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  6. Checking Bladder Integrity with Dye (436)
Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. 

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number.  To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Checking Bladder Integrity with Dye (436)

Please report any inaccuracies or issues with this guideline using our online form

Use of patent blue V sodium solution by bladder instillation in theatre

This product is not licensed for use for this indication.

An entry should be made in the relevant Unlicensed Medicine Patient Supply recording sheet in  theatre each time an ampoule is used. See sample recording sheet attached for details required. 

This guideline applies to all Gynaecology or Obstetric Medical or Midwifery staff involved in the use of Patent Blue V in GGC.  

Guideline for use

  • The Patent Blue V solution may only be used in accordance with this guideline.

  • It may only be used in an emergency situation to confirm that the bladder is intact. It is not for routine use. It should not be used intravenously for this indication.

  • The dilution and administration procedure below must be used:
  1. Add the contents of one ampoule of Patent Blue V 2.5% (2ml) to a 500ml bag of sodium chloride 0.9% infusion solution and mix well.

  2. Attach the giving set to the urinary catheter and instill the dye solution into the bladder as required.

  3. Enter details in the relevant Unlicensed Medicine Patient Supply recording sheet
  4. Dispose of remaining solution in accordance with local guidelines.

Editorial Information

Last reviewed: 07/06/2016

Next review date: 30/06/2021

Author(s): June Grant.

Approved By: Obstetrics Clinical Governance Group

Document Id: 436