Serving and Removing of Bedpan and Urinal Edited

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Skills (RLE) for

Level 1
OFFERING AND REMOVING
URINAL AND BEDPAN
Objectives of the lesson:
✓The students will be able to know the
purpose of the procedure
✓The students will be familiarize with the
materials needed for these
procedures
✓The students will be able to state the
proper ways in offering and removing
both urinal and bedpan
Purpose
✓To provide elimination of bodily waste
such as urine and feces in a way that
will respects patient’s privacy and
integrity during the entire procedure.
I. OFFERING AND REMOVING
A URINAL
Example of Female Urinals
EQUIPMENT

Towel
Clean Gloves
Urinal

Basin
Toilet Tissue Soap
PROCEDURE
✓Gather and prepare the necessary equipment.
✓Introduce self and verify client’s identity using
two (2) identifiers.
✓Explain the purpose and procedure to the client.
✓Provide privacy by closing curtain or door.
✓Perform hand hygiene, and don clean gloves.
PROCEDURE
➢Assist the client to a comfortable position.
➢Give the patient the urinal.
➢Provide privacy by replacing covers
➢Leave the client for 2-3 minutes if it is safe or
until the client signals, or remain if the
patient needs support to stand at the
bedside or other assistance.
PROCEDURE
➢Remove the urinal.
➢Wipe the penis around the urethral orifice with a
tissue.
➢Assist patient with hand hygiene and
undergarments:
✓Offer a dampened washcloth or water, soap and towel to
wash and dry hands.
PROCEDURE
➢Change the draw sheet if it is wet.
➢Measure the urine if intake and output is
monitored.
➢Discard urine in toilet
➢Rinse urinal with water.
PROCEDURE
➢Clean urinal, cover and store according to
hospital protocol
➢After care of equipment.
➢Remove gloves and perform hand hygiene.
➢Document color, odor, and amount of urine.
Trivia
II. OFFERING AND REMOVING
BEDPAN
PURPOSES
➢To assist a helpless or weak patient in voiding
and defecation
➢To maintain continence
TYPES OF BEDPAN

REGULAR OR HIGH BACK SLIPPER/ FRACTURE PAN


EQUIPMENT

Bedpan Clean gloves Toilet tissue

Absorbent disposable
Towel Soap
underpad
EQUIPMENT

Draw sheet
Hand towel
Air freshener
PROCEDURE
✓Gather and prepare the necessary equipment.
✓Introduce self and verify client’s identity using
two (2) identifiers.
✓Explain the purpose and procedure to the
patient.
✓Provide privacy by pulling curtains/ shades or
closing doors.
PROCEDURE

➢Perform hand hygiene,


and don clean gloves.
➢Follow any isolation
precautions in place that
requires other Personal
Protective Equipment
(PPE)
PROCEDURE

➢Adjust the height of the


bed or at a comfortable
working height to prevent
back injury.
➢Raise the side rail and
ensure wheels are locked.
PROCEDURE
➢ Position the client.
➢Place an absorbent
disposable underpad as
protective barrier from
soiling the linens.
➢Underpad should be on
top of the bottom sheet,
under perineal area
including buttocks and
thighs
PROCEDURE
➢ Place the bedpan under the patient
by assisting the patient to turn on their
side with their buttocks toward the
nurse:
➢If tolerated:
➢Ask the patient to flex the knees
and raise his/ her buttocks
➢You may slide your hand under Or
the back of the patient for
support in raising buttocks
➢Gently slide bedpan under the
patient and ensure proper
placement.
PROCEDURE
➢Place the bedpan according to Towards
the contour or shape of the Patient’s feet
device. The wide area of the
bedpan points towards the
patient’s head and narrow
area towards feet.
➢Hold the bedpan with one
hand and the hip with the other
and roll the patient onto the
bedpan. Towards
Patient’s
➢ Ensure the buttocks are firm head
against the bedpan
PROCEDURE
➢Avoid patient injury by not
placing the bedpan forcibly
under the buttocks.
➢Assist to a sitting position if not
contraindicated, to allow a
natural elimination position
➢Cover the patient to prevent
chilling and provide privacy.
PROCEDURE

➢Place a call device


and toilet tissue within
reach, lower the bed to
low position, raise the
side rail and leave the
client if it is safe to do
so.
PROCEDURE

➢Lower head of the bed


before removing the bedpan
PROCEDURE
➢Assist the client to perform perineal care.
➢from pubic to anal area (with toilet
tissue)
➢anal area (with toilet tissue then soap
and water)
➢Pat dry the perineal area
➢For dependent clients – soap and
water
➢Replace the draw sheet if it is soiled.
➢Assist the patient in performing hand
hygiene.
➢Place in a comfortable position.
PROCEDURE
➢Take the bedpan to the
bathroom of the patient
➢Assess contents of the
bedpan (e.g. blood clots, color,
foul odor, characteristic of feces
etc.) prior discarding in toilet.
➢Rinse bedpan with tap water,
clean, cover and store
according to hospital policy
(wear clean gloves)
PROCEDURE
➢After care of equipment.
➢Remove and discard clean
gloves.
➢Perform hand hygiene.
➢Spray the room with air
freshener as needed.
➢Document color, odor, amount,
and consistency of urine and
feces, and the condition of the
perineal area.
PROCEDURE
Note:
➢Warm the bedpan, if it is
made of metal, by rinsing it
with warm tap water then
dry.

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