Genitourinary (GU)

The category of Genitourinary (GU) contains subject matter for care of the patient with medical and surgical issues of the GU system (genital and urinary systems). GU mainly focuses on the surgical and medical diseases of the male and female urinary tract system and the male reproductive organs. These issues include various types of cancer and other conditions.

Photo: "The Many Faces of AMSN Members," taken at a recent annual convention.

Question: Our staff needs to increase the use of sterile technique when inserting catheters. What would be the best way to approach this when educating the staff?

Answer: It is important to first focus on developing a culture of safety in your area. Nurses and nursing assistants need to be aware of standards of practice and policies related to this aspect of patient care, as well as the notion that they are to be followed...

Question: When irrigating a Foley catheter, should the nurse deflate the balloon before attempting this? Our procedure manual does not state performing this...

Answer: Many of the members organizations queried do not deflate the balloon prior to irrigation the catheter, as it is not a standard step during catheter irrigation in their hospitals. According to...

Question: I am looking for information on the following skills for the staff nurse in acute care; ...insert coude catheters, ...maintaining competency, ...reinsert... (four questions were posed)

Answer: At the present time, our staff does not do these procedures. In the past 8 months, we have had 2 requests for insertion of a coude catheter.” After a query of the members of the CPC committee, most have stated that nurses do in fact (as well as medical providers) insert coude catheters.

Question: Looking for clinical practice guidelines or evidence regarding the use of a continuous bladder irrigation?

Answer: Review of the literature shows that continuous bladder irrigation is necessary following certain urological procedures (e.g., prostatectomy) to prevent formation of blood clots that could restrict or block urine flow...

Question: I have a question regarding rapid urinary bladder decompression with Foley catheter. Is it safe practice?

Answer: After an extensive review of the literature, we could not find a specific recommendation of slow versus rapid emptying of the bladder upon catheterization. Two articles we found...