Fecal Management Systems

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  1. This is a discussion on Fecal Management Systems in MICU / SICU Nursing, part of Critical Care Nursing ... I am doing some research on fecal management systems (FMS). FMS are utilized for your bedridden,...

    I am doing some research on fecal management systems (FMS). FMS are utilized for your bedridden, immobilized or incontinent patient with liquid or semi-liquid stool.

    Has anyone used a Flexi-Seal, ActiFlo or DigniCare fecal management system. If so, which one have you used or do you prefer and why.
    [/h]Thank You kindly.
    Poll: What Fecal Management System Do you Prefer?
    • ActiFLo

      2.63% 1
    • DigniCare

      2.63% 1
    • FlexiSeal

      94.74% 36
    38 Votes / Multiple Choice
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  3. 17 Comments so far...

  4. I don't really prefer DigniCares, it's just what my hospital carries. Never used the other two...
  5. We use FlexiSeal, and I've never used the other two systems.

    FlexiSeal either works in your pt or it doesn't (leakage).
    Altra likes this.
  6. Digicares leak too... oh what fun with a gi bleed and poo everywhere...
  7. I also use a nasal trumpet connected to a foley bag.

    Before you call me crazy, research has shown that it's actually less damaging to the rectum (and way cheaper too!)
    MLB55 likes this.
  8. Our hospital only carries one FMS -- FlexiSeal. Honestly, I find that it is a waste of money. Leakage, leakage, leakage! Especially hard to get a good seal and containment on overweight patients.

    I've had much better luck with a cheaper rectal tube and foley bag system.
  9. We have FlexiSeals and from my experience, all they do is leak!
  10. I have used both FlexiSeal and Actiflo. They both leak slightly but it is better than nothing, by far. I prefer FlexiSeal probably because I have used it much more. Both of them will come out if you have a very aggressive cougher.

    I have never tried a nasal trumpet and foley bag. It is a very creative idea!
  11. Our hospital used flexiseal for a while and then we switched to Dignicare. I think Dignicare works better....it's shaped like a cone and I think the leakage is much less. Plus, dignicare is rolling out an improved version. It is better coated and the odor is better contained.
  12. Dignicare- leaks EVERYWHERE!!!!