I work as a field nurse supervisor for a home care agency. This means I do a lot of supervising. I don’t provide a lot of “hands on care” to my patients. Don’t get me wrong, I love, LOVE, what I do. But I get really excited when I have a chance to get down and dirty with some bodily fluids.
I have a very special patient who receives visits from a nurse from my agency for a urinary catheterization. This means that there is a small tube inserted into her urethra in order to drain urine from her bladder. If you are interested in a more in depth explanation, feel free to click here or for a ridiculous video demo, click here.
I went to see my patient every month for several years. My function was to “supervise” her care. We would talk about her children and her grandchildren, about her medications and her doctors’ appointment, and about anything else that she wanted to talk about. Sometimes we spoke about her childhood in Europe, how her grandmother was a caterer or how she came to America. I always enjoyed our visits.
One day I went to see her for a regularly scheduled visit and it became apparent that she needed a urinary catheterization. There’s a long back story that I won’t get into, but the bottom line was that my patient was not happy with the new nurse’s technique so she had cancelled her last visit. Of course, this was not a great idea because the procedure needed to be done, I knew that the best thing for the patient was for me to take care of her at that moment.
Right away I realized a couple of issues:
- I hadn’t done a urinary catheterization in quite a while
- Well, see #1
I asked her where her supplies where and moved my ID badge into my shirt (yes, that’s a thing we do to prevent gross stuff from getting on our IDs). Then I put a pony tail in my hair, then it broke. I attempted to tie my hair in a knot to keep it out of my face, I was partially successful. I followed procedure beautifully and set up my supplies and began the procedure. It quickly became apparent why the new nurse was having trouble with the procedure. If you have every done this procedure on a woman, you know, some are easy and some are…not. This was one not easy. The patient was patient (lol) with me and we managed just fine. Of course by this time I was sweating and my hair was partially obstructing my view but I was thrilled because the urine was successfully draining.
Quick urine lesson. Healthy pee is light yellow. Dark pee usually indicated dehydration. “Cloudy” pee or sediment (shmutz) often means that there is an infection present.
I was trying to make conversation and appear noncholant while I waiting for the urine to drain.
Me: Are you ok? Are you having any pain?
Patient: Is it cloudy?
Me: No, its nice out today.