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Discussion

Fecal collection systems

Like Zassi or now days I believe it is by Hollister? Educate me on what all I need to know, this is new to me. This is a Hospice patient, how long can they stay in? Patient has a raging C-diff infection, just admitted from ICU to home care with us.

Do we irrigate the thing? How do you control the odor because it is really bad in this poor family's home.

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    • Featured Replies

    Hi, I'm at home now but from memory they're good for maximum 28 days. They can be irrigated, same as a 3 way urinary catheter. The odour can minimised by changing the collection bag regularly.

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    • Expert

    Here are a couple of policies. They can stay in no longer that 28 days. They are irrigated the same way a foley is.....it just doesn't have to be sterile. The smell?? Well nothing smells like C-Diff.....:barf02:. Any of the activated charchol products that are used for coloctomies can be used in the bag. I have always been a big no smel girl. I have found OZIUM products work wonders. I used to carry the spray in my pocket at work........I have no involvement with this product other than knowing it works.......

    http://www.amazon.com/Sanitizer-Original-Ozium-Citrus-Refills/dp/B000GAVSLE

    http://nursing.uchc.edu/unit_manuals/intensive_care/docs/Fecal%20Incontinence%20Management%20Using%20the%20Flexi-Seal%20Fecal%20Management%20System.pdf

    http://nursing.uchc.edu/nursing_standards/docs/Fecal%20Incontinence%20Management%20Using%20the%20Flexi-Seal%20Fecal%20Management%20System.pdf

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    Hollister is excellent at setting up training sessions if you call your nearest rep. They'll gladly come show you what to do.

    In short, it can stay in 28 days before the system needs to be changes out. Irrigation is done q12h at my facility. You just connect the irrigation bag to one of the 3 ports and let tap water run in to gravity.

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    Irrigate often!

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    And for pete's sake, don't put one in until you've assessed for fecal impaction. I had a pt that was just doing a little liquid seep, dayshift had put in a Flexiseal, I took it out to see what was going on, and the poor thing was packed solid -- the "liquid diarrhea" was seepage around a solid, solid, ancient piece of poo.

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    Flush with 300-500ml tap water q 12 hours. I like to use those wall air fresheners to help with smell. And changing the bag helps somewhat

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