Feacal Management Systems???

TiredMD · Jan 23, 2008

Our ICU uses them constantly, and they are a God-send to physicians and nurses alike, but always remember the contraindications to their use. Lately I've had two patients who had them inserted when they shouldn't (one with rectal cancer, the other with severe proctitis). No one has perfed yet, thank God, but it's only a matter of time before we get sued because we weren't paying attention.

SillyStudent, ASN, RN · Jan 23, 2008

check out flexi seal. They have a system ment for watery stool. Down side is it sits inside rectum and is inflated, and is also $900 per opened package. Works well with lots of turning. We also have the fecal pouch the previous poster mentioned. Works well also.
The flexi seal must be use for watery stool only. Sometimes pts go around the device and it needs to be inflated some more.

We use flexi-seal also, and it seems to work very well. I have also seen the patient go around the tube and you have to inflate the 'donut' some more. It's a great thing for patients that would have had nasty skin breakdown from their watery stool.

kukukajoo, LPN · Jan 24, 2008

Zassi system was bought out by Hollister and is a Canadian company I think. So there are only those two (Zassi & Felxi Seal) that I am aware of that are indwelling, as Hollister was the third one.

I have spoken to the rep for the FlexiSeal and we will be meeting soon. They sell to ALL hospitals around here but the one I do clinicals in and she is so hoping this will help get her foot in the door. So am I when I think of the pts I have had with CDiff and other very watery stools with peri areas so excoriated and just beet red. It would have saved so much pain and discomfort for my pts.

I will be looking into the external types as well and so far there are positives and negatives but I can see in many cases the positives far outweigh the negative.

Will update you all in a couple weeks when I have more information. In the meatime, thank you again and please keep sharing your expereinces with these systems.

nici1978 · Jan 24, 2008

Saw this mentioned on another thread a couple days ago and looked it up as I had never heard of them. Evidently it is for ppl with watery stools and can help avoid skin breakdown, etc.
The hospital I do clinicals at does not use them. I have had several pts with CDiff that could have benefitted from having this in place!!
We have to do an inservice teaching so I have chosed this topic and am in the proces of contacting manufacturers of the various forms of these now for some guidance, further information.
Has anyone had any successes with this or are they still really hard to use? Can you share your experiences regarding them please? I have seen the litereature and they look great but if they are so darned good then why are they not so widely used? Is one brand/style superior to the others?
Thanks everyone- I love having so much knowledge to tap right at my fingertips!!
Thanks everyone!

we use flexiseal in our facility

working in wound care i have to say they do work and they are easy to use

nici

kukukajoo, LPN · Jan 24, 2008

Aside from them not being sealed on in place correctly (for the external) and not having the baloon filled enough, have there been other problems?

The balloon in the past used to be an issue as it could damage the spincter. Evidently it was hard rubber but have you had any issues with the softer silicone balloon on the internal.

nici1978 · Jan 26, 2008

Aside from them not being sealed on in place correctly (for the external) and not having the baloon filled enough, have there been other problems?
The balloon in the past used to be an issue as it could damage the spincter. Evidently it was hard rubber but have you had any issues with the softer silicone balloon on the internal.

i never had any issue with it, and i use them a lot

you get leaking sometimes but than you just have to readjust or fill the balloon with more water

nici

Valerie Salva, BSN, RN · Jan 26, 2008

We use Flexiseal at my job, and they are great. They do leak a little, but it's managable.

pagandeva2000, LPN · Jan 26, 2008

The Zazi system is one that I read about in my last semester of nursing school. I think they have a web site; just type in Zazi in your browser. It did seem interesting, but I have not seen the system used in my hospital, yet.

kukukajoo, LPN · Jan 27, 2008

Thanks! I am meeting with the Rep for FlexiSeal on Friday and still researching this. I am happy to hear that these are being used in other places and hope that soon some sort of FMS will be in place here at our local hospital.

I also have a local contact who is the wound care guru locally and she has had some experience with them as well.

Will update with my findings.

nurseaboveboard · Jan 27, 2008

Well nurses, you've done it again! I frequently manage to learn something on this site. Believe it or not, I have not heard about fecal management systems. Interesting and much appreciated. Thanks!

kukukajoo, LPN · Jan 27, 2008

Well nurses, you've done it again! I frequently manage to learn something on this site. Believe it or not, I have not heard about fecal management systems. Interesting and much appreciated. Thanks!

Same here! A post about something totally different mentioned the FMS so I looked them up and now will be doing an inservice teaching on my floor about them! I am hoping that the hospital begins to use them too!

mommybear · Oct 18, 2008

you should check hollister's bms for the best system out there, it was designed by colo-rectal surgeons and it is a better product, can medicate,ememas,drainable or disposable bag, sample port for stool, doesn't leak like the others. we have trialed the others and this proved to work above the others and saved us money. none cost the amount you have mentioned they are all around 300