Hattie has made some progress with her mobility since her hip fracture. She’s transferring better, sitting up in the chair more often and starting to increase her walking distance in therapy. Anna, the charge nurse, removed her indwelling catheter a few days ago. I was hoping they would have removed it sooner, so we’ve really got to talk about some protocols for removing every catheter we can.
In our huddle today, I heard that Hattie seemed listless, was running a temperature, and the nursing assistant reported her urine looked “red-tinged”. Anna is planning to get a urine sample by straight cathing her and will send the sample to the lab as soon as possible. I also learned that the nursing assistant may have noticed the red-tinged urine prior to the catheter being removed but hadn’t reported it. This is another good example of why we have to use the “Stop and Watch” form. Until the urine culture comes back, the nursing staff is going to keep a close eye on Hattie, monitor her temperature, and encourage her to drink fluids. Anna called her doctor and he wants us to watch her closely rather than start her on an antibiotic before the culture comes back. I’m hoping we can start her on an antibiotic soon and not have to send her back to the hospital. I think that would be really hard on Hattie and her daughter Carol.
How can we do a better job in preventing UTIs?