SERVING AND REMOVING BEDPAN

.Bedpan  Bedpans and urinals are devices that allow a person in bed to urinate or have a bowel movement  A bedpan is a small container used for people who are unable to get out of bed to urinate and have BM bowel movements.

Why do I need to use a bedpan or urinal?  You may need to use a bedpan or urinal because you cannot walk to the bathroom.  Illness. This will help prevent other health problems.  It is important that you urinate and have BMs regularly while you must stay in bed. injury or surgery are some reasons you may not be able to walk.  The caregiver must be quick to respond to the toileting needs of the person in bed. .

. which support the patient with a larger area of warm plastic. offering protection and an extra measure of privacy  the material is difficult to clean.What kinds of bedpans and urinals are there?  There are several different kinds of bedpans and urinals available. Some designs completely cover the genitalia during use.  Bedpans are usually constructed of stainless steel and may be cold. and bacteria have little chance to survive  new ergonomic bedpans have been developed. hard and uncomfortable  stainless steel is easy to clean and durable. Some are metal and others are hard plastic. and plastic may be a reservoir for microorganisms.

Before the proedure: Run warm water over the bedpan and dry it. which is designed for people who cannot elevate their hips and buttocks.  Put on disposable gloves.  Sprinkle baby powder on the edge of the bedpan to make it easier to slide under the person. so check to make sure it is not too hot before putting it under the person. A metal bedpan retains heat. Slide it into position without moving the knees up. the bedpan liner made of recycled pulp (molded pulp) is more popular in UK hospitals. . it is high total cost. singleuse.  Use a fracture bedpan. if necessary. decreasing the risk of cross-contaminated disease.

warm it by rinsing it with warm water  Adjust the bed to a height appropriate to prevent back strain  elevate the side rail on the opposite side to prevent the client from falling out of bed  Put a waterproof pad under the buttocks of the person to protect the bed from spills. resting the weight on the back and heels. and raising the buttocks or by using a trapeze bar if present .  Ask the client to assist by flexing the knees .Procedure:  Provide privacy  Wear disposable gloves  If the bedpan is metal.

. Help lift the client as needed by placing one hand under the lower back. Put a waterproof pad under the buttocks of the person to protect the bed from spills.  While holding the bedpan in place. resting your elbow on the mattress. and using your forearm as a lever  (person who cannot raise his buttocks)  Roll the person on his side. gently roll the person onto his back and up onto the bedpan.  Raise the head of the bed a little if allowed by the caregiver. If the person is in a sitting position it may be easier for him to have a BM or urinate.  Place the bedpan against the buttocks of the person with one hand.

support the client’s back with pillows as needed to prevent hyperextension of the back . obtain the assistance of another nurse to help lift the client onto the bedpan or place the client on his/her side. elevate the client’s bed to a semifowler’s position. place the bedpan against the buttocks. Place a slipper pan with the flat.  If elevation is contraindicated. Place a regular bedpan so that the client’s buttocks rest on the smooth rounded rim. and roll the client back on to the bed pan  To provide a more normal position for the client’s lower back. if permitted. low end under the client’s buttocks  For the client who can not assist.

return the bed to the position used when giving the bedpan. place the call light within reach. lower the bed to the low position . don gloves and wipe the client’s perineal area with several layers of toilet tissue . elevate the side rails if indicated and leave the client alone  Answer the call bell promptly  When removing the bed pan. hold the bed pan steady to prevent spillage of its contents. and place it on the adjacent chair  If the client needs assistance. cover the bedpan. Provide privacy  Cover the client with bed linen to maintain comfort and self dignity  Provide toilet tissue.

a wash cloth and a towel to wash the hands  Assist the client to a comfortable position. offer warm water. For female clients . empty and clean the bedpan. and return it to the bedside . discard the soiled tissue into a moisture proof receptacle other than the bedpan.  For all clients. clean from the urethra toward the anus to prevent transferring rectal microorganisms into the urinary meatus  Wash the perineal area of a dependent clients with soap and water as indicated and thoroughly dry the area. If a specimen is to be collected. soap.

. Remove and discard your gloves and wash your hands  Spray the room with air freshener as needed to control odor unless contraindicated because of respiratory problem or allergies  Document color. amount and consistency of urine and feces and the condition of the perineal area. odor.

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