COLLEGE OFNURSING AND ALLIED HEALTH SCIENCES

NCM 103 Performance Checklist No.____ GIVING AND REMOVING A

BEDPAN
Name: Cyrus Josher DC. Mayoyo Date: April 09, 2020 Score: ______ Rating:
______
Instruction: Please rate the student’s performance based on the criteria as
objective as possible. Place a check on the column which best corresponds to
your rating.
Legend: (5) Excellent (4) Very Good (3) Good (2) Fair (1) Poor
Procedure 5 4 3 2 1
1. Use Standard Protocol
 Provide privacy.
 Perform hand washing before going to the
client.
 Introduce self and verify the client’s
identity.
 Explain the procedure to the client.
 Apply principles of body mechanics.
 Maintain comfort and safety of the client.
 Prepare the needed materials and do the
aftermath procedure,
2. Wear clean gloves.
Rationale: to prevent direct contact from a
body substance.
3. If the bedpan is metal, warm it by rinsing it
with warm water.
Rationale: warm water dislodges the
emulsified substances. It makes cleaning
faster and effective.
4. Adjust the bed to a height appropriately.
Rationale: to prevent back strain.
5. Elevate the side rail on the opposite side.
Rationale: to prevent the client from falling
out of bed.
6. Ask the client to assist by flexing the knees,
resting the weight on the back and heels, and
raising the buttocks, or by using a trapeze bar,
if present.
Rationale: to easily put and place the bedpan
correctly.
7. Help lift the client as needed by placing one
hand under the lower back, resting your elbow
on the mattress, and using your forearm as a
 COLLEGE OFNURSING AND ALLIED HEALTH SCIENCES

lever.
Rationale: For the client to have a better grip
to perform the procedure.
8. Lubricate the back of the bedpan with a small
amount of hand lotion or liquid soap.
Rationale: to reduce tissue friction and
shearing.
9. Place a regular bedpan. Place a slipper pan
with the flat, low end under the client’s
buttocks.
Rationale: so that the client’s buttocks rest
on the smooth, rounded rim.
10. For the client who cannot assist, obtain
the assistance of another nurse, place the
bedpan against the buttocks, and roll the client
back onto the bedpan.
Rationale: to help lift the client onto the
bedpan or place the client on his or her side.
11. To provide a more normal position for the
client’s lower back, elevate the client’s bed to
a semi-Fowler’s position, if permitted. If
elevation is contraindicated, support the
client’s back with pillows as needed.
Rationale: to prevent hyperextension of the
back.
12. Cover the client with bed linen.
Rationale: to maintain comfort and dignity.
13. Provide toilet tissue, place the call light
within reach, lower the bed to the low position,
elevate the side rail if indicated, and leave the
client alone.
Rationale: The call bell provides for the
client’s comfort and security. Leaving the
client alone allows for privacy.
14. Answer the call light promptly.
Rationale: To respond and take an immediate
action for the client’s needs.
15. Do not leave anyone on a bedpan longer
than 15 minutes unless they are able to
remove the pan themselves.
Rationale: Lengthy stays on a bedpan can
cause pressure ulcers or skin breakdown.
16. When removing the bedpan, return the
bed to the position used when giving the
bedpan, hold the bedpan steady.
 COLLEGE OFNURSING AND ALLIED HEALTH SCIENCES

Rationale: to prevent spillage of its contents,

cover the bedpan, and place it on the adjacent
chair.
17. If the client needs assistance, apply
gloves and wipe the client’s perineal area with
several layers of toilet tissue. If a specimen is
to be collected, discard the soiled tissue into a
moisture-proof receptacle other than the
bedpan. For female clients, clean from the
urethra toward the anus.
Rationale: to prevent transferring rectal
microorganisms into the urinary meatus.
Wearing gloves avoids a physical contact to
the body substance.
18. Wash the perineal area of dependent
clients with soap and water as indicated and
thoroughly dry the area.
Rationale: To clean and remove entirely the
remaining body substance and other
microorganism to it.
19. For all clients, offer warm water, soap, a
washcloth, and a towel to wash the hands.
Rationale: to remove other microorganism to
their hands after defecating and to provide
client’s satisfaction.
20. Assist the client to a comfortable
position, empty and clean the bedpan, and
return it to the bedside.
Rationale: To promote client’s comfort and
for the bedpan can be readily use for the next
defecation.
21. Remove and discard your gloves and
wash your hands.
Rationale: To prevent cross-contamination
with other patients.
22. Spray the room with air freshener as
needed.
Rationale: to control odor unless
contraindicated because of respiratory
problems or allergies.
23. Document color, odor, amount, and
consistency of urine and feces, and the
condition of the perineal area.
Rationale: To have a proper documentation
and to help monitoring the patients condition.