Bedpans

Assess patient's mobility; obtain assistance

  1. for procedure, if needed.
  2. Perform hand hygiene, apply gloves, and provide privacy.
  3. Place bedpan under warm, running water for few seconds, and then dry it.
  4. Put side rail up on opposite side of bed. Raise bed horizontally to nurse's height.
  5. Have patient assume supine position.
  6. Place mobile patient on bedpan.
  7. Raise patient's head 30 to 60 degrees. Move upper bed linens out of the way, but minimize patient exposure. Remove bedpan cover and place in accessible location.
  8. Instruct patient in how to flex knees and lift hips up.
  9. Place one hand, palm up, under patient's sacrum, to assist in lifting. As patient raises hips, use other hand to slip bedpan under patient with open rim facing foot of bed. Do not shove pan under patient's hips.

Place immobile patient on bedpan.

  1. Lower head of bed flat (if tolerated by medical condition). Remove top linens as needed to turn patient while minimizing exposure. Remove bedpan cover, and place in accessible location.
  2. Help patient roll onto one side, backside toward you (or turn patient into side-lying position). Place bedpan firmly against patient's buttocks and down into mattress, with open rim of pan facing foot of bed.
  3. Keeping one hand against bedpan, place other around patient's far hip. Ask patient to roll back onto bedpan, flat in bed. Do not shove pan under patient.
  4. Raise patient's head 30 degrees to comfortable level, unless contraindicated. Raise knee gatch (unless contraindicated), or ask patient to bend knees.
  5. Ensure that patient is comfortable; cover patient for warmth. Place small pillow or rolled towel under lumbar curve of back.
  6. Ensure that call bell and toilet tissue are within patient's reach and that bed is in lowest position with upper side rails up. Allow patient to be alone, but monitor status and respond promptly to call signal.
  7. Remove gloves, perform hand hygiene, and apply new pair of gloves.
  8. Position bedside chair close to working side of bed. Collect basin of warm water.
  9. Move aside upper linens, keeping patient covered with towel.
  10. Remove bedpan of mobile patient.
  11. Ask patient to flex knees, placing weight on lower legs, feet, and upper torso; lift buttocks off bedpan. At same time, place hand farthest from patient on side of bedpan to steady it; place other hand under sacrum to assist in lifting. After patient is completely lifted off bedpan, remove pan and place it on bedside chair.
  12. Allow patient to perform hand hygiene after wiping perineal area (if appropriate).

Remove bedpan of immobile patient.

  1. Lower head of bed.
  2. Assist patient with rolling onto side and off bedpan. To prevent spilling, hold bedpan flat and steady while patient rolls off it. Place bedpan and contents on bedside chair.
  3. Using toilet tissue or perineal wipes, wipe anal area. Deposit contaminated tissue in bedpan. If needed, wash and thoroughly dry perineal area.
  4. Cover bedpan and contents with bedpan cover as soon as possible.
  5. Return patient to comfortable position; ensure that bottom linens are clean and free of wrinkles. Change linens, if linens are soiled. Position bed in its lowest position.
  6. Assess characteristics of stool and urine, if any. Obtain stool specimen, if needed.
  7. Wearing gloves, empty contents of bedpan into toilet or special receptacle. Rinse bedpan with spray faucet or disinfectant, if required.
  8. Replace all used equipment, and dispose of soiled linens correctly.
  9. Remove gloves, and perform hand hygiene.
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