing staff in practice

  • The use of the BaldderScan eliminates unnecessary catheterization
  • We are able to recognize urine retention in time
  • The making of a measurement with the BladderScan takes less time than a catheterization
  • Less unnecessary use of disposables
  • Always knowledge of the contents of the bladder
  • Less deliberation about the necessity of catheterization
  • Minimize risk of urinary tract infection and thus antibiotic use
  • Use of the BladderScan is more friendly to the patient than catheterization
  • The BladderScan contributes to the quality of care of the patient

Cost Analysis

Hospital - Cost Justification- Monthly Financed.pdf

Hospital - Cost Justification-6100.pdf

Hospital - Cost Justification-Multiple.pdf

Intensive Care (I.C.U.) Literature References

  • Brouwer, T.
    Rétention D'Urines Et Anomalies De La Miction En Postopératoire
  • Ceulemans, C.
    De Intensive Care/Verkoeverkamer Van De Maartenskliniek In Nijmegen
  • O’Roirdan, J.A.Abstract available
    Patient-Controlled Analgesia And Urinary Retention Following Lower Limb Joint Replacement: Prospective Audit And Logistic Regression Analysis.
  • Pavlin, E.G.Abstract available
    Management Of Bladder Function After Outpatient Surgery
  • Sulzbach-Hoke, L.M.
    Using A Portable Ultrasound Bladder Scanner In The Cardiac Care Unit
  • Vincent, J.L.Abstract available
    The Prevalence Of Nosocomial Infection In Intensive Care Units In Europe

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