UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

MEDICAL CENTER

PROCEDURE

PROCEDURE:

213

EFFECTIVE:

10/05

REVISION:

 

APPROVED:

10/05

PROCEDURE FOR MEASURING BLADDER VOLUME WITH BLADDERSCAN INSTRUMENT

PURPOSE: To measure bladder volume non-invasively

EQUIPMENT:

  1. BladderScan Instrument
  2. Ultrasound gel
  3. Non-sterile gloves
  4. 4X4 gauze pads
  5. Isopropyl alcohol

NURSING ACTION:   Explain procedure to patient and provide privacy since lower abdomen will be exposed.

PROCEDURE STEPS:

  1. Turn on the BladderScan instrument.
  2. Clean the scanhead by wiping it gently with a pad soaked in isopropyl alcohol.
  3. Select or deselect the "Female" option as appropriate, using the Gender Button.
  4. Palpate the symphasis pubis (pubic bone) and apply the Ultrasound Gel to the patient's abdomen, midline, approximately one inch above the symphasis pubis.
  5. Position the scanhead on the gel and aim it toward the expected location of the patient's bladder.  For most patients this means aiming the scanhead slightly downward toward the coccyx (tailbone).  Press and release the scan button.  Hold the scanhead st4eady until the scan is complete.
  6. Verify your aim using the aiming icon on the instrument's LCD Screen.  If necessary, re-aim and scan again.
  7. It is recommended that you scan the patient's bladder three (3) times to insure accuracy.
  8. If a female patient has had a hysterectomy, do not select the female setting which causes the instrument to differentiate for uterine tissue.
  9. After the scan is complete, clean the patient's abdomen and the scanhead of ultrasound gel and place the Scan Printout in the chart under Diagnostic Tests for MD review.

REFERENCES:

Urological Health in the Acute Care Setting, by Dr. Richard Pelman, as provided by Diagnostic Ultrasound Corporation.

RESOURCE PERSON(S):  Cathy Brothers, RN

 

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