USE OF BEDPAN – Bowel Elimination (Purpose, Indications, Types, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care)
NURSING PROCEDURES LIST CLICK HERE
USE OF BEDPAN
Bedpan is made from steel or plastic device to meet elimination need of patient confined to bed.
Bedpan may be used by a person who is unable to get out of bed. Bedpans used by females for elimination of urine and feces of by males for elimination of feces
PURPOSE
- To provide comfort
- To facilitate bowel and bladder elimination
- To collect specimen for diagnostic purposes
- To promote continence during bowel and bladder training
- To give perineal wash
INDICATIONS
- Patient with spinal injury
- Postoperative patients
- Patients with fracture and traction
- Chronic bedridden patients
- Patients those who are strict bed rest
TYPES OF BEDPANS
- The regular high back pan
- The slipper pan fracture pan
PRELIMINARY ASSESSMENT
Check
- The doctors order for specific precautions such as movements of positions
- General condition of the patient
- Level of consciousness
- Mentally healthy to follow instructions
- Self-care ability
- Articles available in the unit
PREPARATION OF PATIENT AND ENVIRONMENT
- Explain to assist (hip to lift)
- Arrange the article at the bedside
- Provide privacy
- Position the patient for easy lifting
- Place Mackintosh under the buttocks to prevent soiling
EQUIPMENT
- Bedpan with lid
- Clean gloves
- Draw Mackintosh if needed
- Water and mug
- Tissue paper
- Soap with soap dish K-Basin and towel
PROCEDURE
- Encourage patient to assume normal position for defecation (if possible)
- Place the dry bed pan under patient’s buttocks
- Assist patient to lift buttocks by supporting the back with left hand
- Instruct and assist patient to raise hips or turn patient to side and place bed pan firmly close to buttocks
- Provide adequate time to pass motion/urine
- Check the well covered bed pan to avoid embarrassment
- Once patient has passed, permit to clean self. Assist by pouring water
- If patient is unable to clean, pour water and clean using long artery clamp and cotton balls rag pieces
- Remove bedpan by lifting patient carefully
AFTER CARE
- Cover bedpan immediately and try Mackintosh of wet
- Secure draw sheet and position the patient comfortably
- Provide water and soap to wash hands
- Empty the articles into stop – hopper in sluice room
- Replace the articles after cleaning
- Wash hands thoroughly
- Record the procedure in the nurse’s sheet
