Nurse lacks access to proper supplies and knowledge on how to set up a 3-way hematuria foley without CBI orders, leading to improvised solutions and anxiety about professional judgment.

Workarounds Described

• Used a sterile piston syringe as a plug for the 3-way foley port
• Went to multiple supply rooms across hospital to find 3-way foley kit

Implied Software Gaps

• Inventory management system that alerts when 3-way foley kits are low in specific departments
• Procedure documentation app that provides step-by-step guidance for equipment setup

FoleyPrep Kit

A pre-assembled, sterile kit containing everything needed for both standard and 3-way foley placement (including port plugs and irrigation supplies) in one pack. Saves nurses from hunting for supplies across departments and reduces makeshift solutions.

Existing Solutions Mentioned