PPT-PROVIDING-BED-PAN.pdf procedure NF-2

PPT-PROVIDING-BED-PAN.pdf procedure NF-2

• 1.
  R.Rubini, B.Sc (N) NursingTutor KVCN.
• 2.
   A bedpan is a shallow equipment used for urination and defecation by bedridden patients.
• 3.
  1. Regular bedpan 2. Fracture bed pan
• 4.
  To facilitate boweland bladder elimination in a bedridden patient. To collect specimen. To give perineal wash. To teach bowel and bladder training to the patient.
• 5.
  a) Assess thepatients normal bowel elimination habits and routine pattern. b) Observe for effects of certain foods on bowel elimination. c) Assess the patients level of mobility, amount of assistance required, and position that the patient can assume. d) Assess for abdominal pain, hemorrhoids, or irritation of skin surrounding anus.
• 6.
   Bed panwith cover  A toilet tray containing,  A jug with warm water  Soap in soap dish  Disposable gloves  Wash cloth and towel  Toilet tissue  Specimen container  Draw sheet  Mackintosh  Screen
• 7.
   Explain theprocedure to the patient.  Assemble the equipment near the bedside.  Wash hands and wear gloves.  Provide privacy.  Position the bed to a convenient height.  Elevate side rails on opposite side.  Roll the draw sheet to one side if it is there and spread a mackintosh under the perineum.  In patients who can move lower limbs, ask the patient to flex knees, resting the weight on back or legs, and then raising the buttocks.  Place a regular bed pan with the smooth rounded rim under the patients buttocks; the open pouring side of the pan should face the foot end; if fracture bed pan is used, place the low flat end under the patients buttock.
• 8.
  For a patientwho is immobilize, position in side-lying position; place the bed pan; roll the patient back to supine position over the bed pan. Elevate the bed to semi-fowlers position; elevate the side rails. Offer soap and water to clean if the patient can assist by pouring water; if the patient is unable to do so, pour water and clean using cotton balls, held with long artery clamp. Do not drag the bed pan when removing. Cover the pan immediately; dry the mackintosh if it is wet; replace the draw sheet. Offer soap and water to wash hands. Discard the content; replace the bed pan for washing.
• 9.
   Wash hands. Reposition the patient comfortably.  Replace the articles.  Document the procedure.  Record the date and time of defecation.  Record the characteristics of stool.  Report any pertinent findings to the nurse-in- charge.
• 10.
   Assess thecharacteristics of the stool.  Inspect the patients perineal area and surrounding skin while removing the bed pan.  Evaluate the patients overall activity tolerance and comfort.
• 11.
   15.04.2021 ,7.30 pm  Mr. X had undergone surgery and hence was bedridden.  Bed pan was provided to the patient after ensuring privacy.  Patient passed stools.  Patient felt comfortable.