We must do TA & TV also. We request a foley. If the pt. refuses the foley we make a note of that on the exam sheet.
If we absolutely can not get their bladder full for the TA exam we note on the exam sheet that the exam is LIMITED and the reasons why. A TA exam is considered very important at our Immediate Care Facility. A complete Pelvic exam has both TA and TV exams. If only one exam is done it is considered a LIMITED study.
TA= Full bladder
TV= Empty bladder
I think a Pelvic Complete study offers more information than just a TV or TA. I absolutely hate dealing with the bladder prep problem. I wish I didn't think it was important.....but, it is and I continue to deal with the "hub bub" of getting a pt bladder full.
If I'm satisfied with TA exam, I do not bother going for TVS. TA is extremely important to get a "panoramic view" before one gets closer by TVS. In case of urgency, I think an IV line and a safe diuretic are indicated.....alternatively as said, distending the mighty bladder with a Foley's