UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: BLADDER SCAN
Effective Date: January. 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed November, 2007 May 2009 March 2012
PURPOSE: To provide guidelines for the preparation and use of the bladder scanner at UWMF Clinics.
DEFINITION: A bladder scan is used to determine post void urine residual.
POLICY: The clinical staff will utilize the following guidelines to set up and use the bladder scanner on a
SUPPLIES: Provider’s order, Patient’s record, bladder scan machine
Non-sterile gloves, Kleenex, Ultrasound gel, Alcohol pad
1. Verify provider order.
2. Wash hands and gather equipment.
3. Room patient using standard Urology Clinic procedure.
4. Introduce yourself and identify the patient. Include date of birth and verify allergies.
5. Explain procedure and purpose of test, answer any remaining questions.
6. Have patient empty bladder just before scan.
7. Ask patient or assist them to lie supine on table with lower abdomen exposed.
8. Wash hands prior to turning on or moving machine.
Bladder scan BVI 3000
Select gender NOTE: if female who has had a hysterectomy choose male
Apply nickel sized amount of ultrasound gel over bladder NOTE: just above pubic bone
Position scanhead. NOTE: picture on probe
Press and release scan button on scanhead
Notice image on screen and attempt to center by moving scanhead
When complete press “done” button
Press “print” button two times on machine
Clean gel off abdomen and scanhead with Kleenex
Re-clean scanhead with alcohol
Assist patient to sitting position
Tear off printout, apply patient label and place in record or give to provider (if available)
9. Documentation (in Progress Notes section of HealthLink) in the patient’s record:
the procedure performed, date & time completed
how patient tolerated procedure
discharge instructions & follow-up appointment (if any)
WRITTEN BY: Deb Brausen, R.N., Manager, Department of Urology
Donnette Deuser, R.N., Department of Urology
REVIEWED BY: Donnette Kelly, R.N., Department of Urology, 2012
Carol Decker, RN, MSN, Clinical Staff Educator, 2012
Department of Surgery, Urology Date
Medical Director Date