Bedpan Changing Question

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I have a quick question regarding bedpan changes before my nursing clinical tomorrow. We have private patient rooms with a very tight bathroom with just a toilet and sink. I was wondering what to do with a bowel movement when cleaning. First, does that count as an output measurement. And secondly, where would you clean out the bedpan or BSC at? I feel like it would be really unsanitary carrying it all the way to the supply room and punching the code in with clean gloves on. I don't want people to get the wrong idea that I'm wearing soiled gloves. Also, I wouldn't want to wash it out in the patient's sink. Oh and is toilet paper okay for wiping. The head management heavily stressed we only use three wipes per patient. Is toilet paper sufficient as well? Any advice from your guys' experience? Thanks!

Specializes in Neuro, Telemetry.
OMG YOURE A GOD!

Haha

When I was a CNA, another aide showed me this after I complained about a peanut butter poop being stuck in the pan and having to use my gloved hand (double of course) to literally pick the poop up out of the pan. It was just smearing everywhere. Blech.

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Specializes in Neuro, Telemetry.
They only allow 3 wipes per person? I have never heard of such a thing!!! Sometimes, I go through a whole pack. I would ask if this was evidence-based practice? :roflmao: Was a study conducted that only 3 wipes are needed? What if it's really messy? They could be looking at skin breakdown if poop if left on the skin and somebody used their 3 wipe limit.

If there is a toilet in the room, you dump it in there. In the ICU unit I was just in, we had to walk down the hall. There were no bathrooms in the rooms. I had to be really careful when emptying catheters and carrying that down the hall. It was the only time I ever wore my gloves out of the room.

The 3 wipes thing is one of the craziest things I have ever heard.

What makes this rule even more stupid is that wipes are a billable item. Or at least they are where I work. Some hospitals may not bill for them, but that's their choice. Obviously we don't want to be billing patients pack after pack of wipes as we grab all of them to wipe pee or something. But if they are messy, and it warrants use of multiple wipes, I'm all for using as many wipes as it takes to properly clean them.

Id probably be fired from this place for wipes use, but my patient's a$$es would be the cleanest in the building. Haha

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At the nursing home that I had clinicals at last semester. They didn't have wipes and you had to use wash clothes which were hard to find. To come to find out some of CNAS were throwing away the dishrags because they thought it was unsanitary to keep the soiled rags...I was washing patients with hand towels because there were barely any rags left! The hospital I'm at now for clinicals have these heated wipes that are for bed baths but I'm not sure if they use them for poop cleaning, because it's charged to the patient it comes in a pack and there like 8 to 10 wipes in a packet. Only one of my patients have been incontinent and I changed them during bath time and we were out of wipes so, I used soap and water rag. Had to clean that area anyway....

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Honey I am going to use only as many wipes as needed to clean the patient. If the head nurse feels fewer wipes need to be used he/she can donate their lab coat. You don't really have to report how many wipes you used. Non-profit hospitals are called that because they don't pay taxes, not because they don't try to make a profit.

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Specializes in complex rehab, post-op.

And, only one square of toilet paper per patient allowed! LOL:no:

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Specializes in complex rehab, post-op.

Why is it locked?

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Hahaha 3 wipes? Some patients take up to a half of a pack. Anyway to answer some of your questions, toilet paper is ok to use but finish up the job with a clean wet-wipe.

I would think it would be fine to push the BM into the toilet with tp, use water from the sink and clean the bedpan with a paper towel and dump soiled water into the toilet.

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Specializes in Neuro, Telemetry.
And, only one square of toilet paper per patient allowed! LOL:no:

Guess you can't line your bed pan now. Bummer. Lol

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Three wipe per patient limit....after the day I had today....I am SO FIRED!

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Sounds like the upper management at my facility! They decided that the ER should only get 4 foley cath's a day. Doesn't matter what the need is, they will only supply 4 and after that you have to borrow from other departments, etc. This policy got abolished pretty quickly but still!

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Specializes in Pediatric Critical Care.
Sounds like the upper management at my facility! They decided that the ER should only get 4 foley cath's a day. Doesn't matter what the need is, they will only supply 4 and after that you have to borrow from other departments, etc. This policy got abolished pretty quickly but still!

Who in the world decided THEY should be making that decision!?

If the doctor orders five patients to get foleys, I dare that administrator to come downstairs and tell the doctor to their face that he has to pick only four.

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Specializes in Pediatric Critical Care.
Why is it locked?

If this is in reference to the soiled utility rooms, I am told that it's a jcaho rule or some other accreditation thing. Infection control. Something like that.

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