Urinary Retention
GRI ED
Warning
There is an easy form to follow for the management of urinary retention. The main things to be aware of are:
- Record the residual volume and size of catheter used (recommended 16Fr by Urology) and the urinalysis
- Perform a PR – assess prostate
- Measure PSA, U&Es and LFTs
- Prescribe tamsulosin for 7 days - discharge packs available in ED then advise to contact GP for further tablets
- Give patients a catheter pack for discharge and ensure a form has been completed for 'ScriptEasy' which will allow patients to receive more catheter equipment
- Reasons for admission are: abnormal renal function, residual volume >=1.5L, elderly/frail patients, faecal impaction.
Please ensure ScriptEasy form is completed along with:
- Catheter size and supplies circled on form
- ScriptEasy discharge pack given to patient (135 cupboard). Alternatively, if there are none left, then the patient can be discharged with 2 leg bags and 5 overnight bags until their supplies are delivered.
Put the completed forms in the blue Out-of-hours tray in ED Reception and they will kindly email the referrals.
- Please put patient sticker in folder for audit.
- Patient information slips in folder and some Scripteasy bags (with a tick on the white sticker on the front of the bag)
Forms:
NB: To complete both forms you must access the links on a PC or laptop via the web version of the app NOT on your mobile phone. Forms are also available on the GRI-ED SharePoint page.