when a male patient pulls foley out..

What would be an appropriate nursing intervention when a male patient pulls foley out with balloon still inflated and bleeding from the site? Do you insert another foley or just leave it until bleeding stops? what else can be done?
You report the incident and do as the urologist/managing MD prescribes.

Put another foley in quick or you may not be able to due to swelling of the uretha.PS there will be a lot of blood when they do this, it's pretty scary the first time you see it. Expect blood in the urine for a time, not huge clots but visible pink to red color gradually decreasing in color and amount.

I have had this happen on a few occasions and in each case the urologist requested the foley be replaced immediately. When a pt. pulls the inflated balloon out there will be tissue trauma and swelling which can result in the inability of urine to pass which can lead to arf, bladder rupture etc. Also with bleeding there is the potential for clots to form and if you have a foley you can irrigate if necessary to keep the bladder and uretha free from clots and blockages.

A suggestion- whenever you have a patient w/a foley, get the order to replace it prn unscheduled removal....then if it's 3 a.m. and the guy is confused, there isn't the hassle of calling then for an order to replace it. JME. Also- another topic- if you have skin tear treatments, technically they have to continue unless the order says "until healed". You can get dinged for not doing treatments

Urology consult. Stat!

Quote from xtxrnA suggestion- whenever you have a patient w/a foley, get the order to replace it prn unscheduled removal....then if it's 3 a.m. and the guy is confused, there isn't the hassle of calling then for an order to replace it. JME. Also- another topic- if you have skin tear treatments, technically they have to continue unless the order says "until healed". You can get dinged for not doing treatments

Quote from happyloserHate to hijack the thread but at my facility skin tears are treated with Nu-Gel and TEGADERM! I do not understand the reasoning behind tegaderm since the skin is already fragile and compromised adding it would cause more tears when taking it off..... sorry had to vent

I wasn't a nurse yet, but believe it or not, we once had a confused male pt managed to deflate the balloon first and pull his foley out.He didn't know what was going on, but I thought it was smart of him...

Quote from LuckyRN07I wasn't a nurse yet, but believe it or not, we once had a confused male pt deflate the balloon and pull his foley out.He didn't know what was going on, but I thought it was smart of him...

Quote from xtxrnHow did he get a syringe??

Who needs a syringe? I've seen pts chew on the tube.

Always makes me want to cross my legs, and I am female!