Journal Club
February 23, 2014
Translating an Evidence-Based Algorithm to Decrease Early Post-Operative Urinary Retention after Urogynecologic Surgery
In UCH's AIP PACU, new implementations to prevent postoperative urinary retention (POUR) have been in place since November 2013. I chose to facilitate a journal club in order to review POUR concepts with PACU RNs and to continue the discussion of managing urinary retention.
Translating an evidence-based algorithm to decrease early post-operative urinary retention after urogynecologic surgery | |
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In "Translating an Evidence-Based Algorithm to Decrease Early Post-Operative Urinary Retention after Urogynecologic Surgery," nurses and physicians identified that management of POUR following urogynecologic surgery was inconsistent. The study sought to standardize a definition for urinary retention and create a protocol for managing it. The study educated nursing staff on POUR, implemented use of bladder ultrasound, and introduced an evidence-based algorithm for POUR management. As a result of these interventions, fewer patients required reinsertion of a urinary catheter and instances of bladder ultrasound with post void residuals (PVRs) greater than 300 ml decreased. There were also fewer intermittent catheterizations.
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