Posted on Mar 27, 2015 2:30:00 PM by Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD

PTNS Treatments in Group Settings

PTNS Treatment Partners

At the Bladder Clinic we are fortunate to have 6 patient rooms for 3 providers. However, space can still be at a PTNS Treatments in Group Settingspremium when trying to juggle urodynamics, pessary fittings, pelvic floor therapy, catheterizations, PTNS and other various patient visits.

Recently at our staff meeting we were discussing space and scheduling. On average we see 6-8 PTNS patients per day. We have a small, dedicated room for our PTNS patients. It is a remodeled storage room, painted and decorated quite nicely and very simply. There are two small recliners in that room. Historically, one has been for the patient and the other for their guest.

Group Settings

After brainstorming our space situation, my nurse mentioned that the consent form (available from Cogentix Medical), used for all our PTNS patients, has a check box for, “If recommended, I agree to be treated in a group setting with other PTNS patients.” We always glossed over that suggestion, thinking we always had enough room. What a great thought!

In the days to follow, for those checking that box (and most of them have!), we have staggered our PTNS patients by 15 minutes and have used both recliners for patients instead of family. In those 15 minutes, the patient is made comfortable, the needle is placed, the history is taken and recommendations for improving outcomes discussed.

When the next patient arrives, the patient is made comfortable and the needle is placed. It is not until the first patient is finished and leaves that we review the second patient’s history and discuss further strategies for ongoing improvements in outcomes.  

Forming Relationships

Many of our patients have made friends, found old friends and have felt their time at the clinic go by much faster during their PTNS treatments in group settings.  Of course we still respect the wishes of those who prefer to be treated by themselves as well as keeping male and females separate.  

This simple change in how we manage our patient load has done wonders in continuing to get our patients in on time and have available flexibility for scheduling. Urgent PC for OABThis blog post reflects the opinions and experience of Leslie Wooldridge, a long-standing user of the Urgent PC Neuromodulation System, and was produced under a paid consulting agreement with Cogentix Medical.

Urgent PC is indicated for the treatment of Overactive Bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Treatment with Urgent PC is contraindicated for patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function or patients who are pregnant or planning to become pregnant during the duration of the treatment. Most patients don't experience side-effects. If side-effects occur, they are typically temporary and include mild pain and skin inflammation at or near the stimulation site. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of warranties, please refer to the insert accompanying each product or online at www.cogentixmedical.com. Models are for illustrative purposes only. Urgent is a registered trademark of Cogentix Medical © 2015 Cogentix Medical. All rights reserved. 

Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD
Leslie Saltzstein Wooldridge, GNP-BC, CUNP, BCIA-PMD, is Director of the Adult Bladder Control Center, Mercy Health Partners, Muskegon, Michigan USA. Ms. Wooldridge received a Master of Science degree in nursing administration, critical care nursing and postgraduate certification as a Geriatric Nurse Practitioner from Marquette University, Milwaukee, Wisconsin. In 2015, she was honored with the Women’s Health Foundation Activist Award. She is also the recipient of the 2009 National Association for Continence Rodney J. Appell Continence Champion Award. Ms. Wooldridge has published in multiple refereed journals. She authored the Genitourinary chapter in The Nurse Practitioner in Long Term Care: Guidelines for Clinical Practice (2007). She has lectured throughout the United States on geriatrics, urology and clinical practice.
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