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Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our team to choose urinary retention as a performance meansure in 2012 for The Joint Commission Disease Specific Care Certification. Objective: Describe the clinical and cultural impact the total joint urinary protocol has on decreasing urinary retention.

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urinary retention, urinary catheterization, arthroplasty, perioperative care


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Utilizing a Protocol to Reduce Post-Operative Urinary Retention in Total Joint Arthroplasty

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