Giving And Removing Bedpan To A Patient

Here we will learn on how to give and remove a bedpan to a patient.  But first we should know what is bedpan, its importance and why do we need the procedure.

What is bedpan?

Bedpan is an object used for the toileting of a bedridden patient in a health care facility, usually made of a metal, glass, or plastic receptacle. A bed pan can be used for both urinary and fecal discharge

Why they are necessary

1. 
   
    Many diseases can confine a patient to bed, necessitating the use of bedpans.
   
   
   
2. 
   
   Additionally, many patients may be confined to a bed temporarily as a result of a temporary illness, injury, or surgery, thereby necessitating the use of a bed pan.
   
   
   

 Procedure of giving and removing bedpan to a patient.

1.  Wear disposable glove.
2. If the bedpan is metal, warm it by rinsing it with warm water.
3. 
   
   Adjust the bed to a height appropriate to prevent back strain.
   
   
   
4. 
   
   Elevate the side rail on the opposite side to prevent the client from falling out of bed.
   
   
   
5. 
   
   Ask the client to assist by flexing the knees, resting the weight on the back heels, and raising the buttocks, or by using a trapeze bar, if present.
   
   
   
6. 
   
   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 lever.
   
   
   
7. 
   
   Lubricate the back of the bedpan with a small amount of hand lotion or liquid soap to reduce tissue friction and shearing.
   
   
   
8. 
   
   Place a regular bedpan so that the client’s rest on the smooth, rounded rim. place a slipper pan with the flat, low end under the client’s buttocks.
   
   
   
9. 
   
   For the client who cannot assist , obtain the assistance of another nurse to help lift the client onto the bedpan or place the clients on his or her side , place the bedpan against the buttocks and roll the clients onto the bedpan.
   
   
   
10. 
    
    To provide a more normal position for the clients lower back elevates the client’s bed to a semi Fowler’s position. If permitted. If elevation is contraindicated, support the clients back with pillow as needed to prevent hyperextension of the back.
    
    
    
11. 
    
    Cover the clients with bed linen to maintain comfort and dignity.
    
    
    
12. 
    
    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.
    
    
    
13. 
    
    Answer the call bell promptly
    
    
    
14. 
    
    Do not leave anyone on a bedpan longer than 15 minutes unless they are able to remove the pan themselves. Lengthy stays on a bedpan can causes pressure ulcer.
    
    
    
15. 
    
    When removing the bedpan, return the bed to the position used when giving the bedpan, hold the bedpan steady to prevent spillage of its content, cover the bedpan, and place it on the adjacent chair.
    
    
    
16. 
    
    If the client needs assistance, don glove and wipe the patient’s perineal area with several layers of toilet tissue. If a specimen proof is needed place the tissue in a receptacle other than the bedpan.
    
    
    
17. 
    
    Wash the perineal area of dependent patient with soap and water and thoroughly dry the area.
    
    
    
18. 
    
    For all patients, offer warm water soap, a washcloth. and a towel to wash the hands.
    
    
    
19. 
    
    Assist the pateints to a comfortable position, empty and clean the bedpan, and return it to the bedside.
    
    
    
20. 
    
    Remove and discard you gloves and wash your hands.
    
    
    
21. 
    
    Spray the room with air freshener as needed to control odor unless contraindicated because of respiratory problems or allergies.
    
    
    
22. 
    
    Document colour, odour amount and consistency of urine and feces and the condition of the perineal area