Inability to Void / Urinary Retention

Medical Directive ID: 
EMG-2014-015
Lead Contact Person: 
Craig W. Watkin
Jill Smith
Physician/Nurse Lead: 
Vico Dagnone
Christine MacDonald
Program: 
Emergency Medicine - Emergency Department
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, May 8, 2013
Revised Date: 
Wednesday, December 14, 2016
To Be Reviewed Date: 
Saturday, December 14, 2019
This Medical Directive Applies to the following sites: 
LHSC-UH
LHSC-VH
This Medical Directive Applies to the following patient population: 
Out-Patients
Adults
Order: 

 

Registered Nurses in the Emergency services may proceed to:

•Assess patient for symptoms of distention and palpate bladder for distention

•Complete a bladder scan prior to catherization.

•If bladder has >400 cc of urine on scan then Insert an indwelling catheter ( 14-18 French)

•Insert a 3-way Foley catheter if history of gross hematuria (20-22 French)

•Send urine sample for Routine and Microanalysis (R & M) and Culture and Sensitivity (C & S)

•Consider administration of Lidocaine 2% GEL PLS - 12.5 mL 12.5 mL (Cathejell)

Appendix Attached? Yes No

Click the link to view the entire medical directive in detail: 

Signatures

SurnameKnown ByDate Signed
AguannoAlainaFeb 14 2017 04:12:11:303PM
AndersonScottFeb 14 2017 11:27:37:910AM
ArbeauRyanJan 8 2017 11:38:12:873AM
BhimaniMunsifMar 14 2017 11:50:25:517PM
BrineMegganMar 26 2017 01:24:01:990AM
ChurchKaralynMar 3 2017 03:05:42:897PM
CoomeGrantJan 2 2017 11:47:29:330AM
CunninghamChristyMar 30 2017 08:24:36:740AM
DagnoneRobert VicoJan 4 2017 02:55:39:183PM
DavisMatthewJan 3 2017 02:25:35:930PM
DonovanKeithFeb 6 2017 04:37:37:260PM
DreyerJonDec 29 2016 03:28:55:603PM
DukelowAdamDec 23 2016 08:16:06:693AM
EdmondsMarciaJan 2 2017 06:35:15:600PM
El-HalabiWaseemFeb 5 2017 04:28:40:623PM
ElsadiSalmanFeb 14 2017 01:27:13:983PM
FotheringhamMaryApr 4 2018 11:04:47:770AM
FoxcroftLauraMar 20 2017 08:58:54:980AM
FussJeffreyFeb 8 2017 11:24:00:537AM
GiffinDawnDec 30 2016 09:05:13:797PM
HamesHeatherDec 30 2016 02:12:59:330PM
HaneyElizabethJan 9 2017 01:54:33:707PM
HassaniBehzadMar 1 2017 10:22:23:163AM
JonesAndrewDec 23 2016 01:09:13:430AM
LewellMichaelFeb 14 2017 12:07:15:240PM
LoubaniTarekFeb 14 2017 11:48:30:720PM
MacDonaldChristieDec 23 2016 08:27:01:783AM
MalSameerMar 21 2017 12:06:42:367AM
MaxwellH BrentFeb 16 2017 11:18:50:627AM
McCauleyWilliamJan 19 2017 06:35:54:983AM
McConnellAllisonMar 13 2019 08:04:40:587PM
MeiwaldAllisonJan 21 2017 01:51:39:137PM
MillardWandaJan 29 2017 07:18:23:920PM
MosdossyGregoryDec 24 2016 11:42:17:453AM
MurphyDavidJan 6 2017 10:55:02:143AM
NgVictorJan 31 2017 08:58:05:057AM
OuelletteDavidMar 29 2017 05:10:06:313AM
PeddleMichaelFeb 14 2017 09:30:29:853AM
PillonSylviaJan 8 2017 01:26:23:627PM
PriceLauraDec 23 2016 09:18:39:953AM
PringleDerrickMar 29 2017 03:42:16:160PM
ReddyRameshHave Not Signed
ReganKellyDec 23 2016 07:39:31:663AM
RichardsonChristineFeb 20 2017 11:00:52:960AM
RigganMorganJan 18 2017 10:03:18:173AM
RoebothamRoyDec 24 2016 10:06:09:220AM
SedranRobertFeb 3 2017 04:09:32:143PM
ShahAmitJan 12 2017 10:28:20:383AM
ShepherdLisaDec 23 2016 10:28:44:537PM
SkoretzTerryMar 2 2017 02:52:01:503PM
TanakaPeterMar 15 2017 05:05:27:693PM
TheakstonKarlMar 3 2017 10:07:56:657AM
ThompsonDrewJan 1 2017 09:44:28:473AM
ValdisLaurenAug 28 2017 01:50:56:037PM
WoolfreyKarenMar 28 2017 02:26:36:313PM
YanJustinJan 2 2017 07:21:42:300PM