Title: “Ultrasound: bladder” |
04, 05, 07, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 |
Definition: Perform ultrasound examinations to determine bladder status or the position and/or effectiveness of a bladder catheter. |
04, 05, 07, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 |
Activities |
|
Determine the clinical indication for bladder ultrasound (e.g., suspected urinary retention or assessment of postvoid residual volume) |
04, 05, 07, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 |
Instruct patient and family about the indications and procedures for the exam, its purpose and limitations |
18, 20, 21, 27 |
Apply appropriate protocol for bladder ultrasound assessment (e.g., assessment of postoperative or postpartum urinary retention, assessment of decreased urine output with or without a bladder catheter, measurement of postvoid residual volume) |
05, 04, 15, 16, 17, 18, 21, 23, 24, 28 |
Select the appropriate transducer for bladder examination |
05, 04, 18, 20, 21, 25, 27, 28 |
Identify previous abdominal surgeries, scars, tumors, megalias, ascites, visceral distension or other anatomical features with the potential to confuse bladder assessment |
07, 19, 20, 25, 28 |
Apply ultrasound gel to the suprapubic region or directly to the transducer |
04, 18, 19, 20, 21, 25, 28 |
Correctly position the transducer just above the pubic symphysis |
05, 04, 18, 19, 20, 25, 28 |
Get a clear image of the bladder and center it on the monitor |
18, 19, 20, 22, 25, 28 |
Perform bladder volume measurements as appropriate |
04, 05, 07, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28 |
Use the color Doppler function as appropriate |
07 |
Identify on the ultrasound image the position of the distal tip of the urinary catheter, catheter function and cuff volume as appropriate |
07, 18, 23, 25 |
Identify and measure post-void residual volume with ultrasound 10 to 20 minutes after bladder emptying |
17, 18, 19, 21, 22, 23, 05, 25, 26, 27, 28 |
Perform bladder assessment by systematic ultrasound if necessary |
15, 16, 18, 20, 21, 23, 24 |
Discuss bladder assessment with the referring practitioner, consultants and patient as appropriate |
16, 19 |
Assist patient in removing the gel as appropriate |
04, 20, 28 |
Clean the ultrasound device |
19, 21, 25, 27, 28 |
Document the examination findings, including the reason for bladder ultrasound, urine volume measured, patient response to the procedure and any particularities found |
16, 19, 23, 25, 27, 28 |
Level of training required to carry out the intervention: Registered nurse with a lato or stricto sensu graduate degree. |
04, 05, 07, 17, 18, 20, 21, 22, 23, 24, 26, 27, 28 |
Estimated time to carry out the intervention: 15 minutes or less. |
04, 26, 27 |