Elimination Assistance

Bedpans Standard bedpan  Also called a regular bedpan Fracture pan  A bedpan that is flatter that the regular bedpan

Bedpan Assistance (Proc. Guideline #23) 1.Knock, identify self, greet resident, explain 2.Wash hands, wear gloves 3.Lower HOB as tolerated, adjust resident’s clothing 4.Assist resident to lift hips by supporting hips with arms 5.Slide bedpan under resident’s hips 6.If unable to lift hips, turn resident on side, hold bedpan securely in place against buttocks and help resident roll back onto bedpan.

Bedpan continued 7. Adjust bedpan for comfort and position 8. Raise siderails and elevate HOB as upright as tolerated 9. Remain in room as needed for safety, leave room if you can do so safely 10. Place call light and tissue close 11. Lower HOB, ask resident to lift hips or assist to roll while holding bedpan securely 12. Assist with peri-care as needed 13. Clean up area, measure, wash hands, record

Placement of fracture pan

Placement of regular bedpan Resident’s Feet Head Should be positioned with wider end aligned with the resident’s buttocks

Urinal & Portable Commode -Men will generally use a urinal for urination and a bedpan for bowel movements -Women will generally use a bedpan for both urination and bowel movements -A portable commode is a chair with a toilet seat and a removable container underneath. Also referred to as a Bedside Commode (BSC).

Urinal Assistance (Proc. Guidelines #23) 1.Knock, identify self, greet resident, explain procedure 2.Wash hands, wear gloves 3.Assist resident to stand if possible or raise HOB up (if tolerated and able) 4.Hand urinal to resident--if needed, assist resident to position penis into urinal and hold urinal in place 5.Measure, rinse urinal, wash hands, record BE SAFE THROUGHOUT PROCEDURE

Assisting resident to use BSC (portable commode) 1.Knock, Wash hands, Greet, Explain 2.Provide privacy 3.Safely transfer to Portable commode 4.Assist with clothing as needed 5.Provide privacy if you can safely do so, otherwise stay with resident 6.Assist with peri-care as needed 7.Assist back to bed, or chair 8.Measure, empty, clean, wash hands, record

Urinary Catheters A straight catheter does not remain inside the person. –Removed after urine is drained An indwelling catheter remains inside the bladder for a period of time. –Urine drains into a bag

Indwelling Urinary Catheter (Proc. Guideline #41) 1.Knock, Wash hands, Greet, Explain 2.Check that secure and positioned over leg, not under 3.Check that no leaking or kinks 4.Check that urine is freely draining into bag 5.Keep the urine-collecting bag BELOW the level of the bladder at all times 6.Keep the bag off the floor at all times 7.When in bed-attach bag to the bed frame, never the side rail

Empty Catheter Bag 1.Knock, Wash hands, Greet, Explain, Gloves 2.Use residents graduate container to empty 3.Open clamp on the drain to empty, located on bottom of drainage bag 4.The drain spout should not touch anything 5.Close clamp, measure, discard, rinse, wash hands, record urinary output

Additional Information Adult Pull-up Adult Brief Colostomy -Is when the end of the intestine is brought out of the body through an artificial opening in the abdomen. The opening is called a stoma. This is where stool or feces is eliminated into a drainage pouch.